Abstract
Management of thyroid cancer: United Kingdom National Multidisciplinary Guidelines.
Highlights
Thyroid nodules are common, the incidence of palpable nodules in women and men being approximately 5 and 1 per cent, respectively
If a nodule is smaller than 10 mm in diameter, Ultrasound scanning (USS) guided fine needle aspiration cytology (FNAC) is not recommended unless clinically suspicious lymph nodes on USS are present. (R)
Total thyroidectomy is recommended for patients with tumours greater than 4 cm in diameter or tumours of any size in association with any of the following characteristics: multifocal disease, bilateral disease, extrathyroidal spread, familial disease and those with clinically or radiologically involved nodes and/or distant metastases. (R)
Summary
The incidence of palpable nodules in women and men being approximately 5 and 1 per cent, respectively. With an incidence in the UK of approximately 5 per 100 000 women and 2 per 100 000 men. Long-term prognosis for differentiated thyroid cancer (DTC) is excellent, with survival rates for adults being [92–98] per cent at 10-year follow-up. Treatment and long-term follow-up are essential to achieve and maintain excellent survival rates. Pathophysiology and outcomes, separate guidelines exist for children with DTC,[3] and consensus statements on the various surgical interventions.[4] Patients may initially be seen by a surgeon, endocrinologist, clinical oncologist or nuclear medicine physician, who must be a core member of the thyroid cancer multidisciplinary team (MDT). The goals of treatment for DTC are set out in Box I
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