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Table 1 Technical problems in serum Ct measurement

From: Calcitonin estimation in patients with nodular goiter and its significance for early detection of MTC: european comments to the guidelines of the American Thyroid Association

1. Serum not appropriately stored (i.e -20°C) may give false negative results

2. Very high values can give false negative results (Hook effect)

3. Some drugs, such as omeprazole, can stimulate Ct and produce false positive results*

4. Heterophylic antibodies may give false positive results*

5. Normal range should be calculated in each laboratory

6. Analytical and functional sensitivity of the assay should be verified in each laboratory

  1. *no positive response to stimulation with either calcium or pentagastrin