Nodules et cancers différenciés de la thyroïde: mise à jour sur le diagnostic et le traitement chirurgical [Thyroid nodules and thyroid differentiated cancers: an update on diagnosis and surgical management.]
Details
Serval ID
serval:BIB_FB4A7D1FD47F
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Nodules et cancers différenciés de la thyroïde: mise à jour sur le diagnostic et le traitement chirurgical [Thyroid nodules and thyroid differentiated cancers: an update on diagnosis and surgical management.]
Journal
Revue medicale suisse
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
02/10/2019
Peer-reviewed
Oui
Volume
15
Number
665
Pages
1752-1759
Language
french
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
The incidence of differentiated thyroid cancers has increased in the past 30 years, mainly due to overdiagnosis. It is therefore crucial to adapt diagnostic and therapeutic approaches to avoid overtreatment that exposes patients to unnecessary risks. Accordingly, international guidelines on the subject are regularly updated. Ultrasound and cytology guide the management for thyroid nodules. Some microcarcinomas can now be actively followed without immediate surgery, and some low-risk cancers can be adequately treated with lobo-isthmectomy. The indications for central neck dissection remain controversial. Technological advances allow minimizing specific complications of thyroid surgery and facilitate scarless surgery.
Keywords
Humans, Thyroid Neoplasms/diagnosis, Thyroid Neoplasms/surgery, Thyroid Nodule/diagnosis, Thyroid Nodule/surgery, Thyroidectomy, Ultrasonography
Pubmed
Create date
08/10/2019 22:25
Last modification date
26/12/2019 7:26