Usefulness of PET-CT scan in recurrent thyroid cancer

• 作者: Baldari Sergio Caruso Ettore Dionigi Gianlorenzo Fama’ Fausto Fu Yantao Li Shijie Mazzeo Carmelo Pignata Salvatore Antonio Pino Antonella Pontin Alessandro Sun Hui
• 来源期刊: 世界耳鼻咽喉头颈外科杂志（英文）
• 关键词: Thyroid Thyroidectomy PET-CT Thyroid cancer Recurrence
• 年，卷（期）: 2020,（3）
• 所属期刊栏目: Review Article
• 页码范围: 182-187
• 页数: 6页
• 语种: 中文
• DOI: 10.1016/j.wjorl.2020.02.008

摘要

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.