Guidelines for management of thyroid cancer in adults: implications for clinical biochemistry

Ann Clin Biochem 2003;40:435-438
© 2003 Association for Clinical Biochemistry

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Graham H Beastall

Department of Clinical Biochemistry, Royal Infirmary, Glasgow G4 0SF, UK

The implementation of recently published guidelines for themanagement of thyroid cancer in adults should result in improvedclinical outcomes for patients with this condition. A clinicalbiochemist should be part of the support team for the localmultidisciplinary thyroid cancer management team. Serum thyroid-stimulatinghormone assays should have a minimum detection limit of 0.10mU/Lor lower and good baseline security. The measurement of boththyroglobulin and calcitonin is challenging and clinical biochemistsshould have detailed knowledge of the performance characteristicsand limitations of the assays that they report, including thosereferred to a specialist centre, in order to facilitate clinicallyvalid decisions on patient management.

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