A NEW IMMUNORADIOMETRIC ASSAY (IRMA) SYSTEM FOR THYROGLOBULIN MEASUREMENT IN THE FOLLOW-UP OF THYROID-CANCER PATIENTS

被引:48
作者
SCHLUMBERGER, M
FRAGU, P
GARDET, P
LUMBROSO, J
VIOLOT, D
PARMENTIER, C
机构
[1] Médicine Nucléaire, INSERM U66, Institut Gustave-Roussy, Villejuif Cedex
来源
EUROPEAN JOURNAL OF NUCLEAR MEDICINE | 1991年 / 18卷 / 03期
关键词
THYROGLOBULIN ASSAY; THYROID CARCINOMA;
D O I
10.1007/BF02262724
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A new commercially available kit for thyroglobulin (Tg) measurement [immunoradiometric assay (IRMA) system based on monoclonal antibodies] was used in 479 patients with thyroid carcinoma. The effective working range was 1 ng/ml, and results were strongly correlated with our homemade radioimmunoassay (RIA). This IRMA method is less susceptible to interferences of auto-antibodies than our RIA. During thyroxine (T4) treatment, the Tg level was undetectable in 98% of patients after total thyroid ablation, in 91% after total thyroidectomy and in 42% after lobectomy only. In this situation, Tg was found in all patients with large metastases and in 88% of those with small metastases. Following T4 withdrawal, Tg was detectable in all patients with neoplastic disease and in 13% of those in complete remission after total thyroid ablation. In conclusion, Tg measured with this IRMA method appears to be a reliable marker of differentiated thyroid carcinoma.
引用
收藏
页码:153 / 157
页数:5
相关论文
共 17 条
[11]  
SCHLUMBERGER M, 1986, J CLIN ENDOCR METAB, V63, P960
[12]  
SCHLUMBERGER M, 1988, J NUCL MED, V29, P1790
[13]   THYROGLOBULIN ASSAY IN THE FOLLOW-UP OF PATIENTS WITH DIFFERENTIATED THYROID CARCINOMAS - COMPARISON OF ITS VALUE IN PATIENTS WITH OR WITHOUT NORMAL RESIDUAL TISSUE [J].
SCHLUMBERGER, M ;
FRAGU, P ;
PARMENTIER, C ;
TUBIANA, M .
ACTA ENDOCRINOLOGICA, 1981, 98 (02) :215-221
[14]  
SCHLUMBERGER M, 1987, PRESSE MED, V16, P1791
[15]  
SCHLUMBERGER M, 1989, DIAGNOSTIC METHODS C, P147
[16]   AN INTERNATIONAL COOPERATIVE STUDY EVALUATING SERUM THYROGLOBULIN STANDARDS [J].
VANHERLE, AJ ;
VANHERLE, IS ;
GREIPEL, MA .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1985, 60 (02) :338-343
[17]   RADIOIMMUNOASSAY FOR MEASUREMENT OF THYROGLOBULIN IN HUMAN-SERUM [J].
VANHERLE, AJ ;
ULLER, RP ;
MATTHEWS, NL ;
BROWN, J .
JOURNAL OF CLINICAL INVESTIGATION, 1973, 52 (06) :1320-1327