[Thyroid nodules and differentiated thyroid cancer: Brazilian consensus].
Thyroid nodules are a common manifestation of thyroid diseases. It is estimated that approximately 10% of adults have palpable thyroid nodules with the frequency increasing throughout life. The major concern on nodule evaluation is the risk of malignancy (5-10%). Differentiated thyroid carcinoma accounts for 90% of all thyroid malignant neoplasias. Although most patients with cancer have a favorable outcome, some individuals present an aggressive form of the disease and poor prognostic despite recent advances in diagnosis and treatment. Here, a set of clinical guidelines for the evaluation and management of patients with thyroid nodules or differentiated thyroid cancer was developed through consensus by 8 member of the Department of Thyroid, Sociedade Brasileira de Endocrinologia e Metabologia. The participants are from different reference medical centers within Brazil, to reflect different practice patterns. Each committee participant was initially assigned to write a section of the document and to submit it to the chairperson, who revised and assembled the sections into a complete draft document, which was then circulated among all committee members for further revision. All committee members further revised and refined the document. The guidelines were developed based on the expert opinion of the committee participants, as well as on previously published information.
Maia
Ana Luiza
AL
Departamento de Tireóide, Sociedade Brasileira de Endocrinologia e Metabologia, Serviço de Endocrinologia, Hospital de Clínicas de Porto Alegre, Universidad Federal do Rio Grande do Sul, RS, Brazil. almaia@ufrgs.br
Ward
Laura S
LS
Carvalho
Gisah A
GA
Graf
Hans
H
Maciel
Rui M B
RM
Maciel
Léa M Zanini
LM
Rosário
Pedro W
PW
Vaisman
Mario
M
D018263:Adenocarcinoma, Follicular / Q000097:blood / Q000175:diagnosis / Q000628:therapy; D000328:Adult; D000465:Algorithms; D044963:Biopsy, Fine-Needle; D001938:Brazil; D002291:Carcinoma, Papillary / Q000097:blood / Q000175:diagnosis / Q000628:therapy; D003952:Diagnostic Imaging / Q000379:methods; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011247:Pregnancy; D011300:Preoperative Care; D012107:Research Design; D018570:Risk Assessment; D013964:Thyroid Neoplasms / Q000097:blood / Q000175:diagnosis / Q000628:therapy; D016606:Thyroid Nodule / Q000097:blood / Q000175:diagnosis / Q000628:therapy