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, when the studies of Rose and Witebsky [ 9 ]first convincingly showed that rabbits immunized with thyroglobulin produced autoantibodies to this self-protein, accompanied by lymphocytic thyroiditis. (Incidentally, this was not the first description of
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131 I. The aim of postsurgical ablation of the thyroid remnant with RAI is to facilitate the early detection of recurrence based on serum thyroglobulin (Tg) measurement and RAI whole body scan. In addition, RAI ablation may represent an adjuvant
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abundance within the thyroid and its solubility, the most suitable candidate was thyroglobulin (Tg), and a few studies showed its presence in orbital tissues from GO patients, although no pathogenetic role of Tg was demonstrated [ 6 , 8 , 9
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Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan
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hospital visit. Palpation revealed a painless, firm, 2.5 × 2.0-cm nodule on the right side of her neck. Thyroid function tests revealed a euthyroid status. Anti-thyroglobulin and anti-thyroperoxidase antibodies levels were high (1,490 IU/mL [reference range
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called thyroglobulin, and they remain covalently bound to the primary structure of this molecule until protein degradation occurs and the hormone is secreted. The first step in thyroid hormone biosynthesis corresponds to the iodination of tyrosyl residues
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Laboratoire Health Services and Performance Research (EA 7425 HESPER), Université Claude Bernard Lyon 1, Villeurbanne, France
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CarMeN Laboratory, Université Claude-Bernard Lyon 1, Inserm U1060, INRA U1397, INSA Lyon, IMBL, Villeurbanne, France
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Registre des Cancers Thyroïdiens du Département du Rhône, Hospices Civils de Lyon, Groupement Hospitalier Est, Bron, France
Laboratoire Health Services and Performance Research (EA 7425 HESPER), Université Claude Bernard Lyon 1, Villeurbanne, France
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study period were to be followed at least each year following surgery by clinical examination and laboratory tests. Monitoring procedures changed over the study period and thyroglobulin was to be measured regularly since 1990. Ultrasounds were initially
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Chemiluminescent assays were used for the measurement of Tg (Access Thyroglobulin Assay, Beckman Coulter, Fullerton, CA, USA [functional sensitivity (FS) in our laboratory of 0.1 ng/ml]) and TgAb (Immulite 2000, Diagnostic Products Corporation, Los Angeles, CA, USA
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histopathological findings. All the patients presented negative anti-thyroglobulin antibody in serum, well-differentiated type of papillary thyroid carcinoma and lymph node metastasis on histopathology. Cervical lymph nodes swelling indicating metastasis were
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follicular well-differentiated cancer classified as pT3NxMx. Subsequently, radioiodine therapy with 100 mCi 131 I after LT4 withdrawal was performed in October 2007, showing an intense unique cervical fixation with no distant metastases. The thyroglobulin
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late April, showing elevated levels of TRAb and thyroglobulin with normal levels of antithyroglobulin antibodies. Laboratory test results are shown in Table 1 . Table 1 Laboratory test results of the patient. Laboratory analysis