SFE-AFCE-SFMN 2022 consensus on the management of thyroid nodules: Synthesis and algorithms |
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| Affiliation: | 1. Fédération d’endocrinologie, groupement hospitalier Est, hospices civils de Lyon, Lyon, France;2. Inserm U1290, université Claude-Bernard Lyon 1, Lyon, France;3. Thyroid and Endocrine Tumors Department, Institute of Endocrinology, Pitié-Salpêtrière Hospital, AP–HP, 75013 Paris, France;4. Institute of Cancer IUC Sorbonne University GRC No. 16, 75013 Paris, France;5. Pathology Department, centre hospitalier Lyon Sud, hospices civils de Lyon, Pierre-Bénite, France;6. EA 3738, Lyon 1 University, Lyon, France;7. Department of Endocrinology, Diabetology and Metabolism, CHU de Lille, Lille, France;8. Service d’endocrinologie-diabétologie et nutrition, l’institut du thorax, CHU de Nantes, Nantes Université, 44000 Nantes, France;9. Service d’endocrinologie, hôpitaux universitaires de Genève, 4, rue Gabrielle-Perret-Gentil, 1205 Genève, Switzerland;10. Service de chirurgie endocrinienne, hôpital de la pitié Salpetrière, AP–HP, 75013 Paris, France;11. Inserm, service de chirurgie générale et endocrinienne, EGID, U1190, Lille Pasteur Institute, CHU de Lille, université Lille, Lille, France;12. Inserm U970, service de médecine nucléaire, Sorbonne université, hôpital Pitié-Salpêtrière, AP–HP, Paris, France;1. Laboratoire anthropologie, archéologie, biologie (LAAB), université Paris-Saclay (UVSQ), UFR des sciences de la santé, 2, avenue de la source de la Bièvre, 78180 Montigny-le-Bretonneux, France;2. Direction département de la recherche et de l’enseignement, musée du quai Branly - Jacques Chirac, 222, rue de l’Université, 75007 Paris, France;3. Fondation Anthropologie, Archéologie, Biologie (FAAB) - Institut de France, Palais de l’Institut, 23 quai de Conti, 75006 Paris, France;1. Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, People’s Republic of China;2. Department of Nuclear Medicine, Jiujiang First People’s Hospital, Jiujiang, Jiangxi, People’s Republic of China;1. Department of Surgery, University of Florida College of Medicine–Jacksonville, 653 West 8th Street, Faculty Clinic 3rd Floor, Jacksonville, FL 33209, USA;2. Division of Endocrine Surgery, Department of Surgery, University of Michigan, 1500 East Medical Center Drive, Taubman 2920F, Ann Arbor, MI 48109, USA;1. CHU de Lille, Laboratoire de Biochimie “Hormonologie, Métabolisme, Nutrition et Oncologie”, 59037 Lille, France;2. Université de Lille, UMR9020-U1277-CANTHER- Cancer Heterogeneity, Plasticity and Resistance to Therapies, 59000 Lille, France;1. Department of Endocrinology, Wuhan Fourth Hospital, 430000 Wuhan, China;2. Department of Endocrinology, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, China;3. Department of Endocrinology, Huangzhou District People''s Hospital, Huanggang, 438000 Hubei, China |
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| Abstract: | The SFE-AFCE-SFMN 2022 consensus deals with the management of thyroid nodules, a condition that is a frequent reason for consultation in endocrinology. In more than 90% of cases, patients are euthyroid with benign and non-progressive nodules that do not warrant specific treatment. The clinician's objective is to detect malignant thyroid nodules at risk of recurrence and death, toxic nodules responsible for hyperthyroidism or compressive nodules warranting treatment. The diagnosis and treatment of thyroid nodules requires close collaboration between endocrinologists, nuclear medicine physicians and surgeons but also involves other specialists. Therefore, this consensus statement was established jointly by 3 societies, the French Society of Endocrinology (SFE), the French Association of Endocrine Surgery (AFCE) and the French Society of Nuclear Medicine (SFMN); the various working groups included experts from other specialties (pathologists, radiologists, pediatricians, biologists, etc.). This specific text is a summary chapter taking up the recommendations from specific sections and presenting algorithms for the exploration and management of thyroid nodules. |
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| Keywords: | Thyroid nodules Diagnosis Management Consensus Guidelines Algorithms |
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