Volume : 4, Issue : 7, JUL 2018

PREOPERATIVE SERUM THYROGLOBULIN IN PREDICTION OF THYROID MALIGNANCY

BEGZADA HASUKI?, AMRA JAKUBOVI?-?I?KUŠI?, BELKISA IZI?, EMIR ŠEHANOVI?, INDIRA MEHMEDAGI?, JASMINA ?UG, ŠEFIK HASUKI?

Abstract

Background: The aim of this study is to determine whether serum thyroglobulin (Tg) values have a predictive role in thyroid cancer in patients with thyroid nodules. Patients and Methods: The prospective study, included 100 patients with scintigraphic cold thyroid nodules divided into two groups. Demographic datas, Tg levels and final histopathological findings were recorded. The first group consisted of 50 patients with histopathological verified malignant nodules and a second group of 50 patients with histopathological verified benign nodules. Tgwere estimated by the radio-immunity assay (RIA) method. Results: Average values of Tg in the groups with benign nodules were 24 (9.8 -98.2) and in the groups with malign nodules were 69.5 (15-277) ng / mL. Tg values were significantly higher in patients with malignant nodules (p=0.03).Tg values were not predictive for thyroid malignancy. Conclusion: Although, we did not found predictive Tg value, we recomend further investigating in combinatin with other clinical parameters (age, sex, tumor size, ultrasonography caracteristics) in patinets with thyroid nodules with indeterminate cytology.

Keywords

Thyroid Nodule, Thyroglobulin , Thyroid Cancer, Prediction.

Article : Download PDF

Cite This Article

Article No : 8

Number of Downloads : 935

References

1. Bomeli SR, LeBeau SO, Ferris RL. Evaluation of a thyroid nodule.OtolaryngolClin North Am. 2010; 43(2) : 229-238. 2. Camargo R, Corigliano S, Friguglietti C, Gauna A, Harach R, Munizaga F and al. Latin American Thyroid Society recommendations for management of thyroid nodules. Arq Bras EndocrinolMetab 2009; 53(9): 1167-1175. 3. Castro MR, Gharib H. Thyroid nodules and cancer. When to wait and watch, when to refer.Postgrad Med. 2000; 107(1):113-116, 119-120, 123-124. 4. Lansford C. Evaluation of Thyroid Nodule. Carle Selected Paper 2011; 52 (1):12-22. 5. Sidawy MK, Del Vecchio DM, Knoll SM. Fine needle aspiration of thyroid nodules: correlation between cytology and histology and evaluation of discrepant cases. Cancer 1997; 81(4):253-259. 6. Baloch ZW, LiVolsi VA, Asa SL, Rosai J, Merino MJ, Randolph G, et al. Diagnostic terinology and morphologic criteria for cytologic diagnosis of thyroid lesions: a synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State o the Science Conference. DiagnCytopathol 2008; 36(6):425-437. 7. Udelsman R, Westra WH, Donovan PI, Sohn TA, Cameron JL: Randomised prospective evaluation of frozen-section analysis for follicular lesions of the thyroid. Ann Surg 2001, 233:716-722. 8. American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer,Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, Mandel SJ, Mazzafferi EL, Mclver B, Pacini F, Schlumberger M, Sherman SI, Steward DL, Tuttle RM: Revised American Thyroid Association menagement guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 2009, 19:1167-1214. 9. Hocevar M, Auersperg M: Role of serum thyroglobulin in the preoperative evaluation of folliclar thyroid tumors. Eur J SurgOncol 1998, 24:553-557. 10. Petric, R., Perhavec, A., Gazic, B. and Besic, N. Preoperative serum thyroglobulin concentration is an independent predictive factor of malignancy in follicular neoplasms of the thyroid gland. J. Surg. Oncol. 2012; 105: 351–356. doi:10.1002/jso.22030
11. Gibelli B, Tredici P, De Cicco C, Bodei L, Sandri MT, Renne G and al. Preoperative determination of serum thyroglobulin to identify patients with differentiated thyroid cancer who may present recurrence without increased thyroglobulin.ActaOtorhinolaryngol Ital. 2005; 25(2):94-9. 12. Kim H, Kim YN, Kim HI, Park SY, Choe JH, Kim JH, Kim JS, Chung JH, Kim TH, Kim SW. Preoperative serumthyroglobulinpredictsinitialdistantmetastasis in patients with differentiatedthyroid cancer.Sci Rep. 2017;7 (1):16955. doi: 10.1038/s41598-017- 13. Pacini , Schlumberger M, Dralle H, Elisei R, Smit JW, Wiersinga W, European Thyroid Cancer Tascforce: European consensus for the menagement of patients with differentiated thyroid carcinoma of the follicular epithelium. Eur J Endocrinol 2006, 154: 787-803. 14. Lee EK, Chung KW, Min HS, Kim TS, Kim TH, Ryu JS, Jung YS, Kim SK, Lee YJ. Preoperative Serum Thyroglobulin as a Useful Predictive Marker to Differentiate Follicular Thyroid Cancer from Benign Nodules in Indeterminate Nodules. J Korean Med Sci. 2012Sep;27(9):1014-1018.https://doi.Org/10.3346/jkms. 2012.27.9.1014 15. Christensen SB, Bondeson L, Erisson UB, Lin K. Prediction of malignancyin the solitary thyroid nodule by physical examination, thyroid scan, fine –needle biopsy and serum thyroglobin. A prospective study of 100 surgically treated patients. Acta Chir Scand 1984;150: 433-439. 16. Yalçin S, Ülger B, Parlak O, Uçar AE, Sarikaya SM, Özer M, Korukluo?lu B, Yalçin B, Ku?demi A. The role of preoperative serum thyroglobulin and thyroidauto-antibody levels before histopathological diagnosis of thyroid cancers. Turk J Med Sci 2011; 41 (3): 487-493. 17. Trimboli P, Treglia G, Giovanella L. Preoperative measurement of serum thyroglobulin to predict malignancy in thyroid nodules: a systematic review. HormMetab Res.2015; 47 (4): 247-52. doi: 10.1055/s-0034-1395517. 18. Petric R, Besic H, Besic N. Preoperative serum thyroglobulin concentration as a predictive factor of malignancy in small follicular and Hürthle cell neoplasms of the thyroid gland. World Journal of Surgical Oncology. 2014;12:282. doi:10.1186/1477-7819-12-282.