Usefulness of PET-CT scan in recurrent thyroid cancer |
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| Affiliation: | Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood "G.Barresi", University Hospital G.Martino, University of Messina, Messina, Italy;Nuclear Medicine Unit, Department of Biomedical and Dental Sciences and Morpho-Functional Imaging, University Hospital G.Martino, University of Messina, Messina, Italy;Jilin Provincial Key Laboratory of Surgical Translational Medicine, Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin Province, China;Division for Emergency Surgery, Department of Human Pathology in Adulthood and Childhood "G.Barresi", University Hospital G.Martino, University of Messina, Messina, Italy |
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| Abstract: | The aim of this paper is to discuss the risk of recurrence in patients with differentiated thyroid cancer and emphasize the importance of risk-group stratification, early recurrence identification and application of new imaging modalities, what is the PET-CT. Moreover, follow-up of patients with thyroid carcinoma should be carried out by specialized teams throughout life. Therefore, interdisciplinary case discussions in tumor conferences may improve the use of multimodal therapy especially in patients with poorly differentiated thyroid carcinomas. After baseline follow-up, if there is a suspicion of thyroid carcinoma, early PET-CT should be used for early detection and appropriate planning. Fortunately, due to the good localization possibility, the PET-CT enables a focused surgical procedure with avoidance of an unnecessary tumor search and thereby a reduction of the risk of injury of neighboring structures which is a concern with reoperative neck surgery. |
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| Keywords: | Thyroid Thyroidectomy PET-CT Thyroid cancer Recurrence |
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