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Management of patients with thyroid nodules: American Thyroid Association guidelines in the setting of Czech Republic


Authors: Jan Jiskra
Authors‘ workplace: 3. interní klinika – klinika endokrinologie a metabolismu 1. LF UK a VFN v Praze
Published in: Čas. Lék. čes. 2017; 156: 241-251
Category: Review Article

Overview

Thyroid nodules are common finding. Most of them are of benign origin without thyroid dysfunction. Diagnosis is based on evaluation of thyroid function by assessment of serum thyroid stimulating hormone, and ultrasound for the purpose to identify the nodules which should be referred to fine needle aspiration biopsy (FNAB). The nodule size, ultrasound pattern and clinical risk factors should be considered before the FNAB is performed. The FNAB results should be categorized based on the risk of malignancy to improving a standardization of the patient’s management and minimizing number of false negative and false positive FNAB results. The most appropriate categorizing system seems to be Bethesda classification, although it is not completely optimal mainly because of controversial Bethesda III category.

Keywords:
thyroid nodule, thyroid cancer, ultrasound, fine needle aspiration biopsy, Bethesda classification


Sources

1. Haugen BR, Alexander EK, Bible KC et al. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American Thyroid Association Guidelines Task Force On Thyroid Nodules And Differentiated Thyroid Cancer. Thyroid 2016; 26(1): 1–133.

2. Leenhardt L, Erdogan MF, Hegedus L et al. 2013 European Thyroid Association guidelines for cervical ultrasound scan and ultrasound-guided techniques in the postoperative management of patients with thyroid cancer. Eur Thyroid J 2013; 2(3): 147–159.

Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management
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