Presurgical serum thyroglobulin has no prognostic value in papillary thyroid cancer.
We investigated whether serum thyroglobulin determination before surgery for differentiated thyroid carcinoma may have any prognostic value with regard to tumour extension and disease outcome in a retrospective series of 71 patients with papillary thyroid cancer. Presurgical serum thyroglobulin levels were correlated with the size of the primary tumoral nodule (p = 0.006) and of the whole thyroid (p = 0.02). The same correlation was found in a control group of patients with benign thyroid nodules, confirming that presurgical serum thyroglobulin cannot be used for the differential diagnosis of thyroid carcinoma. Presurgical serum thyroglobulin levels did not differ among patients with tumor limited to thyroid gland or extending to cervical lymph nodes or invading outside the thyroid capsule or metastasising to distant size. In addition presurgical serum thyroglobulin levels were not correlated with the disease outcome after a mean follow-up of 9 years: no difference was found among patients in complete remission or with persistent disease or dead from thyroid cancer. In conclusion, this study failed to show any prognostic value of presurgical serum thyroglobulin determination that consequently should not be measured.
Guarino
Elisa
E
Department of Internal Medicine, Endocrinology and Metabolism, Section of Endocrinology and Metabolism, University of Siena, Italy.
Tarantini
Bianca
B
Pilli
Tania
T
Checchi
Serenella
S
Brilli
Lucia
L
Ciuoli
Cristina
C
Di Cairano
Giovanni
G
Mazzucato
Paola
P
Pacini
Furio
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001323:Autoantibodies / Q000032:analysis; D002291:Carcinoma, Papillary / Q000097:blood* / Q000175:diagnosis* / Q000473:pathology; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D013954:Thyroglobulin / Q000097:blood*; D013964:Thyroid Neoplasms / Q000097:blood* / Q000175:diagnosis* / Q000473:pathology; D013972:Thyrotropin / Q000097:blood; D016896:Treatment Outcome
D001323:Autoantibodies; D013972:Thyrotropin; D013954:Thyroglobulin