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Undetectable serum thyroglobulin in a patient with metastatic follicular thyroid cancer.

AbstractThe case of a 54-year-old woman with metastatic follicular thyroid cancer and undetectable serum thyroglobulin is presented. Many years after the patient had a subtotal thyroidectomy for a large goiter that had no clear evidence of malignancy, metastatic bone disease developed. When the bone metastases were detected and during the follow-up period, serum thyroglobulin values remained undetectable, but radioiodine uptake in the metastases was abundant. This case indicates that the combination of 1-131 scintigraphy and serum thyroglobulin values is superior to the measurement of serum thyroglobulin alone in detecting well-differentiated, metastatic thyroid cancer.
AuthorsI J Mertens, J M De Klerk, P M Zelissen, J H Thijssen, D M Sie-Go, S H Han, P P Van Rijk (Affiliation: Department of Nuclear Medicine, University Hospital Utrecht, The Netherlands.)
JournalClinical nuclear medicine (Clin Nucl Med) Vol. 24 Issue 5 Pg. 346-9 (May 1999) ISSN: 0363-9762 UNITED STATES
PMID10232475 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Thyroglobulin
Topics
  • Adenocarcinoma, Follicular (diagnosis, radionuclide imaging, secondary)
  • Bone Neoplasms (diagnosis, radionuclide imaging, secondary)
  • Female
  • Humans
  • Middle Aged
  • Thyroglobulin (blood)
  • Thyroid Neoplasms (pathology)