title: Follow-up and management of differentiated thyroid carcinoma: a European perspective in clinical practice.
abstract: As differentiated (follicular and papillary) thyroid cancer (DTC) may recur years after initial treatment, follow-up of patients with DTC is long term. However, this population has changed, with more individuals being discovered at an earlier stage of disease, so that previous follow-up protocols based mostly on data from high-risk patients no longer apply. We have proposed, in a previous issue of this Journal, an improved protocol for the follow-up of low-risk patients with DTC based on the findings of recent studies. We report here the case of a paradigmatic patient with papillary thyroid carcinoma, with the goal of illustrating the benefits of applying this algorithm in routine clinical practice. We also offer expanded and additional comments on various issues in the management of DTC.
authors.affiliation: Service de Médicine Nucléaire, Institut Gustave Roussy, 94805 Villejuif, France. schlumbg@igr.fr
authors.forename: Martin
authors.initials: M
authors.lastname: Schlumberger
authors.forename: Furio
authors.initials: F
authors.lastname: Pacini
authors.forename: Wilmar M
authors.initials: WM
authors.lastname: Wiersinga
authors.forename: Antony
authors.initials: A
authors.lastname: Toft
authors.forename: Johannes W A
authors.initials: JW
authors.lastname: Smit
authors.forename: Franco
authors.initials: F
authors.lastname: Sanchez Franco
authors.forename: Peter
authors.initials: P
authors.lastname: Lind
authors.forename: Edward
authors.initials: E
authors.lastname: Limbert
authors.forename: Barbara
authors.initials: B
authors.lastname: Jarzab
authors.forename: François
authors.initials: F
authors.lastname: Jamar
authors.forename: Leonidas
authors.initials: L
authors.lastname: Duntas
authors.forename: Ohad
authors.initials: O
authors.lastname: Cohen
authors.forename: Gertrud
authors.initials: G
authors.lastname: Berg
mesh_terms: D000328:Adult; D000465:Algorithms; D002291:Carcinoma, Papillary / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D011877:Radionuclide Imaging; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D013965:Thyroidectomy; D013974:Thyroxine / Q000627:therapeutic use
chemical_list: D007457:Iodine Radioisotopes; D013974:Thyroxine