Evidence map›Paper›PMID 42414843›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Impact of post-total thyroidectomy thyroglobulin levels on recurrence in patients with differentiated  thyroid cancer at a tertiary care center in Mexico.

Ana Victoria Espinosa de Los Monteros Gonzalez, Martin Verdin Gonzalez, Jose Antonio Villegas Velazquez

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ana Victoria Espinosa de Los Monteros GonzalezGeneral Surgery Department, Hospital General Regional 110, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico. ana.espinosam@alumno.udg.mx.ORCID http://orcid.org/0000-0001-9605-6014
Martin Verdin GonzalezOncology Surgery Department, Centro Medico Nacional del Bajio, Instituto Mexicano del Seguro Social, Leon, Guanajuato, Mexico.
Jose Antonio Villegas VelazquezOncology Surgery Department, Centro Medico Nacional del Bajio, Instituto Mexicano del Seguro Social, Leon, Guanajuato, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUp to 30% of patients with differentiated thyroid carcinoma may experience recurrence within the first decade following initial treatment. Therefore, highly sensitive markers such as thyroglobulin (Tg) are vitally important for detecting persistent or recurrent disease and treating it in a timely manner. In our population, there are few epidemiological records with which to validate cut-off points and compare them with other clinicopathological risk factors.

objectiveTo evaluate the relationship between post-total thyroidectomy Tg levels and medium-term recurrence after surgery in patients with papillary thyroid cancer. MATERIALS AND

methodsThe levels of non-stimulated thyroglobulin 4-12 weeks after surgery were measured in 106 patients treated between 2018 and 2022 in the Surgical Oncology Department.

resultsThe recurrence rate was of 44%. Univariate analysis showed statistical significance for histologic type, ATA risk of recurrence, and thyroglobulin level, but multivariate analysis revealed a positive association only for patients classified as high risk and for those with non-stimulated Tg levels between 1.1 and 10, which is consistent with previous studies.

conclusionBoth clinical-pathological risk stratification and levels of unstimulated postoperative serum thyroglobulin are useful for predicting structural recurrence even in settings with a high prevalence of aggressive histological variants. Therefore, active surveillance protocols based on these factors are essential for achieving good long-term outcomes and avoiding unnecessary diagnostic tests or surgical interventions in patients with differentiated thyroid cancer.

Indexed as

Active follow-upRecurrenceThyroglobulinThyroid cancer

Identifiers

PMID42414843

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