Follow up Approaches in Thyroid Cancer: A Risk Adapted Paradigm
| Autor: | Rebecca Leboeuf, R. Michael Tuttle |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
business.industry Endocrinology Diabetes and Metabolism Age specific mortality MEDLINE Cancer Disease medicine.disease Survival Analysis Surgery Endocrinology Risk Factors Population Surveillance medicine Recurrent disease Humans Thyroid Neoplasms Neoplasm Recurrence Local Risk factor Intensive care medicine business Thyroid cancer Algorithms Survival analysis Follow-Up Studies |
| Zdroj: | Endocrinology and Metabolism Clinics of North America. 37:419-435 |
| ISSN: | 0889-8529 |
| DOI: | 10.1016/j.ecl.2008.02.008 |
| Popis: | The primary goal in the follow up of thyroid cancer patients is to identify and treat persistent and recurrent disease at a time that minimizes morbidity and disease specific mortality. This article presents a risk-adapted follow-up paradigm to guide both intensity and methodology of follow-up testing based on initial risk stratification, ongoing risk stratification, and secondary risk stratification that incorporates each of the well-known risk factors for recurrence and death from thyroid cancer, with a response to therapy variable as well as duration of disease-free survival. With a proper understanding of the biology of the disease and with accurate assessments of response to therapy, clinicians are better able to tailor a risk-appropriate follow-up approach to individual patients, minimizing excessive testing while still providing adequate testing to detect clinically significant disease recurrence in a timely fashion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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