Thyroglobulin

Thyroglobulin (TG; synonym: human thyroglobulin, hTG) is the storage form of thyroid hormones. When needed, active thyroid hormones are released from it into the blood.

Thyroglobulin can also be used as a so-called tumor marker. Tumor markers are substances produced naturally in the body by tumors and detectable in the blood. They can provide an indication of a malignant (malignant) neoplasm and are used as a follow-up test in cancer aftercare.

The procedure

Material needed

  • Blood serum

Preparation of the patient

  • Not necessary

Disruptive factors

  • None known

Standard values

Normal values in μg/ml
Healthy (thyroid) < 75
After thyroidectomy (thyroidectomy). < 3

Indications

  • Suspected thyroid carcinoma (thyroid cancer).
  • Therapy / progress control in the above-mentioned tumor disease.
  • Destructive thyroiditis (thyroiditis de Quervin).
  • Thyrotoxicosis factitia

Interpretation

Interpretation of increased values

  • Benign thyroid disease
    • Graves’ diseasehyperthyroidism (hyperthyroidism) caused by an autoimmune defect.
    • Autonomous thyroid adenoma – benign tumor in the thyroid tissue.
    • Goiter (thyroid enlargement) – euthyroid goiter/struma nodosa
  • Follicular and papillary thyroid carcinoma (thyroid cancer).

Interpretation of decreased values

  • No diagnostic significance

Further notes

  • Approximately 10% of thyroid carcinomas form auto-antibodies against thyroglobulin, resulting in falsely low values! For better assessment, therefore, the thyroglobulin antibodies (Tg-AK) must be determined with.