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management of thyroid nodules

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https://www.readbyqxmd.com/read/29029476/contrastive-study-of-two-screening-criteria-for-active-surveillance-in-patients-with-low-risk-papillary-thyroid-microcarcinoma-a-retrospective-analysis-of-1001-patients
#1
Kai Qian, Kai Guo, Xiaoke Zheng, Tuanqi Sun, Duanshu Li, Yi Wu, Qinghai Ji, Zhuoying Wang
Screening out patients who do not require immediate surgery is a growing trend in the field of thyroid research. In this study, we retrospectively compared the application of two surveillance selection criteria in 1001 patients who had undergone surgical treatment of papillary thyroid microcarcinoma (PTMC): low-risk PTMC characteristics defined by Kuma Hospital and CATO consensus on PTMC management of active surveillance. Treatment outcomes were compared between groups. We then analyzed the prognostic indicators of patients who could be managed by surveillance...
September 12, 2017: Oncotarget
https://www.readbyqxmd.com/read/29028645/an-update-on-the-status-of-molecular-testing-for-the-indeterminate-thyroid-nodule-and-risk-stratification-of-differentiated-thyroid-cancer
#2
Kristina J Nicholson, Linwah Yip
PURPOSE OF REVIEW: Correct identification of malignancy in cytologically indeterminate thyroid nodules is a diagnostic challenge, leading to potentially unnecessary surgery in patients for whom final histology is benign. Similarly, many patients with differentiated thyroid cancer (DTC) undergo aggressive surgical management of tumors, which may ultimately have low-risk histologic features. Use of molecular testing strategies can aid in both the diagnosis of indeterminate thyroid nodules and preoperative risk stratification of DTC...
October 11, 2017: Current Opinion in Oncology
https://www.readbyqxmd.com/read/29019758/sonographic-evaluation-of-pediatric-thyroid-nodules
#3
Alex C Essenmacher, Peter H Joyce, Simon C Kao, Monica Epelman, Liuska M Pesce, Michael P D'Alessandro, Yutaka Sato, Craig M Johnson, Daniel J Podberesky
A thyroid nodule detected clinically or incidentally at medical imaging is a common indication for ultrasonography (US) in the adult population. This scenario is less frequently the case in pediatric patients, and the approach to evaluation of thyroid nodules deserves modification in these patients because of the increased probability of malignancy in children, compared with adults. Evaluating a thyroid nodule with US in a systematic way requires familiarity with a number of features that can be assessed and the terms that the radiologist uses in each category...
October 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29017315/thyroid-cytology-the-japanese-system-and-experience-at-yamashita-thyroid-hospital
#4
Shinya Satoh, Hiroyuki Yamashita, Kennichi Kakudo
In Japan, fine needle aspiration (FNA) cytology is the most important diagnostic modalities for triaging patients with thyroid nodules. A clinician (endocrinologist, endocrine surgeon, or head and neck surgeon) generally performs FNA cytology at the outpatient clinic, and ultrasound (US)-guided FNA is widespread because US is extremely common and most clinicians are familiar with it. Although almost all FNA thyroid samples are examined by certified cytopathologists and pathologists, some clinicians assess cytological specimens themselves...
October 11, 2017: Journal of Pathology and Translational Medicine
https://www.readbyqxmd.com/read/28994274/thyroid-cytology-in-india-contemporary-review-and-meta-analysis
#5
Shipra Agarwal, Deepali Jain
Fine needle aspiration cytology (FNAC) is a screening test for triaging thyroid nodules, aiding in subsequent clinical management. However, the advantages have been overshadowed by the multiplicity of reporting systems and a wide range of nomenclature used. The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) was formulated in 2007, to give the world a uniform thyroid cytology reporting system, facilitating easy interpretation by the clinicians. Here, we review the status of thyroid FNAC in India in terms of various reporting systems used including a meta-analysis of the previously published data...
October 5, 2017: Journal of Pathology and Translational Medicine
https://www.readbyqxmd.com/read/28992708/-management-of-patients-with-thyroid-nodules-american-thyroid-association-guidelines-in-the-setting-of-czech-republic
#6
Jan Jiskra
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 patients management and minimizing number of false negative and false positive FNAB results...
2017: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/28991565/imaging-and-screening-of-thyroid-cancer
#7
REVIEW
Qian Li, Xueying Lin, Yuhong Shao, Feixiang Xiang, Anthony E Samir
Ultrasound is the first-line diagnostic tool for diagnosis of thyroid diseases. The low aggressiveness of many thyroid cancers coupled with high sensitivity of sonography can lead to cancer diagnosis and treatment with no effect on outcomes. Ultrasound is recognized as the most important driver of thyroid cancer overdiagnosis. Ultrasound should not be used as a general screening tool and should be reserved for patients at high risk of thyroid cancer and in the diagnostic management of incidentally discovered thyroid nodules...
November 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28989887/a-pragmatic-approach-to-the-indeterminate-thyroid-nodule
#8
REVIEW
Krishna G Seshadri
Thyroid nodules are prevalent in upto 68% of randomly selected individuals in whom high resolution ultrasound is performed. The majority of nodules are benign. The use of ultrasound coupled with FNAC has dramatically reduced the number of patients who undergo surgery for nodules. The six tier Bethesda scoring system has reduced variability and increased the ability to clinicians to guide patients with thyroid nodules. There is good correlation between cytology and histopathologic outcomes. A significant proportion of patients will however fall into an indeterminate category...
September 2017: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28982296/shear-wave-elastography-in-thyroid-nodules-with-indeterminate-cytology-results-of-a-prospective-bicentric-study
#9
Stéphane Bardet, Renaud Ciappuccini, Claire Pellot-Barakat, Hervé Monpeyssen, Jean-Jacques Michels, Frédérique Tissier, David Blanchard, Fabrice Menegaux, Dominique De Raucourt, Muriel Lefort, Yves Reznik, Agnes Rouxel, Natacha Heutte, Frédérique Brenac, Alexandra Leconte, Camille Buffet, Bénédicte Clarisse, Laurence Leenhardt
BACKGROUND: The clinical management of thyroid nodules with indeterminate cytology (IC) remains challenging. The role of shear wave elastography (SWE) in this setting is controversial. The aim of the study was to assess the performances of SWE in terms of prediction of malignancy, reproducibility, and combined analysis with ultrasound (US) examination in thyroid nodules with IC. METHODS: This prospective study was conducted in two referral centers. Eligible patients had a thyroid nodule ≥15 mm with IC (Bethesda class III to V) for which surgery had been recommended...
October 6, 2017: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/28975825/evaluation-and-management-of-indeterminate-thyroid-nodules-the-revolution-of-risk-stratification-beyond-cytological-diagnosis
#10
Pablo Valderrabano, Bryan McIver
In accordance with National Guidelines, we currently follow a linear approach to the diagnosis of thyroid nodules, with management decision based primarily on a cytological diagnosis following fine-needle aspiration biopsy. However, 25% of these biopsies render an indeterminate cytology, leaving uncertainty regarding appropriate management. Individualizing the risk of malignancy of these nodules could improve their management significantly. We summarize the current evidence on the relevance of clinical information, radiological features, cytological features, and molecular markers tests results and describe how these can be integrated to personalize the management of thyroid nodules with indeterminate cytology...
October 2017: Cancer Control: Journal of the Moffitt Cancer Center
https://www.readbyqxmd.com/read/28960781/whole-lung-irradiation-in-stage-iv-wilms-tumor-patients-thyroid-dosimetry-and-outcomes
#11
Tiffany M Morgan, Hasan Danish, Ronica H Nanda, Natia Esiashvili, Lillian R Meacham
PURPOSE: To report the thyroid dosimetry and long-term follow-up of childhood cancer survivors treated with whole lung irradiation (WLI) for Wilms tumor. METHODS: Twenty-eight patients with pulmonary metastases from Wilms tumor who underwent WLI from 2000 TO 2012 at a single institution were reviewed. Radiation dose to the thyroid gland in each case was calculated. Postradiation thyroid function test (TFT) results and management of thyroid function abnormalities were extracted from the medical records...
September 27, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/28949443/value-of-cytopathologist-review-of-ultrasound-examinations-in-non-diagnostic-unsatisfactory-thyroid-fna
#12
David N Poller
BACKGROUND: Correlation of cytologic and ultrasound findings is extremely valuable for the cytopathologist in management of thyroid nodules. METHODS: Ultrasound scans (US) of all thyroid FNA taken over a 13 month period and reported by a single cytologist were reviewed at the time of reporting, focusing on aspirates that were non-diagnostic/unsatisfactory, equivalent to Bethesda Class I, UK Royal College of Pathologists Class Thy1 or Thy1c. RESULTS: FNA cases [68 (40...
September 26, 2017: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/28946821/risk-stratification-of-thyroid-nodules-on-ultrasonography-current-status-and-perspectives
#13
Eun Ju Ha, Jung Hwan Baek, Dong Gyu Na
Two types of risk stratification system, i.e., a qualitative grading system or a quantitative scoring system, have been used for the effective management of thyroid nodules on ultrasonography (US). The concept of Thyroid Imaging Reporting and Data System (TI-RADS), based on the quantitative scoring system, was introduced in the late 2000s and its format has been constantly evolving and developing. Understanding the role and appropriate utilization of risk stratification systems including TI-RADS could facilitate the effective interpretation and communication of thyroid US findings among referring physicians and cytopathologists...
September 25, 2017: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/28919611/incidental-thyroid-carcinoma-in-patients-treated-surgically-for-presumably-benign-thyroid-disease
#14
M M Rahman, U S Abdullah, A I Joarder, C Das, B C Debnath, R Sah
Incidental Thyroid Carcinoma (ITC) is quite high as been reported in the world's Journal. This study reviews the frequency of the ITC in patients treated surgically for otherwise benign Thyroid disease in one of the Endocrine surgery unit of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. This study was developed by the investigating the outcome of one hundred and twenty seven patient who underwent partial or total thyroidectomy for benign thyroid pathology in a single Endocrine Surgery Unit of BSMMU from January 2011 to July 2015...
July 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28913847/incidence-malignancy-rates-of-diagnoses-and-cyto-histological-correlations-in-the-new-italian-reporting-system-for-thyroid-cytology-an-institutional-experience
#15
P Straccia, A Santoro, E D Rossi, C Brunelli, C Mosseri, T Musarra, A Pontecorvi, C P Lombardi, G Fadda
OBJECTIVE: FNA biopsy is considered as the most accurate method for the selection of patients with thyroid nodules that need for surgery or for the wait and see management. The aim of the present study is to clarify the risk of malignancy for the cytological data classified according to the 2014 Italian reporting system. METHODS: We report a retrospective analysis of 4043 patients in our institution's experience during the period April 2014 through December 2016 with the Italian reporting system for thyroid cytology...
September 15, 2017: Cytopathology: Official Journal of the British Society for Clinical Cytology
https://www.readbyqxmd.com/read/28912438/malignancy-risk-stratification-of-thyroid-nodules-comparisons-of-four-ultrasound-thyroid-imaging-reporting-and-data-systems-in-surgically-resected-nodules
#16
Ying Wang, Kai-Rong Lei, Ya-Ping He, Xiao-Long Li, Wei-Wei Ren, Chong-Ke Zhao, Xiao-Wan Bo, Dan Wang, Cheng-Yu Sun, Hui-Xiong Xu
To compare the efficiency of four different ultrasound (US) Thyroid Imaging Reporting and Data Systems (TI-RADS) in malignancy risk stratification in surgically resected thyroid nodules (TNs). The study included 547 benign TNs and 464 malignant TNs. US images of the TNs were retrospectively reviewed and categorized according to the TI-RADSs published by Horvath E et al. (TI-RADS H), Park et al. (TI-RADS P), Kwak et al. (TI-RADS K) and Russ et al. (TI-RADS R). The diagnostic performances for the four TI-RADSs were then compared...
September 14, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28904244/tracheobronchopathia-osteochondroplastica-in-recurrent-retrosternal-goiter-surgical-management
#17
Francesco Quaglino, Enrico Mazza, Mauro Navarra, Nicola Palestini, Valentina Marchese, Riccardo Lemini, Francesca Talarico, Emilpaolo Manno
Tracheobronchopathia osteochondroplastica (TPO) is a rare pathology characterized by a progressive segmentary stenosis of the respiratory tract due to proliferation of osteocartilagineous nodules in the lumen of the distal part of the trachea and large bronchial trunks. Prognosis is usually benign, but some cases with an acute progression and a lethal outcome have been described. Clinical presentation is non specific, the chest x-ray is generally normal and there are not typical radiological signs of suspicion: diagnosis of TPO is usually incidental...
September 4, 2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/28872097/robot-assisted-thyroidectomy-using-a-gasless-transaxillary-approach-for-the-management-of-thyroid-lesions-indian-experience
#18
S P Somashekhar, K R Ashwin
AIM: Since last decades, more and more thyroidectomies have been performed by the minimally invasive method. Compared to conventional thyroidectomy, minimally invasive thyroidectomy has a superior cosmetic result. However, the outcome depends, in a large extent, on the skill of the operator and the learning curve is relatively long. Robotic thyroidectomy (RT) is a relatively new approach in treating thyroid lesions with improved ergonomics and surgical outcomes. PURPOSE: We performed a prospective study of robotic-assisted transaxillary approach for thyroidectomy in Indian patients to examine the feasibility of the procedure...
October 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28868262/a-cervical-schwannoma-masquerading-as-a-thyroid-nodule
#19
Sravanthi Nagavalli, Marelle Yehuda, Laron W McPhaul, Andrew G Gianoukakis
BACKGROUND: We present a case of a cervical schwannoma, likely originating from the pharyngeal plexus of the vagal nerve. The lesion masqueraded as a thyroid nodule and magnetic resonance imaging (MRI) assisted in preoperative diagnosis. We review the radiographic characteristics of nerve sheath tumors on MRI as well as the diagnostic cytologic stains which can enhance the possibility of a correct preoperative diagnosis. CASE: We describe a 60-year-old female with dysphagia and a neck mass consistent with a nodular goiter...
July 2017: European Thyroid Journal
https://www.readbyqxmd.com/read/28846789/multinodular-goiter-a-study-of-malignancy-risk-in-nondominant-nodules
#20
Jenica Su-Ern Yong, Kwok Seng Loh, Bengt Fredrik Petersson, Mark Thong
The long-standing belief that multinodular goiters are associated with a lower risk of developing into carcinoma has been challenged by the results of some recent studies. In addition, we have noticed in our practice that a sizable proportion of cancers have been arising from nondominant nodules. We performed a retrospective study of 223 cases to determine (1) the incidence of carcinoma in multinodular goiters that required surgical management in our local, predominantly Asian population and (2) the incidence of carcinoma arising from nondominant nodules...
August 2017: Ear, Nose, & Throat Journal
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