지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이 논문의 연구 히스토리 (10)
2011
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The incidental detection of thyroid nodules by ultrasound (US) is increasing explosively. The clinical significance of these nodules is that 5% to 15% of them are malignant, requiring adequate treatment including surgery. Clinical guidelines for the management of thyroid nodules has been published and revised by many thyroid associations around the world in the past decade. The Korean Endocrine Society has also published guidelines for the management of thyroid nodules and thyroid cancer, and the Korean Thyroid Association has recently revised these guidelines. The revised guidelines include the size criteria for which fine needle aspiration cytology (FNAC) is warranted and the Bethesda system, a new cytologic diagnosis system in which thyroid nodules are classified by the degree of malignancy potential. US is recommended to evaluate thyroid nodules in detail. FNAC should be performed for the suspicious cervical lymph nodes regardless of their size and for thyroid nodules larger than 0.5 cm in patients with clinically high risk history and sonographically suspicious findings. Otherwise, FNAC is indicated for thyroid nodules larger than 1 cm in diameter. Repeated FNAC is indicated for nodules with cytologic diagnosis of ‘nondiagnostic’ or ‘atypical cell of unknown significance’. Surgery is needed for nodules diagnosed as ‘follicular neoplasm (Hürthle cell type)’, ‘suspcious for malignancy’ and ‘malignancy’. For ‘benign’ nodules, only follow-up with US+/-FNAC is needed.
Well-designed studies on thyroid nodules in Korean patients would provide evidence for Korean guidelines for thyroid nodules. Conclusion: The revised Korean Thyroid Association guidelines for thyroid nodules are very useful for managing patients.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Tan GH / 1997 / Thyroid incidentalomas: management approaches to nonpalpable nodules discovered incidentally on thyroid imaging / Ann Intern Med 126:226~231
Hegedus L / 2004 / Clinical practice. The thyroid nodule / N Engl J Med 351:1764~1771
김원배 / 2007 / 갑상선결절 및 암 진료 권고안 / 대한내분비학회지 22(3):157~187
이가희 / 2010 / 대한갑상선학회 갑상선결절 및 암 진료 권고안 개정안 / 대한내분비학회지 25(4):270~297
Hagag P / 1998 / Role of ultrasound-guided fineneedle aspiration biopsy in evaluation of nonpalpable thyroid nodules / Thyroid 8:989~995
Hegedus L / 2004 / Clinical practice. The thyroid nodule / N Engl J Med 351:1764~1771
김원배 / 2007 / 갑상선결절 및 암 진료 권고안 / 대한내분비학회지 22(3):157~187
이가희 / 2010 / 대한갑상선학회 갑상선결절 및 암 진료 권고안 개정안 / 대한내분비학회지 25(4):270~297
Hagag P / 1998 / Role of ultrasound-guided fineneedle aspiration biopsy in evaluation of nonpalpable thyroid nodules / Thyroid 8:989~995
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