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动态风险分层在资源有限环境下对分化型甲状腺癌(DTC)的适用性

Applicability of Dynamic Risk Stratification for Differentiated Thyroid Cancer (DTC) in a Resource Limited Setting.

作者信息

Munagala Karthik, Vijay Praveen S, Maadam Keerthana, Chopra Shamit, Kishve Sanjay

机构信息

Department of ENT, ESIC Medical College Hospital, Hyderabad, Telangana India.

Sunshine Hospital, Hyderabad, Telangana India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):2217-2221. doi: 10.1007/s12070-020-02069-4. Epub 2020 Aug 31.

DOI:10.1007/s12070-020-02069-4
PMID:36452843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9702158/
Abstract

Dynamic risk stratification (DRS) in DTC has been considered necessary to deliver correct follow-up (FU) treatment, avoiding overtreatment of low risk/intermediate risk patients as well as inadequate treatment of high risk patients. However, it's clinical applicability has been questioned in comparison with more conventional FU protocols. We aimed to know the predictive reliability of DRS in monitoring FU of DTC in a resource-constrained setting across various risk groups, especially when compared with clinical examination alone.

摘要

分化型甲状腺癌(DTC)的动态风险分层(DRS)被认为对于提供正确的随访(FU)治疗是必要的,可避免对低风险/中风险患者过度治疗以及对高风险患者治疗不足。然而,与更传统的随访方案相比,其临床适用性受到了质疑。我们旨在了解在资源有限的环境中,DRS在监测不同风险组DTC随访中的预测可靠性,特别是与单独的临床检查相比时。

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本文引用的文献

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Thyroid Res. 2017 Oct 10;10:8. doi: 10.1186/s13044-017-0043-4. eCollection 2017.
2
Diagnosis and Management of Small Thyroid Nodules: A Comparative Study with Six Guidelines for Thyroid Nodules.诊断和处理甲状腺小结节:与 6 项甲状腺结节指南的对比研究。
Radiology. 2017 May;283(2):560-569. doi: 10.1148/radiol.2016160641. Epub 2016 Nov 2.
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The Delayed Risk Stratification System in the Risk of Differentiated Thyroid Cancer Recurrence.分化型甲状腺癌复发风险的延迟风险分层系统
PLoS One. 2016 Apr 14;11(4):e0153242. doi: 10.1371/journal.pone.0153242. eCollection 2016.
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Dynamic Risk Stratification in Patients with Differentiated Thyroid Cancer Treated Without Radioactive Iodine.未接受放射性碘治疗的分化型甲状腺癌患者的动态风险分层
J Clin Endocrinol Metab. 2016 Jul;101(7):2692-700. doi: 10.1210/jc.2015-4290. Epub 2016 Mar 29.
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Dynamic prediction of the risk of recurrence in patients over 60 years of age with differentiated thyroid carcinoma.60岁以上分化型甲状腺癌患者复发风险的动态预测
Arch Endocrinol Metab. 2016 Aug;60(4):348-54. doi: 10.1590/2359-3997000000146. Epub 2016 Feb 23.
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Risk Stratification in Differentiated Thyroid Cancer: An Ongoing Process.分化型甲状腺癌的风险分层:一个持续的过程。
Rambam Maimonides Med J. 2016 Jan 28;7(1):e0003. doi: 10.5041/RMMJ.10230.
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2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer.2015年美国甲状腺协会成人甲状腺结节和分化型甲状腺癌管理指南:美国甲状腺协会甲状腺结节和分化型甲状腺癌指南工作组
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