A Patient with Papillary Carcinoma of the Thyroid with Elevated Serum Thyroglobulin but Negative Imaging Studies

2020 ◽  
pp. 201-207
Author(s):  
Leonard Wartofsky
Keyword(s):  
Papillary Carcinoma ◽  
Elevated Serum ◽  
Imaging Studies ◽  
Serum Thyroglobulin ◽  
Negative Imaging

scholarly journals Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 463
Author(s):  
Giampiero Bottari ◽  
Giandomenico Stellacci ◽  
Davide Ferorelli ◽  
Alessandro Dell’Erba ◽  
Maurizio Aricò ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Sharp Decrease ◽  
Pediatric Emergency ◽  
Time Interval ◽  
Imaging Studies ◽  
Retrospective Comparison ◽  
Imaging Appropriateness ◽  
Therapeutic Protocols ◽  
The Impact ◽  
Negative Imaging

During the COVID-19 pandemic, the number of accesses to the Pediatric Emergency Department (pED) in Italy sharply decreased by 30%. The purpose of this study is to evaluate how this novel setting impacted on management of children with trauma, and the use and appropriateness of imaging studies in such patients at the pED. All imaging studies performed in patients with trauma at the pED of a tertiary children’s Hospital during the first wave of the COVID-19 pandemic (between March and May 2020) were reviewed, in comparison with a control time interval (March to May 2019). In the pre-COVID control era, 669 imaging studies documented bone fractures in 145/568 children (25.5%). In the COVID-era, 79/177 (44.6%) pediatric patients showed bone fractures on 193 imaging studies. Comparative analysis shows a 71% decrease in imaging studies, and the proportion of negative imaging studies (with no evidence of bone fractures) dropped in 2020 by 19% compared to the 2019 control era (p < 0.001). The sharp decrease of negative studies suggests that the rate of appropriateness was higher during COVID-era, suggesting some attitude toward defensive medicine in the previous control year, as a result of some degree of imaging inappropriateness. The impact of a pandemic on emergency medicine may offer a unique opportunity to revisit diagnostic and therapeutic protocols in pediatrics.

Elevated Serum Thyroglobulin Level in Congenital Thyroxine-Binding Globulin Deficiency*

1983 ◽  
Vol 57 (3) ◽  
pp. 665-667 ◽  
Author(s):  
DAVID SARNE ◽  
KIMBERLY BAROKAS ◽  
NEAL H. SCHERBERG ◽  
REFETOFF REFETOFF
Keyword(s):  
Elevated Serum ◽  
Serum Thyroglobulin ◽  
Thyroxine Binding Globulin ◽  
Thyroglobulin Level

scholarly journals Elevated Serum Thyroglobulin and Low Iodine Intake Are Associated with Nontoxic Nodular Goiter among Adults Living near the Eastern Mediterranean Coast

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yaniv S. Ovadia ◽  
Dov Gefel ◽  
Svetlana Turkot ◽  
Dorit Aharoni ◽  
Shlomo Fytlovich ◽  
...  
Keyword(s):  
Eastern Mediterranean ◽  
Medical Center ◽  
Elevated Serum ◽  
Nodular Goiter ◽  
Cross Sectional Study ◽  
Iodine Intake ◽  
Mediterranean Coast ◽  
Thyroid Diseases ◽  
Serum Thyroglobulin ◽  
Cross Sectional

Background.Information about iodine intake is crucial for preventing thyroid diseases. Inadequate iodine intake can lead to thyroid diseases, including nontoxic nodular goiter (NNG).Objective.To estimate iodine intake and explore its correlation with thyroid diseases among Israeli adults living near the Mediterranean coast, where iodine-depleted desalinated water has become a major source of drinking water.Methods.Cross-sectional study of patients attending Barzilai Medical Center Ashkelon. Participants, who were classified as either NNG (n=17), hypothyroidism (n=14), or control (n=31), provided serum thyroglobulin (Tg) and completed a semiquantitative iodine food frequency questionnaire.Results.Elevated serum Tg values (Tg > 60 ng/mL) were significantly more prevalent in the NNG group than in the other groups (29% versus 7% and 0% for hypothyroidism and controls, resp.,P<0.05). Mean estimated iodine intake was significantly lower in the NNG group (65±30 μg/d) than in controls (115±60 μg/d) (P<0.05) with intermediate intake in the hypothyroid group (73±38 μg/d).Conclusions.Elevated serum Tg values and low dietary iodine intake are associated with NNG among adult patients in Ashkelon District, Israel. Larger studies are needed in order to expand on these important initial findings.

Increased serum thyroglobulin levels and negative imaging in thyroid cancer patients

2010 ◽  
Vol 31 (12) ◽  
pp. 1054-1058 ◽  
Author(s):  
Paolo Zanotti-Fregonara ◽  
Isabelle Keller ◽  
Marie Calzada-Nocaudie ◽  
Adil Al-Nahhas ◽  
Jean-Yves Devaux ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Cancer Patients ◽  
Serum Thyroglobulin ◽  
Negative Imaging

scholarly journals Acute Pancreatitis Secondary to Hemobilia after Percutaneous Liver Biopsy: A Rare Complication of a Common Procedure, Presenting in an Atypical Fashion

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Ramy Mansour ◽  
Justin Miller
Keyword(s):  
Acute Pancreatitis ◽  
Liver Biopsy ◽  
Rare Complication ◽  
Signs And Symptoms ◽  
Transcatheter Embolization ◽  
Percutaneous Liver Biopsy ◽  
Imaging Studies ◽  
Common Procedure ◽  
Elevated Alkaline Phosphatase ◽  
Negative Imaging

Percutaneous Liver Biopsy is an often-required procedure for the evaluation of multiple liver diseases. The complications are rare but well reported. Here we present a case of a 60-year-old overweight female who underwent liver biopsy for elevated alkaline phosphatase. She developed acute pancreatitis secondary to hemobilia, with atypical signs and symptoms, following the biopsy. She never had the classic triad of RUQ pain, jaundice, and upper GI hemorrhage. There were also multiple negative imaging studies, thus complicating the presentation. She was successfully treated with ERCP, sphincterotomy, balloon sweep, and stent placement. Angiography and transcatheter embolization were not required.

scholarly journals Role of PET/CT in detection of post-Thyroidectomy recurrence in differentiated cancer thyroid patients with negative radio-isotope iodine scan & elevated serum thyroglobulin level

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A M Mohamed ◽  
A M Ibrahim ◽  
A Y Ahmed ◽  
A A Khalifa
Keyword(s):  
Previous History ◽  
Elevated Serum ◽  
High Serum ◽  
Radiology Department ◽  
Entire Body ◽  
Serum Thyroglobulin ◽  
Pet Ct ◽  
Thyroglobulin Level ◽  
Iodine Scan

Abstract Aim of the Work To study of the role of PET/CT in in detection of post-thyroidectomy recurrence in differentiated cancer thyroid patients having negative radio-isotope iodine scan & high serum thyroglobulin level. Materials and Methods The study incorporated 20 patients with previous history of differentiated cancer thyroid. All patients performed Serum Thyroglobulin level Estimation & entire body scan I-131 (WBS) examination & PET/CT study alluded from oncology specialist to Radiology Department. All patients in the study were subjected to history taking &revising the medical sheet. Results PET/CT results will be compared with iodine radio-isotope scan & serum thyroglobulin level and statistical analysis of the collected data will be performed to determine the diagnostic value of the PET/CT in detection of local recurrence or distant metastasis.

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