Leite Valeriano
Department of Endocrinology, Portuguese Institute of Oncology of Lisbon, Lisbon, Portugal, and Faculty of Medical Sciences of Lisbon, Lisbon, Portugal.
Eur Endocrinol. 2018 Apr;14(1):13-14. doi: 10.17925/EE.2018.14.1.13. Epub 2018 Apr 18.
The 2015 guidelines from the American Thyroid Association for adults with thyroid nodules and differentiated thyroid may be particularly important in minimising potential harm from overdiagnosis and overtreatment of thyroid tumours by providing more restrictive indications for biopsy of thyroid nodules, by considering active surveillance programs, as an alternative to surgery, for papillary microcarcinomas, and by recommending more conservative surgical approaches and a more judicious use of radioiodine.
美国甲状腺协会2015年发布的针对成人甲状腺结节和分化型甲状腺癌的指南可能尤为重要,因为它通过对甲状腺结节活检给出更严格的指征、考虑将主动监测计划作为乳头状微小癌手术的替代方案、推荐更保守的手术方法以及更明智地使用放射性碘,来尽量减少甲状腺肿瘤过度诊断和过度治疗带来的潜在危害。