Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- palpable thyroid nodule
- female sex
- history of head and neck irradiation
Другие диагностические факторы
- extremes of age
- family history of thyroid cancer
- hoarseness
- dyspnea
- dysphagia
- tracheal deviation
- cervical lymphadenopathy
- rapid neck enlargement
Факторы риска
- head and neck irradiation
- female sex
- family history of thyroid cancer
Диагностические исследования
Исследования, которые показаны в первую очередь
- TSH
- thyroid/neck ultrasound
- fine-needle aspiration (FNA)
Исследования, проведение которых нужно рассмотреть
- 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
Неотложные исследования
- translaryngeal ultrasound
- sentinel node biopsy
Алгоритм лечения
papillary, follicular, or oncocytic
anaplastic
medullary
Составители
Авторы
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
Раскрытие информации
RD declares that he has no competing interests.
Рецензенты
Rosemarie Metzger, MD, MPH, FACS
Associate Professor of Surgery, Endocrine Surgery Division
Banner - University Medical Center
Phoenix
AZ
Раскрытие информации
RM declares that she has no competing interests.
Lindsay Bischoff, MD
Associate Professor
Medical Director Vanderbilt Thyroid Center
Vanderbilt University Medical Center
Nashville
TN
Раскрытие информации
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
Раскрытие информации
FFP declares that he has no competing interests.
Список литературы
Основные статьи
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.Полный текст Аннотация
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.Полный текст Аннотация
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.Полный текст Аннотация
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: thyroid carcinoma [internet publication].Полный текст
European Society for Medical Oncology. Clinical practice guidelines - thyroid cancer. 2019 [internet publication].Полный текст
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Benign thyroid nodule
Больше ОтличияРекомендации
- NCCN clinical practice guidelines in oncology: thyroid carcinoma
- 2023 European Thyroid Association clinical practice guidelines for thyroid nodule management
Больше Рекомендации
Войдите в учетную запись или оформите подписку, чтобы получить полноценный доступ к BMJ Best Practice
Использование этого контента попадает под действие нашего заявления об отказе от ответственности