HTgRIA在分化型甲状腺癌随访中的价值探讨

  • 摘要: 报道了38例分化型甲状腺癌(简称甲癌,下同)手术及 ̄(131)I治疗后血清HTg的变化。结果表明,在32例复发与转移患者中,24例(75%)血清HTg升高,19例(6O%)出现 ̄(131)I异常浓聚。6例临床尚未发现病灶者,血清HTg浓度均低于11μg/l。认为HTg测定在分化甲癌术后的监测中具有重要价值,但不能取代 ̄(131)I显像的位置。综合分析HTg与 ̄(131)I显像的结果,互补之间的不足,可提高甲癌转移灶的检出率与准确性。

     

    Abstract: EVALUATION OF THYROGLOBULIN ASSAYYROGLOBULIN ASSAY IN THE FOLLOW-UP OF PATIENTS WITH DIFFERENTIATED THYROID CARCINOMALuo Jia;Li Jianguo;Ni Jichang;Ren Bangming; Chen Xianyu(Nuclear Medicine Department of First Affukuated Hospital Chongqing Medical University,630042)ABSTRACT Serum thyroglobulin level are measured in 38 patients who had undergone thyroidectomy and~(131)I ablation for differentiated thyroid carcinoma. Of 32 patients with metastases and recurrences,HTg lev-el are elevated(>11μg/l)in 24(75%)and there are abnormal~(131)I imaging in l9(60%).Of the re-maining patients with absence of thyroid cancer demonstrated by other clinical critera,HTg level are below 11 μg/l.These results suggest that the serum HTg level are of considerable value but position in the use of HTg levels is not as a replacement for~(131)I imaging in monitoring the activity of thyroid can-cer.Based on the study,however,the two methods can complement each other to achieve maximun sensitivity and reliblity.Key words HTg differentiated thyroid cancer~(131)I imaging

     

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