2016年美国临床内分泌医师协会《甲状腺结节诊断和治疗临床实践医学指南》解读

The interpretation of Medical Guidelines For Clinical Practice For The Diagnosis And Management Of Thyroid Nodules-2016 UPDATE

甲状腺结节对于临床实践最主要的挑战是除外恶性病变。2016年5月,美国临床内分泌医师协会更新的《甲状腺结节诊断和治疗临床实践医学指南》基于新的循证医学证据,讨论了处理甲状腺结节的关键问题,包括病史和体检、以高分辨超声检查(US)为基础的恶性风险分类、US引导下细针穿刺活检(FNA)的指征、FNA标本的细胞学分类、免疫组化和分子检测在FNA中的作用、甲状腺结节的治疗抉择和随访策略。

The main challenge in their management is to rule out malignancy. In May 2016, American Association of Clinical Endocrinologists （AACE） renewed Medical Guidelines For Clinical Practice For The Diagnosis And Management Of Thyroid Nodules-2016 UPDATE. 2016 version of the guidelines, based on the recent scientific evidence, dis-cussed key issues includes： US-based categorization of the malignancy risk, indications for US-guided FNA, cytologic classification of FNA samples, the roles of immunocyto-chemistry and molecular testing applied to thyroid FNA, therapeutic options, and follow-up strategy.