New protocol for the diagnosis and management of thyroid nodule and carcinoma——the Chinese management guidelines for patients with thyroid nodules and differentiated thyroid cancer
  
View Full Text  View/Add Comment  Download reader
DOI:10.3724/SP.J.1264.2013.00028
Key words:thyroid nodule  thyroid carcinoma  diagnosis  therapy  follow-up
Author NameAffiliationE-mail
GONG Yanping*, TIAN Hui Department of Geriatric Endocrinology, Chinese PLA General Hospital, Beijing 100853, China gypmrp@yahoo.com.cn 
Hits: 1955
Download times: 2427
Abstract:
      Thyroid nodule is a common clinical disease. In recent years, the detection rate of thyroid nodule, as well as the incidence of thyroid cancer, presents higher and higher in China. Thyroid nodule is confirmed with a prevalence of ultrasonic inspection of 20% to 76%, while, the incidence of thyroid cancer detected from thyroid nodule reaches 5% to 15%. Therefore, identifying benign or malignancy of the nodule, and the damage of surrounding tissue is of particularly importance. Risk factors of thyroid cancer developing from thyroid nodules could be evaluated by collecting complete medical history. This might do great help to arrange reasonable diagnosis and treatment. High resolution ultrasound evaluation is the preferred approach for thyroid nodule. Biopsy has the highest accuracy (83%) and specificity (92%) in assessing benign or malignancy of thyroid nodule. Other laboratory and imaging examination can play a supplementary role. Surgery, postoperative 131I therapy and thyroid stimulating hormone suppression therapy are most common treatments for thyroid cancer. Follow-up schedule of thyroid nodules and thyroid carcinoma should be arranged according to each specific situation. Though the prevalence of thyroid nodule is higher in the elderly than in young subjects, the incidence of thyroid carcinoma in the elderly is relatively lower. The therapeutic management for the elderly is the same as that for the young.
Close