Table I.
Tg (ng/ml)d | Invasion | Distant metastasis after surgery | |||||||||
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No. | Metastasis | Sex | Agea | Tumor size (mm)b | Operation methodc | Pre-operation | Post-operation | c/ve | Period (month) | Location | Additional therapies |
1 | + | M | 67 | 49 | Lo | 18.9 | unknown | +/+ | 85 | B | TT and RAT |
2f | + | M | 68 | 75 | TT | >8000 | 4.2 | +/+ | 51 | L, B | |
3g | + | F | 68 | 90 | TT | >8000 | 130.0 | +/+ | 36 | L | |
4 | + | M | 15 | 86 | Lo | 6987.0 | 17.0 | +/+ | 26 | L | TT and RAT |
5 | + | F | 51 | 60 | TT | 4067.0 | 11.4 | +/+ | 40 | L | RAT |
6 | + | F | 50 | 19 | Lo | 46.6 | 8.1 | +/− | 36 | L, B | TT and RAT |
7 | + | F | 58 | 38 | Lo | 179.0 | 10.1 | +/− | 72 | L, B | TT and RAT |
8 | + | F | 47 | 23 | Lo | 640.0 | 6.4 | +/+ | 98 | B | TT and RAT |
9 | + | M | 72 | 48 | Lo | 770.0 | 17.0 | +/+ | 62 | L | TT and RAT |
10 | + | F | 57 | 90 | TT | >8000 | 162.6 | −/+ | 13 | B | RAT |
11 | + | M | 54 | 58 | Lo | 83.3 | 25.3 | +/+ | 68 | L | TT and RAT |
12 | + | F | 47 | 45 | TT | 3870 | <0.5 | +/− | 26 | B | RAT |
13 | − | M | 53 | 45 | Lo | 2118.0 | 13.3 | +/− | na | ||
14 | − | F | 49 | 45 | Lo | 814.0 | <2.0 | +/− | na | ||
15 | − | F | 55 | 15 | Lo | 51.7 | 17.9 | +/− | na | ||
16 | − | F | 38 | 23 | Lo | 581.0 | 17.0 | +/− | na | ||
17 | − | F | 63 | 65 | Lo | 1269.0 | 51.3 | +/− | na | ||
18 | − | F | 64 | 46 | Lo | 2024.0 | 5.3 | +/− | na | ||
19 | − | F | 50 | 28 | Lo | 75.7 | 24.8 | +/+ | na | ||
20 | − | F | 33 | 24 | ST | 399.0 | <2.0 | +/+ | na | ||
21 | − | F | 37 | 47 | Lo | 81.2 | 3.6 | +/− | na | ||
22 | − | F | 28 | 40 | Lo | 183.0 | 37.0 | +/− | na | ||
23 | − | F | 37 | 55 | Lo | 1049.0 | 9.6 | +/+ | na | ||
24 | − | F | 47 | 57 | Lo | 1724.0 | 13.7 | +/− | na | ||
25 | − | M | 74 | 32 | Lo | 50.2 | 19.2 | +/+ | na | ||
26 | − | F | 32 | 31 | Lo | 67.6 | 19.0 | +/+ | na | ||
27 | − | M | 64 | 49 | Lo | 2153.4 | 20.6 | +/− | na | ||
28 | − | M | 35 | 30 | Lo | 401.1 | 10.0 | +/− | na | ||
29 | − | F | 29 | 40 | Lo | 1049.2 | 9.5 | +/− | na | ||
30 | − | F | 25 | 46 | Lo | 1051.9 | 7.0 | +/− | na | ||
31 | − | M | 38 | 44 | TT | 343.4 | <0.5 | +/− | na | ||
32 | − | F | 23 | 33 | Lo | 78.6 | 10.8 | +/− | na | ||
33 | − | F | 50 | 77 | TT | 4640 | 4.1 | +/− | na | ||
34 | − | M | 29 | 78 | Lo | 178.4 | 23.1 | +/− | na |
F, female; M, male; TT, total thyroidectomy; ST, subtotal thyroidectomy; Lo, right or left thyroid lobectomy; Tg, thyroglobulin (normal range 2.0–35.0 ng/ml); c, capsular invasion; v, vascular invasion; L, lung; B, bone; RAT, radioiodine ablation therapy; na, not applicable.
Age, median 54.5 in M(+) and 43.3 in M(−) (range 15–74).
Tumor size: median 56.8 and 43.2 (range 15–90).
Twenty-four of the 34 patients underwent thyroid lobectomy based on the standard operation method. Five of the 12 patients in the M(+) group underwent total thyroidectomy at the time of the initial operation because of high Tg values; thus, they did not require an additional operation for the purpose of radioiodine ablation therapy.
Thyroglobulin (Tg) is used as a post-operative marker for the follow-up of patients with thyroid carcinoma. The Tg values were abnormal before the operation, but were reduced to within the normal range after the operation in almost all cases.
Invasion: +, present; -, absent.
Costectomy was performed at another hospital.
No additional therapies had performed because of patients’ will.