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thyroid nodule guidelines

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https://www.readbyqxmd.com/read/27849384/assessing-referrals-and-improving-information-availability-for-consultations-in-an-academic-endocrinology-clinic
#1
Chase D Hendrickson, Saumya Saini, Avin Pothuloori, John N Mecchella
OBJECTIVE: Outpatient specialty consultations rely on the timeliness and completeness of referral information to facilitate a valuable patient-specialist interaction. This project aimed to increase essential diagnostic information availability at the initial consultation for patients referred for common endocrine conditions frequently lacking such data - diabetes mellitus, thyroid nodule, thyrotoxicosis, and hypercalcemia. METHODS: At an endocrinology clinic at an academic medical center in rural New England, providers see several thousand new patients annually, the majority of whom are referred by providers external to the clinic's healthcare system...
November 16, 2016: Endocrine Practice
https://www.readbyqxmd.com/read/27805843/diagnosis-and-management-of-small-thyroid-nodules-a-comparative-study-with-six-guidelines-for-thyroid-nodules
#2
Jung Hyun Yoon, Kyunghwa Han, Eun-Kyung Kim, Hee Jung Moon, Jin Young Kwak
Purpose To investigate the diagnostic performances of six guidelines used to assess thyroid nodules and to determine whether any of these guidelines identify cancers of aggressive form in this population. Materials and Methods From March 2007 to February 2010, 4696 thyroid nodules that were 1-2 cm in 4585 patients were diagnosed as benign or malignant on the basis of cytopathologic results. Ultrasonographic examinations of the thyroid nodules were retrospectively reviewed and categorized according to the categories defined by six previously published guidelines for thyroid nodules...
November 2, 2016: Radiology
https://www.readbyqxmd.com/read/27804016/ultrasonography-scoring-systems-can-rule-out-malignancy-in-cytologically-indeterminate-thyroid-nodules
#3
Giorgio Grani, Livia Lamartina, Valeria Ascoli, Daniela Bosco, Francesco Nardi, Ferdinando D'Ambrosio, Antonello Rubini, Laura Giacomelli, Marco Biffoni, Sebastiano Filetti, Cosimo Durante, Vito Cantisani
PURPOSE: To assess the accuracy and reproducibility of ultrasonography classification systems in characterizing cytologically indeterminate thyroid nodules. METHODS: We retrospectively identified 49 nodules that had been surgically resected owing to features classified as indeterminate according to 2010 Italian Consensus on Thyroid Cytology criteria. Three experienced sonographers independently reviewed original sonographic images of each nodule and classified it using the 2015 American Thyroid Association (ATA) guidelines and the Thyroid Imaging Reporting and Data System (TI-RADS) classification proposed by Korean radiologists; later, images were reviewed jointly to obtain consensus classifications of each nodule...
October 31, 2016: Endocrine
https://www.readbyqxmd.com/read/27744598/association-of-parathyroid-carcinoma-and-thyroid-disorders-a-clinical-review
#4
Alfredo Campennì, Salvatore Giovinazzo, Salvatore Antonio Pignata, Francesca Di Mauro, Domenico Santoro, Lorenzo Curtò, Francesco Trimarchi, Rosaria Maddalena Ruggeri, Sergio Baldari
Parathyroid carcinoma is a rare malignancy, which usually occurs as a sporadic disease, and less frequently in the setting of genetic syndromes. Despite the association of parathyroid and thyroid disorders being quite common, the coexistence of parathyroid carcinoma and thyroid disease is rare. We reviewed the pertinent literature. The terms "parathyroid carcinoma" and "thyroid disease, hyperthyroidism, thyrotoxicosis, hypothyroidism, thyroid nodule(s), Graves' disease, autonomously functioning thyroid nodules" were used both separately and in reciprocal conjunction to search MEDLINE for articles published from January 2007 to March 2016...
October 15, 2016: Endocrine
https://www.readbyqxmd.com/read/27741354/2015-american-thyroid-association-management-guidelines-for-adult-patients-with-thyroid-nodules-and-differentiated-thyroid-cancer-what-is-new-and-what-has-changed
#5
Bryan R Haugen
Thyroid nodules are very common, and thyroid cancer is currently the fifth leading cancer diagnosis in women. The American Thyroid Association has led the development and revision of guidelines for the management of patients with thyroid nodules and differentiated thyroid cancer (DTC). The most current revision was published in the January 2016 issue of the journal Thyroid. The current guidelines have 101 recommendations, with 8 figures and 17 tables that are hopefully helpful to those treating patients with thyroid nodules and cancer...
October 14, 2016: Cancer
https://www.readbyqxmd.com/read/27704738/the-revised-2016-korean-thyroid-association-guidelines-for-thyroid-nodules-and-cancers-differences-from-the-2015-american-thyroid-association-guidelines
#6
Ka Hee Yi
Increased detection of thyroid nodules using high-resolution ultrasonography has resulted in a world-wide increase in the incidence of differentiated thyroid cancer (DTC). Despite the steep increase in its incidence, the age-standardized mortality rate of thyroid cancer has remained stable, which leads toward a trend of more conservative treatment. The latest American Thyroid Association (ATA) guidelines for thyroid nodules and thyroid cancer revised in 2015 suggested that fine needle aspiration biopsy should be performed for thyroid nodules larger than 1 cm and lobectomy might be sufficient for 1 to 4 cm intrathyroidal DTC...
September 2016: Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27607088/overview-of-the-2015-american-thyroid-association-guidelines-for-managing-thyroid-nodules-and-differentiated-thyroid-cancer
#7
Bashar Matti, Ruben Cohen-Hallaleh
The last few years have witnessed numerous publications addressing the management of thyroid nodules and differentiated thyroid cancers. The purpose of this review is to provide a simplified summary of the newly released guidelines by the American Thyroid Association. A systematic approach has been recommended to evaluate a thyroid nodule through clinical assessment, measurement of serum Thyroid Stimulating Hormone, neck ultrasonography and Fine Needle Aspiration where appropriate. This is followed by cytology analysis using the Bethesda scoring system to detect malignancy...
September 9, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27571216/thyroid-disorders-in-children-and-adolescents-a-review
#8
Patrick Hanley, Katherine Lord, Andrew J Bauer
Importance: Normal thyroid gland function is critical for early neurocognitive development, as well as for growth and development throughout childhood and adolescence. Thyroid disorders are common, and attention to physical examination findings, combined with selected laboratory and radiologic tools, aids in the early diagnosis and treatment. Objective: To provide a practical review of the presentation, evaluation, and treatment of thyroid disorders commonly encountered in a primary care practice...
October 1, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27563566/management-dilemma-of-thyroid-nodules-in-patients-with-malignant-struma-ovarii
#9
Sarah J Sternlieb, Celine Satija, David T Pointer, Byron E Crawford, Lacey Sullivan, Emad Kandil
Struma ovarii is a rare type of ovarian teratoma comprised of at least 50% thyroid tissue. While most are benign, 70% of malignant cases are diagnosed as papillary carcinoma. Management of patients with thyroid nodules following gynecologic surgery remains controversial and variable. Historically, the treatment of choice has been surgical removal to rule out ovarian carcinoma. Thyroid follow-up and further treatment options are guided by tumor characteristics. The patient in this case presented to the endocrine surgeon with multiple thyroid nodules, dysphagia and a history of struma ovarii that was surgically treated at an outside hospital...
August 2016: Gland Surgery
https://www.readbyqxmd.com/read/27549368/risk-of-malignancy-in-thyroid-nodules-with-non-diagnostic-fine-needle-aspiration-a-retrospective-cohort-study
#10
Ana E Espinosa De Ycaza, Kathleen M Lowe, Diana S Dean, M Regina Castro, Vahab Fatourechi, Mabel Ryder, John C Morris, Marius N Stan
BACKGROUND: Fine-needle aspiration (FNA) of thyroid nodules is commonly performed, and despite the use of ultrasound (US) guidance, the rate of non-diagnostic FNAs is still significant. The risk of malignancy of thyroid nodules with a non-diagnostic FNA is not clearly defined. However, most studies exclude the majority of patients without a repeat biopsy or surgery, thus increasing the likelihood of selection bias. The aims of this study were to determine the malignancy risk in nodules with an initial non-diagnostic FNA, and to identify the factors associated with malignancy...
November 2016: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/27485324/utility-of-repeat-cytological-assessment-of-thyroid-nodules-initially-classified-as-benign-clinical-insights-from-multidisciplinary-care-in-an-irish-tertiary-referral-centre
#11
Nigel Glynn, Mark J Hannon, Sarah Lewis, Patrick Hillery, Mohammed Al-Mousa, Arnold D K Hill, Frank Keeling, Martina Morrin, Christopher J Thompson, Diarmuid Smith, Derval Royston, Mary Leader, Amar Agha
BACKGROUND: Fine needle aspiration biopsy (FNAB) is the tool of choice for evaluating thyroid nodules with the majority classified as benign following initial assessment. However, concern remains about false negative results and some guidelines have recommended routine repeat aspirates. We aimed to assess the utility of routine repeat FNAB for nodules classified as benign on initial biopsy and to examine the impact of establishing a multidisciplinary team for the care of these patients...
2016: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/27475222/optimal-timing-for-a-repeat-fine-needle-aspiration-biopsy-of-thyroid-nodule-following-an-initial-nondiagnostic-fine-needle-aspiration
#12
Ahmed Deniwar, AbdulRahman Y Hammad, Daniah Bu Ali, Nuha Alsaleh, Maha Lahlouh, Andrew B Sholl, Krzysztof Moroz, Rizwan Aslam, Tina Thethi, Emad Kandil
BACKGROUND: In the case of a nondiagnostic thyroid fine-needle aspiration (FNA) biopsy result, recent guidelines from the Bethesda system recommend repeat thyroid FNA after 3 months to prevent false-positive results. We aimed to examine our institutional data to determine whether the 3-month period affects the diagnostic yield of repeat biopsies. METHODS: A retrospective review of patient records over a 5-year period at our institution was performed. Patients who required repeat FNA due to nondiagnostic results were included...
June 14, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27457090/usefulness-of-ultrasonography-is-the-evaluation-of-thyroid-nodules
#13
Carolina Franco Uliaque, Francisco Javier Pardo Berdún, Ricardo Laborda Herrero, Carmen Pérez Lórenz
OBJECTIVE: To evaluate the diagnostic capacity of ultrasonography (US) for differentiating between malignant and benign thyroid nodules and its usefulness in obviating unnecessary invasive procedures. PATIENTS AND METHODS: From January 2012 through December 2014, a total of 321 fine-needle aspiration biopsy (FNAB) procedures were done in 302 patients selected according to the criteria recommended by the American Association of Clinical Endocrinology guidelines and the American Thyroid Association guidelines...
September 2016: Radiología
https://www.readbyqxmd.com/read/27418023/the-changing-incidence-of-thyroid-cancer
#14
REVIEW
Cari M Kitahara, Julie A Sosa
During the past few decades, the incidence of thyroid cancer has increased substantially in many countries, including the USA. The rise in incidence seems to be attributable both to the growing use of diagnostic imaging and fine-needle aspiration biopsy, which has led to enhanced detection and diagnosis of subclinical thyroid cancers, and environmental factors. The latest American Thyroid Association (ATA) practice guidelines for the management of adult patients with thyroid nodules and differentiated thyroid cancer differ substantially from the previous ATA guidelines published in 2009...
November 2016: Nature Reviews. Endocrinology
https://www.readbyqxmd.com/read/27412501/pediatric-thyroid-fna-biopsy-outcomes-and-impact-on-management-over-24-years-at-a-tertiary-care-center
#15
Elmira Amirazodi, Evan J Propst, Catherine T Chung, Dimitri A Parra, Jonathan D Wasserman
BACKGROUND: Thyroid malignancy is rare in young children, although the incidence increases sharply during adolescence. Nodular thyroid disease and thyroid cancer in children differ substantially from those in adults, because the rates of malignancy among children are roughly 5-fold higher, and local and distant metastases as well as recurrences are more common. Even with the recent introduction of pediatric guidelines, there remains a paucity of pediatric data on which to base clinical decision making...
November 2016: Cancer
https://www.readbyqxmd.com/read/27382091/endocrine-abnormalities-in-aging-survivors-of-childhood-cancer-a-report-from-the-childhood-cancer-survivor-study
#16
Sogol Mostoufi-Moab, Kristy Seidel, Wendy M Leisenring, Gregory T Armstrong, Kevin C Oeffinger, Marilyn Stovall, Lillian R Meacham, Daniel M Green, Rita Weathers, Jill P Ginsberg, Leslie L Robison, Charles A Sklar
PURPOSE: The development of endocrinopathies in survivors of childhood cancer as they age remains understudied. We characterized endocrine outcomes in aging survivors from the Childhood Cancer Survivor Study on the basis of therapeutic exposures. PATIENTS AND METHODS: We analyzed self-reported conditions in 14,290 5-year survivors from the Childhood Cancer Survivor Study, with a median age 6 years (range, < 1 to 20 years) at diagnosis and 32 years (range, 5 to 58 years) at last follow-up...
September 20, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/27368451/pediatric-thyroid-nodules-a-single-center-experience
#17
Jason Trahan, Abhita Reddy, Ellen Chang, Ricardo Gomez, Pinki Prasad, Anita Jeyakumar
OBJECTIVES: 1. Analyze our center's experience with thyroid nodules. 2. Evaluate the efficacy of fine needle biopsy. 3. Compare our experience with the 2015 ATA guidelines. METHODS: IRB approved retrospective chart review from July 1993-July 2014 at a tertiary pediatric institution. Patients under age 21 with documented thyroid nodules who underwent fine needle aspiration, and/or thyroidectomy were included. RESULTS: 126 patients were identified...
August 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27353159/-radiofrequency-ablation-of-a-symptomatic-benign-thyroid-nodule
#18
T M van Ginhoven, E T Massolt, D C Bijdevaate, R P Peeters, J W A Burgers, A Moelker
Radiofrequency ablation (RFA) enables the ablation of selected tissue by means of heat. For the first time in the Netherlands, RFA is being used to treat patients with benign thyroid nodules. RFA is able to reduce the volume of a nodule that may be causing cosmetic complaints or problems due to mass effect. This avoids the need for surgery or treatment with radioactive iodine in this benign condition. The average reduction in size is 80% in the first year, leading to a considerable decrease in both symptomatic and cosmetic complaints...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27329396/ultrasound-guided-fine-needle-aspiration-of-thyroid-nodules-factors-affecting-diagnostic-outcomes-and-confounding-variables
#19
John Kavanagh, Niall McVeigh, Eoghan McCarthy, Kathleen Bennett, Peter Beddy
BACKGROUND: The incidence of thyroid cancer is increasing in men and women. Fine needle aspiration (FNA) is an accepted technique to assess thyroid nodules but is associated with a high rate of non-diagnostic sampling. PURPOSE: To assess the diagnostic performance of ultrasound-guided FNA of thyroid nodules and identify factors associated with non-diagnostic sampling. MATERIAL AND METHODS: A retrospective review of thyroid FNAs was performed between 2006 and 2013...
June 20, 2016: Acta Radiologica
https://www.readbyqxmd.com/read/27294815/fine-needle-aspiration-in-the-investigation-of-thyroid-nodules
#20
Joachim Feldkamp, Dagmar Führer, Markus Luster, Thomas J Musholt, Christine Spitzweg, Matthias Schott
BACKGROUND: Thyroid nodules are a common finding in Germany. Most are benign; thyroid cancer is very rare. The challenge for the physician is to diagnose malignant tumors early. Fine needle aspiration is an important tool for this purpose. METHODS: This review is based on pertinent articles (1980-2014) retrieved by a selective search in PubMed and on the current recommendations of guidelines issued by the specialty societies in Germany and abroad. RESULTS: Clinical, ultrasonographic, and scintigraphic criteria are used to identify high-risk nodules, which are then further studied by fine needle aspiration...
May 20, 2016: Deutsches Ärzteblatt International
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