Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus

Thyroid nodules are frequent findings, especially when sensitive imaging methods are used. Although thyroid cancer is relatively rare, its incidence is increasing, particularly in terms of small tumors, which have an uncertain clinical relevance. Most patients with differentiated thyroid cancer exhibit satisfactory clinical outcomes when treatment is appropriate, and their mortality rate is similar to that of the overall population. However, relapse occurs in a considerable fraction of these patients, and some patients stop responding to conventional treatment and eventually die from their disease. Therefore, the challenge is how to identify the individuals who require more aggressive disease management while sparing the majority of patients from unnecessary treatments and procedures. We have updated the Brazilian Consensus that was published in 2007, emphasizing the diagnostic and therapeutic advances that the participants, representing several Brazilian university centers, consider most relevant in clinical practice. The formulation of the present guidelines was based on the participants' experience and a review of the relevant literature.

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Main Authors: Rosário,Pedro Weslley, Ward,Laura S., Carvalho,Gisah A., Graf,Hans, Maciel,Rui M. B., Maciel,Léa Maria Z., Maia,Ana Luiza, Vaisman,Mário
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Endocrinologia e Metabologia 2013
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302013000400002
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spelling oai:scielo:S0004-273020130004000022013-07-01Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensusRosário,Pedro WeslleyWard,Laura S.Carvalho,Gisah A.Graf,HansMaciel,Rui M. B.Maciel,Léa Maria Z.Maia,Ana LuizaVaisman,Mário Thyroid nodules thyroid cancer Brazilian consensus update Thyroid nodules are frequent findings, especially when sensitive imaging methods are used. Although thyroid cancer is relatively rare, its incidence is increasing, particularly in terms of small tumors, which have an uncertain clinical relevance. Most patients with differentiated thyroid cancer exhibit satisfactory clinical outcomes when treatment is appropriate, and their mortality rate is similar to that of the overall population. However, relapse occurs in a considerable fraction of these patients, and some patients stop responding to conventional treatment and eventually die from their disease. Therefore, the challenge is how to identify the individuals who require more aggressive disease management while sparing the majority of patients from unnecessary treatments and procedures. We have updated the Brazilian Consensus that was published in 2007, emphasizing the diagnostic and therapeutic advances that the participants, representing several Brazilian university centers, consider most relevant in clinical practice. The formulation of the present guidelines was based on the participants' experience and a review of the relevant literature.info:eu-repo/semantics/openAccessSociedade Brasileira de Endocrinologia e MetabologiaArquivos Brasileiros de Endocrinologia & Metabologia v.57 n.4 20132013-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302013000400002en10.1590/S0004-27302013000400002
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country Brasil
countrycode BR
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libraryname SciELO
language English
format Digital
author Rosário,Pedro Weslley
Ward,Laura S.
Carvalho,Gisah A.
Graf,Hans
Maciel,Rui M. B.
Maciel,Léa Maria Z.
Maia,Ana Luiza
Vaisman,Mário
spellingShingle Rosário,Pedro Weslley
Ward,Laura S.
Carvalho,Gisah A.
Graf,Hans
Maciel,Rui M. B.
Maciel,Léa Maria Z.
Maia,Ana Luiza
Vaisman,Mário
Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus
author_facet Rosário,Pedro Weslley
Ward,Laura S.
Carvalho,Gisah A.
Graf,Hans
Maciel,Rui M. B.
Maciel,Léa Maria Z.
Maia,Ana Luiza
Vaisman,Mário
author_sort Rosário,Pedro Weslley
title Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus
title_short Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus
title_full Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus
title_fullStr Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus
title_full_unstemmed Thyroid nodules and differentiated thyroid cancer: update on the Brazilian consensus
title_sort thyroid nodules and differentiated thyroid cancer: update on the brazilian consensus
description Thyroid nodules are frequent findings, especially when sensitive imaging methods are used. Although thyroid cancer is relatively rare, its incidence is increasing, particularly in terms of small tumors, which have an uncertain clinical relevance. Most patients with differentiated thyroid cancer exhibit satisfactory clinical outcomes when treatment is appropriate, and their mortality rate is similar to that of the overall population. However, relapse occurs in a considerable fraction of these patients, and some patients stop responding to conventional treatment and eventually die from their disease. Therefore, the challenge is how to identify the individuals who require more aggressive disease management while sparing the majority of patients from unnecessary treatments and procedures. We have updated the Brazilian Consensus that was published in 2007, emphasizing the diagnostic and therapeutic advances that the participants, representing several Brazilian university centers, consider most relevant in clinical practice. The formulation of the present guidelines was based on the participants' experience and a review of the relevant literature.
publisher Sociedade Brasileira de Endocrinologia e Metabologia
publishDate 2013
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302013000400002
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