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Follow-Up Strategy in Papillary Thyroid Cancer

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Abstract

Effective surveillance for recurrent papillary thyroid cancer begins with an assessment of the risk of recurrence or death from disease, depending on individual characteristics of patients and their tumor. This information is used to determine an appropriate level of follow-up, which may vary from as little as an annual neck examination on replacement thyroid hormone therapy for occult lesions, to annual or semiannual thyrotropin (TSH) stimulated whole-body scan (WBS) and thyroglobulin (Tg) measurement for high-risk patients. Effective follow-up is also contingent upon a current understanding of the strengths and limitations of the tools available for thyroid cancer surveillance. This chapter focuses on the rationale used to determine the method and frequency of follow-up for patients with papillary thyroid cancer and reviews current guidelines regarding surveillance for persistent or recurrent disease.

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© 2006 Humana Press Inc., Totowa, NJ

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Burch, H.B. (2006). Follow-Up Strategy in Papillary Thyroid Cancer. In: Wartofsky, L., Van Nostrand, D. (eds) Thyroid Cancer. Humana Press. https://doi.org/10.1007/978-1-59259-995-0_28

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  • DOI: https://doi.org/10.1007/978-1-59259-995-0_28

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-462-3

  • Online ISBN: 978-1-59259-995-0

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