Italian consensus on diagnosis and treatment of differentiated thyroid cancer: joint statements of six Italian societies

被引：184

作者：

Pacini, F. ^{[1
]}

Basolo, F. ^{[2
]}

Bellantone, R. ^{[3
]}

Boni, G. ^{[4
]}

Cannizzaro, M. A. ^{[5
]}

De Palma, M. ^{[6
]}

Durante, C. ^{[7
]}

Elisei, R. ^{[8
]}

Fadda, G. ^{[9
]}

Frasoldati, A. ^{[10
]}

Fugazzola, L. ^{[11
,12
]}

Guglielmi, R. ^{[13
]}

Lombardi, C. P. ^{[3
]}

Miccoli, P. ^{[2
]}

Papini, E. ^{[13
]}

Pellegriti, G. ^{[14
]}

Pezzullo, L. ^{[15
]}

Pontecorvi, A. ^{[16
]}

Salvatori, M. ^{[17
]}

Seregni, E. ^{[18
]}

Vitti, P. ^{[8
]}

机构：

[1] Univ Siena, Dept Med Surg & Neurol Sci, I-53100 Siena, Italy

[2] Univ Pisa, Dept Surg Med Mol Pathol & Crit Area, Pisa, Italy

[3] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli, UOC Chirurg Endocrina & Metab, Rome, Italy

[4] Univ Pisa, Reg Ctr Nucl Med, Pisa, Italy

[5] Univ Catania, Dept Med & Surg Sci, Adv Technol GF Ingrassia, Catania, Italy

[6] AORN Cardarelli, Dipartimento Chirurg Gen & Polispecialist Chirurg, Naples, Italy

[7] Univ Rome Sapienza, Dept Internal Med & Med Specialties, Rome, Italy

[8] Univ Pisa, Dept Clin & Expt Med, Pisa, Italy

[9] Univ Cattolica Sacro Cuore, Inst Pathol, Rome, Italy

[10] IRCCS, Arcispedale S Maria Nuova, Endocrinol Unit, Reggio Emilia, Italy

[11] IRCCS, Ist Auxol Italiano, Milan, Italy

[12] Univ Milan, Dept Pathophysiol & Transplantat, Milan, Italy

[13] Regina Apostolorum Hosp, Dept Endocrinol, Albano Laziale, Italy

[14] Univ Catania, Garibaldi Nesima Med Ctr, Dept Clin & Expt Med, Endocrinol, Catania, Italy

[15] IRCCS Fdn G Pascale, Ist Nazl Studio & Cura Tumori, Thyroid & Parathyroid Surg Unit, Naples, Italy

[16] Univ Cattolica Sacro Cuore, Cattedra Endocrinol, Area Endocrinol & Malattie Metab, Rome, Italy

[17] Policlin Gemelli, Ist Med Nucl, Rome, Italy

[18] Struttura Terapia Med Nucl & Endocrinol UO Med Fd, Ist Nazl Tumori Milano, Milan, Italy

来源：

JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION | 2018年 / 41卷 / 07期

关键词：

Thyroid nodules; Thyroid cancer; Thyroid surgery; Radioiodine; RECOMBINANT HUMAN THYROTROPIN; RADIOIODINE REMNANT ABLATION; RADIOACTIVE IODINE THERAPY; LYMPH-NODE METASTASIS; HORMONE WITHDRAWAL; FOLLOW-UP; DISTANT METASTASES; TURIN PROPOSAL; I-131; THERAPY; HUMAN TSH;

D O I：

10.1007/s40618-018-0884-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background Thyroid nodules are a common clinical problem, and differentiated thyroid cancer is becoming increasingly prevalent. Methods Six scientific Italian societies entitled to cure thyroid cancer patients (the Italian Thyroid Association, the Medical Endocrinology Association, the Italian Society of Endocrinology, the Italian Association of Nuclear Medicine and Molecular Imaging, the Italian Society of Unified Endocrine Surgery and the Italian Society of Anatomic Pathology and Diagnostic Cytology) felt the need to develop a consensus report based on significant scientific advances occurred in the field. Objective The document includes recommendations regarding initial evaluation of thyroid nodules, clinical and ultrasound criteria for fine-needle aspiration biopsy, initial management of thyroid cancer including staging and risk assessment, surgical management, radioiodine remnant ablation, and levothyroxine therapy, short-term and long-term follow-up strategies, and management of recurrent and metastatic disease. The objective of this consensus is to inform clinicians, patients, researchers, and health policy makers about the best strategies (and their limitations) relating to the diagnosis and treatment of differentiated thyroid cancer.

引用

页码：849 / 876

页数：28

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