Protocolo diagnóstico, terapéutico y de seguimiento del cáncer diferenciado de tiroides
- López Tinoco, Cristina
- Gavilán, Inmaculada
- Coserria Sánchez, C.
- García Curiel, Antonio
ISSN: 0304-5412
Year of publication: 2012
Issue Title: Enfermedades endocrinológicas y metabólicas: patología del tiroides
Series: 11
Issue: 14
Pages: 854-858
Type: Article
More publications in: Medicine: Programa de Formación Médica Continuada Acreditado
Abstract
Differentiated thyroid cancer (OTCl accounts for 85-90% of all thyroid cancer. Cervical ultrasonography is the imaging modality of choice for diagnosis and preoperative staging and fine needle aspiration (FNAl is essential for the diagnosis and therapeutic guidance. In most cases, total thyroidectomy is usually performed because it reduces the relapse rate, allows the ablation of thyroid tissue remnants and facilitates postoperative follow. Later radioiodine treatment is indicated to remove residual thyroid, facilitate monitoring with thyroglobulin (Tgl and perform postsurgical staging. In the follow, one of the most important goals, is to achieve TSH suppression and its based on the high sensitivity of Tg as a tumor marker. We recommend carrying out cervical screening, thyroid ultrasound and Tg levels, the diagnostic scanning is only indicated for patients with moderate to high risk.