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01.10.2012 | main topic

The role of nuclear medicine in differentiated thyroid cancer

verfasst von: Susanne Kohlfürst, MD

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 19-20/2012

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Abstract

In differentiated thyroid cancer (DTC) nuclear medicine is able to cover the spectrum from diagnosis and treatment to follow up keeping patient’s management in one institution. Nowadays, DTC is often diagnosed per chance, presenting as small indolent nodule diagnosed on routinely performed ultrasound. Ultrasound and ultrasonography-guided fine-needle aspiration biopsy together with scintigraphy are probably the most adequate tools for diagnosis. After thyroidectomy, treatment with iodine-131 is routinely performed in a nuclear medicine therapy institution as a standard procedure in most of the cases with regard to histology. In case of iodine positive metastases, repeated therapies can be performed in order to reduce tumour burden. In the follow up of DTC thyroglobulin (tumour marker), ultrasound and diagnostic whole body scan are established procedures. With the development of SPECT/CT and PET/CT (18F-FDG, 68Ga-somatostatin receptor) combining functional and anatomic imaging the nuclear medicine spectrum has further increased.
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Metadaten
Titel
The role of nuclear medicine in differentiated thyroid cancer
verfasst von
Susanne Kohlfürst, MD
Publikationsdatum
01.10.2012
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 19-20/2012
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-012-0129-5