Prognostic Value of Serum Thyroglobulin and Anti-Thyroglobulin Antibody in Thyroid Carcinoma Patients following Thyroidectomy
Well-differentiated thyroid cancer (WDTC) is a malignant head and neck tumor with a very high incidence. Thyroidectomized WDTC patients have been referred to nuclear medicine for radioactive iodine (RAI) ablation therapy and/or annual follow-up with diagnostic whole-body imaging. Serum thyroglobulin...
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oai:doaj.org-article:2c6908eea1034a4d8a0be85031e35b852021-11-25T17:21:27ZPrognostic Value of Serum Thyroglobulin and Anti-Thyroglobulin Antibody in Thyroid Carcinoma Patients following Thyroidectomy10.3390/diagnostics111120802075-4418https://doaj.org/article/2c6908eea1034a4d8a0be85031e35b852021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2080https://doaj.org/toc/2075-4418Well-differentiated thyroid cancer (WDTC) is a malignant head and neck tumor with a very high incidence. Thyroidectomized WDTC patients have been referred to nuclear medicine for radioactive iodine (RAI) ablation therapy and/or annual follow-up with diagnostic whole-body imaging. Serum thyroglobulin (TG) and thyroglobulin antibodies (TGAb) are biochemical tumor markers used to monitor WDTC. A global rise in the prevalence of WDTC is increasing the number of thyroidectomized patients requiring lifelong monitoring for persistent or recurrent diseases. The present study aimed to identify the most successful prognostic factors in well-defined thyroid carcinoma patients following total thyroidectomy and RAI therapy, followed by an estimation of the cutoff value of TG and TGAb. In this context, a total of 100 subjects were recruited and classified as follows: 60 thyroid carcinoma patients underwent total thyroidectomy and successful RAI therapy, while 40 normal healthy individuals matched for age, sex, and socioeconomic status constituted the control group. Interestingly, the levels of TG did not differ significantly between the relapsed and non-relapsed cases, but the levels of TGAb differed significantly between the relapsed and non-relapsed cases. Collectively, TG and TGAb are considered the most successful prognostic factors in well-defined thyroid carcinoma patients after total thyroidectomy and RAI therapy. The present study also concluded that the TGAb determination was better than that of the TG level, with a cutoff value of 10 ng/mL. These findings provide baseline information for follow-up and lifelong monitoring of thyroidectomized WDTC patients. Further research is warranted to explore more about serum TG and TGAb in thyroid carcinoma patients on a larger scale.Hashem O. ZahraGamal A. OmranAhmed G. GewelyAhmed Fathy EldehnWalied AbdoEhab Kotb ElmahallawyTarek M. OkdaMDPI AGarticleWDTCthyroid carcinomathyroglobulinanti-thyroglobulin antibodythyroid transcription factor 1Medicine (General)R5-920ENDiagnostics, Vol 11, Iss 2080, p 2080 (2021) |
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WDTC thyroid carcinoma thyroglobulin anti-thyroglobulin antibody thyroid transcription factor 1 Medicine (General) R5-920 |
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WDTC thyroid carcinoma thyroglobulin anti-thyroglobulin antibody thyroid transcription factor 1 Medicine (General) R5-920 Hashem O. Zahra Gamal A. Omran Ahmed G. Gewely Ahmed Fathy Eldehn Walied Abdo Ehab Kotb Elmahallawy Tarek M. Okda Prognostic Value of Serum Thyroglobulin and Anti-Thyroglobulin Antibody in Thyroid Carcinoma Patients following Thyroidectomy |
description |
Well-differentiated thyroid cancer (WDTC) is a malignant head and neck tumor with a very high incidence. Thyroidectomized WDTC patients have been referred to nuclear medicine for radioactive iodine (RAI) ablation therapy and/or annual follow-up with diagnostic whole-body imaging. Serum thyroglobulin (TG) and thyroglobulin antibodies (TGAb) are biochemical tumor markers used to monitor WDTC. A global rise in the prevalence of WDTC is increasing the number of thyroidectomized patients requiring lifelong monitoring for persistent or recurrent diseases. The present study aimed to identify the most successful prognostic factors in well-defined thyroid carcinoma patients following total thyroidectomy and RAI therapy, followed by an estimation of the cutoff value of TG and TGAb. In this context, a total of 100 subjects were recruited and classified as follows: 60 thyroid carcinoma patients underwent total thyroidectomy and successful RAI therapy, while 40 normal healthy individuals matched for age, sex, and socioeconomic status constituted the control group. Interestingly, the levels of TG did not differ significantly between the relapsed and non-relapsed cases, but the levels of TGAb differed significantly between the relapsed and non-relapsed cases. Collectively, TG and TGAb are considered the most successful prognostic factors in well-defined thyroid carcinoma patients after total thyroidectomy and RAI therapy. The present study also concluded that the TGAb determination was better than that of the TG level, with a cutoff value of 10 ng/mL. These findings provide baseline information for follow-up and lifelong monitoring of thyroidectomized WDTC patients. Further research is warranted to explore more about serum TG and TGAb in thyroid carcinoma patients on a larger scale. |
format |
article |
author |
Hashem O. Zahra Gamal A. Omran Ahmed G. Gewely Ahmed Fathy Eldehn Walied Abdo Ehab Kotb Elmahallawy Tarek M. Okda |
author_facet |
Hashem O. Zahra Gamal A. Omran Ahmed G. Gewely Ahmed Fathy Eldehn Walied Abdo Ehab Kotb Elmahallawy Tarek M. Okda |
author_sort |
Hashem O. Zahra |
title |
Prognostic Value of Serum Thyroglobulin and Anti-Thyroglobulin Antibody in Thyroid Carcinoma Patients following Thyroidectomy |
title_short |
Prognostic Value of Serum Thyroglobulin and Anti-Thyroglobulin Antibody in Thyroid Carcinoma Patients following Thyroidectomy |
title_full |
Prognostic Value of Serum Thyroglobulin and Anti-Thyroglobulin Antibody in Thyroid Carcinoma Patients following Thyroidectomy |
title_fullStr |
Prognostic Value of Serum Thyroglobulin and Anti-Thyroglobulin Antibody in Thyroid Carcinoma Patients following Thyroidectomy |
title_full_unstemmed |
Prognostic Value of Serum Thyroglobulin and Anti-Thyroglobulin Antibody in Thyroid Carcinoma Patients following Thyroidectomy |
title_sort |
prognostic value of serum thyroglobulin and anti-thyroglobulin antibody in thyroid carcinoma patients following thyroidectomy |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/2c6908eea1034a4d8a0be85031e35b85 |
work_keys_str_mv |
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