血清Tg测定及~(131)Ⅰ显像对诊断甲状腺癌术后复发和转移的价值

  • 摘要: 用血清甲状腺球蛋白(Tg)浓度测定和 ̄(131)Ⅰ显像,评定检测了83例分化型甲状腺癌(甲癌)术后患者。在23例 ̄(131)Ⅰ显像有转移灶者中有20例伴有Tg值增高;对甲状腺素替代治疗者停药前、停药2周后的Tg值进行了对比;另外对10例患者进行了5年随访。结果表明,血清Tg测定对诊断分化型甲状腺癌术后有否复发或转移是一种有效而简便方法,结合 ̄(131)Ⅰ显像更能提高诊断准确率。

     

    Abstract: EVALUATION OF SERUM THYROGLOBULIN AND ~(131)ⅠWHOLE BODY SCANNING FOR THE DIAGNOSIS OF LOCAL RECURRENCE AND METASTASIS IN PATIENTS WITH THYROID CANCER AFTER OPERATION Shen Jiangfan;Gao Kejia(The Central Hospital of putuo District,Shanghai 200062)(The Sixth hospital,Shanghai 200233) ABSTRACT Serum thyroglobulin measured by RlA method and ~(131)Ⅰwhole body scanning are performed in 83differentiated thyroid cancer patients postoperatively. The seanning of 23 cases show that the metasta-sis of cancer is taken place,Among them,the serum Tg levels is higher than normal.The Tg levels be-fore stopping T_4 administration and after two weeks of stopping T_4 administration are compared for the20 patients. In addition, the follow-up studies with Tg are performed in five years for 10 cases. Theresults show that serum Tg is a sensitive and valuable in assessment of local recurrence or distant metas-tasis,the combination of sertim Tg and scanning is superior to eithcr procedure alone. key words thyroglobulin differentiate thyroid ~(131)Ⅰ whole body scanning

     

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