Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- palpable thyroid nodule
- female sex
- history of head and neck irradiation
Otros factores de diagnóstico
- extremes of age
- family history of thyroid cancer
- hoarseness
- dyspnea
- dysphagia
- tracheal deviation
- cervical lymphadenopathy
- rapid neck enlargement
Factores de riesgo
- head and neck irradiation
- female sex
- family history of thyroid cancer
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- TSH
- thyroid/neck ultrasound
- fine-needle aspiration (FNA)
Pruebas diagnósticas que deben considerarse
- molecular testing of cytology specimens
- free T4
- free T3
- laryngoscopy
- I-123 thyroid scan and uptake
- core biopsy
- CT neck
- serum calcitonin
- genetic testing for familial syndromes
- serum thyroglobulin
Pruebas emergentes
- translaryngeal ultrasound
- sentinel node biopsy
Algoritmo de tratamiento
papillary, follicular, or oncocytic
anaplastic
medullary
Colaboradores
Autores
Rajiv Datta, MD, FACS, FRCS, FICS
Chairman
Department of Surgery
Professor Of Surgery, Icahn School of Medicine at Mount Sinai
Chief
Division of Surgical Oncology
Chief
Division of Head and Neck Surgery
Mount Sinai South Nassau Hospital
Oceanside
NY
Divulgaciones
RD declares that he has no competing interests.
Revisores por pares
Rosemarie Metzger, MD, MPH, FACS
Associate Professor of Surgery, Endocrine Surgery Division
Banner - University Medical Center
Phoenix
AZ
Divulgaciones
RM declares that she has no competing interests.
Lindsay Bischoff, MD
Associate Professor
Medical Director Vanderbilt Thyroid Center
Vanderbilt University Medical Center
Nashville
TN
Divulgaciones
LB declares that she has no competing interests.
F. Fausto Palazzo, MS, FRCS
Consultant Endocrine Surgeon
Hammersmith & Charing Cross Hospitals
Clinical Lead for Endocrine Surgery
Honorary Senior Lecturer
Imperial College
London
UK
Divulgaciones
FFP declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referencias
Artículos principales
Haugen BR, Alexander EK, Bible KC, et al; American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2016 Jan;26(1):1-133.Texto completo Resumen
Wells SA Jr, Asa SL, Dralle H, et al. Revised American Thyroid Association guidelines for the management of medullary thyroid carcinoma. Thyroid. 2015 Jun;25(6):567-610.Texto completo Resumen
Gharib H, Papini E, Garber JR, et al. American Association of Clinical Endocrinologists, American College of Endocrinology, and Associazione Medici Endocrinologi medical guidelines for clinical practice for the diagnosis and management of thyroid nodules - 2016 update. Endocr Pract. 2016 May;22(5):622-39.Texto completo Resumen
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: thyroid carcinoma [internet publication].Texto completo
European Society for Medical Oncology. Clinical practice guidelines - thyroid cancer. 2019 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Benign thyroid nodule
Más DiferencialesGuías de práctica clínica
- NCCN clinical practice guidelines in oncology: thyroid carcinoma
- 2023 European Thyroid Association clinical practice guidelines for thyroid nodule management
Más Guías de práctica clínica
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