Papillary thyroid cancer: Monitoring and therapy Journal Article
| Authors: | Tuttle, R. M.; Leboeuf, R.; Martorella, A. J. |
| Article Title: | Papillary thyroid cancer: Monitoring and therapy |
| Abstract: | The last 10 years have seen a major paradigm shift in the management of thyroid cancer, with greater reliance on serum thyroglobulin and neck ultrasonography, and less emphasis on routine diagnostic whole-body radioactive iodine scanning for detection of recurrent disease. As our follow-up tests become more sensitive for detection of recurrent disease, we are finding many asymptomatic patients who have low-level persistent disease many years after initial therapy that may or may not benefit from additional testing and therapy. These difficult issues have been addressed by at least five different sets of guidelines published recently by various thyroid specialty organizations around the world. In this article, the authors compare and contrast the recommendations from the various guidelines in an attempt to define areas of consensus and explore possible reasons for differing recommendations. © 2007 Elsevier Inc. All rights reserved. |
| Keywords: | clinical feature; review; cancer staging; positron emission tomography; follow-up studies; lymph node excision; lymphadenectomy; treatment indication; neoplasm recurrence, local; carcinoma, papillary; recurrence; risk factor; risk assessment; radioactive iodine; iodine radioisotopes; neoplasm, residual; early diagnosis; echography; fluorodeoxyglucose f 18; thyroidectomy; thyroid neoplasms; external beam radiotherapy; thyroglobulin; aspiration biopsy; thyroglobulin blood level; thyroid papillary carcinoma; whole body scintiscanning; subtotal thyroidectomy; practice guidelines |
| Journal Title: | Endocrinology and Metabolism Clinics of North America |
| Volume: | 36 |
| Issue: | 3 |
| ISSN: | 0889-8529 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2007-09-01 |
| Start Page: | 753 |
| End Page: | 778 |
| Language: | English |
| DOI: | 10.1016/j.ecl.2007.04.004 |
| PUBMED: | 17673127 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 23" - "Export Date: 17 November 2011" - "CODEN: ECNAE" - "Source: Scopus" |
