Thyroid Neoplasms
Conditions
Keywords
papillary thyroid cancer, follicular thyroid cancer, poorly differentiated thyroid cancer, anaplastic thyroid cancer, medullary thyroid cancer
Brief summary
The Italian Thyroid Cancer Observatory (ITCO) repository was established to collect data on thyroid cancer management in a prospective and consecutive series of newly-diagnosed patients, enrolled in centers uniformly distributed across the nation.
Detailed description
Little information is available on current practices in the treatment of thyroid cancer: a web-based thyroid cancer database was created to collect real-life data. The participants' network include tertiary referral centers operating at the national level, as well as smaller hospital-based units with local or regional recruitment areas.
Interventions
e.g., surgery, radioiodine therapy, systemic treatments (multikinase inhibitors), surveillance
Sponsors
Study design
Eligibility
Inclusion criteria
* pathologically confirmed thyroid cancer * clinical follow-up including serum thyroglobulin (Tg) assays, circulating Tg antibodies, and high-resolution gray-scale and color Doppler US of the thyroid bed and cervical lymph node compartments. Additional imaging studies and/or fine-needle aspiration biopsy for cytology are ordered at the examiner's discretion in accordance with evidence-based guidelines * entire follow-up at a participating clinical center.
Exclusion criteria
* patients referred to the recruiting centers ≥12 months from the primary treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease persistence or recurrence | Up to 10 years from the primary treatment | Composite event of disease persistence or recurrence during clinical follow-up, detected by any of the available imaging tools (neck sonography, computed tomography \[CT\], magnetic resonance imaging \[MRI\], or positron emission tomography \[PET\]) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease persistence after 12-18 months from the primary treatment | 12-18 months from the primary treatment | Rate of disease persistence after 12-18 months from the primary treatment, detected by any of the available imaging tools (neck sonography, radioiodine whole body scan, computed tomography \[CT\], magnetic resonance imaging \[MRI\], or positron emission tomography \[PET\]) |
| Disease recurrence after 3, 5 and 10 years from the primary treatment | 3, 5 and 10 years from the primary treatment | Rate of disease recurrence after 3, 5 and 10 years from the primary treatment, detected by any of the available imaging tools (neck sonography, radioiodine whole body scan, computed tomography \[CT\], magnetic resonance imaging \[MRI\], or positron emission tomography \[PET\]) |
| Response to primary therapy | 1, 3, 5 and 10 years after therapy | Response to primary treatment, evaluated according to the American Thyroid Association guidelines response to treatment: excellent response, biochemical incomplete response, indeterminate response, or structural incomplete response (combination of serum tumor markers and imaging tools, such as neck sonography, radioiodine whole body scan, computed tomography \[CT\], magnetic resonance imaging \[MRI\], or positron emission tomography \[PET\]) |
| Response to secondary treatments | 1, 3, 5 and 10 years after therapy | Response to secondary treatments, evaluated according to the American Thyroid Association guidelines response to treatment: excellent response, biochemical incomplete response, indeterminate response, or structural incomplete response (combination of serum tumor markers and imaging tools, such as neck sonography, radioiodine whole body scan, computed tomography \[CT\], magnetic resonance imaging \[MRI\], or positron emission tomography \[PET\]) |
Countries
Italy