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Algorithme de surveillance des cancers à ''faible risque'

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RELATIONS Tg - MASSE TUMORALE<br />

1g <strong>de</strong> tissu cancéreux<br />

augmente le taux <strong>de</strong> Tg:<br />

- <strong>de</strong> ~1ng/ml sous L-T4<br />

- <strong>de</strong> 2-10 ng/ml après sevrage<br />

(ou moins après rhTSH).<br />

L’échographie cervicale<br />

détecte <strong>de</strong>s N1 <strong>de</strong> 2-3 mm<br />

V<br />

O<br />

L<br />

U<br />

M<br />

E<br />

(m<br />

m)<br />

10000<br />

5000<br />

<strong>de</strong> diamètre. (Bachelot, Thyroid 2002)<br />

1000<br />

500<br />

100<br />

50<br />

10<br />

5<br />

1<br />

.<br />

.<br />

.0<br />

.0<br />

.0<br />

.0<br />

.<br />

.<br />

1<br />

5<br />

10<br />

50<br />

100<br />

500<br />

TG/TSH (ng/mL)<br />

1000

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