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《2022年甲状腺结节管理的SFE-AFCE-SFMN共识:手术治疗》

SFE-AFCE-SFMN 2022 consensus on the management of thyroid nodules: Surgical treatment.

作者信息

Menegaux Fabrice, Baud Gregory, Chereau Nathalie, Christou Niki, Deguelte Sophie, Frey Samuel, Guérin Carole, Marciniak Camille, Paladino Nunzia Cinzia, Brunaud Laurent, Caiazzo Robert, Donatini Gianluca, Gaujoux Sebastien, Goudet Pierre, Hartl Dana, Lifante Jean-Christophe, Mathonnet Muriel, Mirallié Eric, Najah Haythem, Sebag Frederic, Trésallet Christophe, Pattou Francois

机构信息

Service de Chirurgie Générale, Viscérale et Endocrinienne, GH Pitié-Salpêtrière, AP-HP, Sorbonne Université, Paris, France.

Service de Chirurgie Générale et Endocrinienne, CHRU de Lille, Université de Lille, Lille, France.

出版信息

Ann Endocrinol (Paris). 2022 Dec;83(6):415-422. doi: 10.1016/j.ando.2022.10.012. Epub 2022 Oct 26.

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 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), French-speaking Association of Endocrine Surgery (AFCE) and French Society of Nuclear Medicine (SFMN); the various working groups included experts from other specialties (pathologists, radiologists, pediatricians, biologists, etc.). This section deals with the surgical management of thyroid nodules.

摘要

《2022年SFE-AFCE-SFMN共识》涉及甲状腺结节的管理,甲状腺结节是内分泌科常见的就诊原因。在超过90%的病例中,患者甲状腺功能正常,结节为良性且无进展,无需特殊治疗。临床医生的目标是检测出有复发和死亡风险的恶性甲状腺结节、导致甲状腺功能亢进的毒性结节或需要治疗的压迫性结节。甲状腺结节的诊断和治疗需要内分泌科医生、核医学医生和外科医生密切合作,也涉及其他专科医生。因此,本共识声明由3个学会联合制定:法国内分泌学会(SFE)、法语区内分泌外科学会(AFCE)和法国核医学学会(SFMN);各工作组包括来自其他专科(病理学家、放射科医生、儿科医生、生物学家等)的专家。本节涉及甲状腺结节的外科治疗。

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