<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902022000301201</article-id>
<article-id pub-id-type="doi">10.29193/rmu.38.3.1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Rol de la dosificación de tiroglobulina en el líquido de lavado de la punción por aguja fina para el diagnóstico de metástasis ganglionares en el seguimiento de cáncer de tiroides en el Hospital de Clínicas de Montevideo, Uruguay]]></article-title>
<article-title xml:lang="en"><![CDATA[The role of thyroglobulin detection in washout fluid from fine-needle aspiration biopsies to diagnose gland metastases in thyroid cancer follow up]]></article-title>
<article-title xml:lang="pt"><![CDATA[Rol de dosificação de tiroglobulina no líquido de lavado da punção por agulha fina para o diagnóstico de metástases ganglionares no seguimento de câncer de tiroides]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pritsch]]></surname>
<given-names><![CDATA[Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Finozzi]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neira]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Clínica de Endocrinología y Metabolismo, Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Clínica de Endocrinología y Metabolismo, Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Área Hematología-Citología, Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902022000301201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902022000301201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902022000301201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La recurrencia del cáncer diferenciado de tiroides (CDT) a nivel del cuello ocurre en 5%-20% de los casos. El estudio citológico mediante punción de adenopatías ha sido utilizado para confirmar los hallazgos ecográficos sospechosos de malignidad, su sensibilidad varía entre 75%-85%. El objetivo del estudio es evaluar la utilidad de la tiroglobulina (Tg) medida en la punción por aspiración de aguja fina (PAAF) (Tg-PAAF), en el diagnóstico de metástasis ganglionares de pacientes en seguimiento por CDT mayores de 18 años. Se realizó un estudio retrospectivo, descriptivo y observacional en una muestra de 14 pacientes predominantemente de sexo femenino (71,4%), con edad promedio 40,9 ± 2,9 años.  Resultados:  la variante CDT unifocal fue la más frecuente. De los 22 ganglios sospechosos la mitad tuvieron Tg-PAAF &#8805; 1 ng/ml. Todas las adenitis reactivas tuvieron un resultado &lt; 1 ng/ml, en cambio las adenopatías metastásicas obtuvieron un resultado &#8805; 1 ng/ml. El 85,7% de pacientes tuvieron anticuerpos anti-Tg &#8805;10 UI/ml (5 pacientes con valores de Tg-PAAF &#8805;1 ng/ml y siete pacientes con Tg-PAAF &lt; 1 ng/ml) y 14,3% tuvieron valores &lt; 10 UI/ml (todos con Tg-PAAF &lt;1 ng/ml). Se realizaron cuatro vaciamientos ganglionares, en todas se encontró metástasis de CDT.  Conclusiones:  la Tg-PAAF es un buen estudio para el diagnóstico de metástasis ganglionares en pacientes en seguimiento de CDT. Dado los resultados obtenidos en este trabajo, apoyado en la búsqueda bibliográfica, el uso de la Tg-PAAF tiene un gran valor diagnóstico para detectar metástasis ganglionares en el seguimiento del CDT por lo que se recomienda su uso junto con la citología y/o la anatomía patológica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Recurrence of differentiated thyroid cancer (DTC) in the cervix is 5-20% of cases. Fine-needle aspiration cytology of adenopathies has been used to confirm ultrasound findings when suspicions of being malignant. The study aims to evaluate usefulness of fine-needle aspiration of lymph gland to diagnose gland metastases in patients over 18 years old under papillary thyroid cancer follow-up. Retrospective, descriptive and observational study in a 14-patient-sample, mainly female (71,4%), with an average age of 40.9 ± 2.9 years old.  Results:  single tumor focus papillary thyroid cancer was the most common type of thyroid cancer found. 50% of the 22 suspicious glands had FNATg &#8805;1ng/ml. All reactive adenitis had measurements &lt; 1ng/ml, whereas metastatic adenopathies results were &#8805; 1ng/ml. 85.7% of patients had anti-TG Ac &#8805; 1ng/ml (5 patients with FNATg values &#8805;1ng/ml and 7 patients with FNATg &lt; 1ng/ml), 14.3% of which obtained results &lt; 10 UI/ml (all of them with FN1 ng/ml). Gland emptying was performed in 4 cases, and papillary thyroid cancer metastases was found in all of them.  Conclusions:  FNATg is a good study to diagnose gland metastases in patients under differentiated thyroid cancer follow-up. Given the results of this study, supported by a bibliographic search, the use of FNATg has a great diagnostic value to detect gland metastases in the follow up of differentiated thyroid cancer, and thus it is recommended along with cytological and/or pathology studies.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A recorrência do câncer diferenciado de tiroides (CDT) no nível do pescoço, ocorre em 5-20% dos casos. O estudo citológico mediante punção de linfadenopatia foi utilizado para confirmar os achados ecográficos suspeitos de malignidade; sua sensibilidade varia entre 75-85%. O objetivo do estudo era avaliar a utilização da tiroglobulina (Tg) medida na punção por aspiração por agulha fina (PAAF) (Tg-PAAF), no diagnóstico de metástase ganglionar de pacientes em seguimento por CDT maiores de 18 anos. Realizou-se um estudo retrospectivo, descritivo e observacional em uma amostra de 14 pacientes predominantemente de sexo feminino (71,4%), com idade média de 40,9 ± 2,9 anos.  Resultados: a variante CPT unifocal foi a mais frequente. Dos 22 linfonodos suspeitos, a metade apresentou Tg-PAAF &#8805; 1ng/ml. Todas as adenites reativas apresentaram um resultado &lt; 1ng/ml, no entanto as linfadenopatias metastásicas tiveram um resultado &#8805; 1ng/ml. 85,7% dos pacientes apresentam Ac anti-Tg &#8805;10 UI/ml (5 pacientes com valores de Tg-PAAF &#8805;1ng/ml e 7 pacientes com Tg-PAAF &lt; 1ng/ml) e 14,3% valores &lt; 10 UI/ml (todos com Tg-PAAF &lt;1 ng/ml). Foram feitos 4 esvaziamentos ganglionares, em todos foram encontradas metástases da CPT.  Conclusões: o Tg-PAAF é um bom método para o diagnóstico de metástase ganglionar em pacientes em seguimento de CDT. Considerando os resultados obtidos neste trabalho, apoiado na bibliografia, o uso do Tg-PAAF tem um grande valor diagnóstico para detectar metástase ganglionar no seguimento do CDT; por essa razão recomenda-se seu uso junto com a citologia e/ou anatomia patológica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tiroglobulina]]></kwd>
<kwd lng="es"><![CDATA[Cáncer tiroideo]]></kwd>
<kwd lng="es"><![CDATA[Punciones]]></kwd>
<kwd lng="es"><![CDATA[Adenopatías.]]></kwd>
<kwd lng="en"><![CDATA[Thyroglobulin]]></kwd>
<kwd lng="en"><![CDATA[Thyroid cancer]]></kwd>
<kwd lng="en"><![CDATA[Punctures]]></kwd>
<kwd lng="en"><![CDATA[Adenopathies.]]></kwd>
<kwd lng="pt"><![CDATA[Tireoglobulina]]></kwd>
<kwd lng="pt"><![CDATA[Câncer de tireoide]]></kwd>
<kwd lng="pt"><![CDATA[Punções]]></kwd>
<kwd lng="pt"><![CDATA[Adenopatias.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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