Italian consensus on diagnosis and treatment of differentiated thyroid cancer: joint statements of six Italian societies

J Endocrinol Invest. 2018 Jul;41(7):849-876. doi: 10.1007/s40618-018-0884-2. Epub 2018 May 4.

Abstract

Background: Thyroid nodules are a common clinical problem, and differentiated thyroid cancer is becoming increasingly prevalent.

Methods: Six scientific Italian societies entitled to cure thyroid cancer patients (the Italian Thyroid Association, the Medical Endocrinology Association, the Italian Society of Endocrinology, the Italian Association of Nuclear Medicine and Molecular Imaging, the Italian Society of Unified Endocrine Surgery and the Italian Society of Anatomic Pathology and Diagnostic Cytology) felt the need to develop a consensus report based on significant scientific advances occurred in the field.

Objective: The document includes recommendations regarding initial evaluation of thyroid nodules, clinical and ultrasound criteria for fine-needle aspiration biopsy, initial management of thyroid cancer including staging and risk assessment, surgical management, radioiodine remnant ablation, and levothyroxine therapy, short-term and long-term follow-up strategies, and management of recurrent and metastatic disease. The objective of this consensus is to inform clinicians, patients, researchers, and health policy makers about the best strategies (and their limitations) relating to the diagnosis and treatment of differentiated thyroid cancer.

Keywords: Radioiodine; Thyroid cancer; Thyroid nodules; Thyroid surgery.

Publication types

  • Practice Guideline

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / therapy*
  • Biopsy, Fine-Needle / methods
  • Biopsy, Fine-Needle / standards
  • Consensus
  • Endocrinology / standards*
  • Humans
  • Italy
  • Molecular Imaging / methods
  • Molecular Imaging / standards
  • Nuclear Medicine / organization & administration
  • Nuclear Medicine / standards
  • Radionuclide Imaging / methods
  • Radionuclide Imaging / standards
  • Societies, Medical / organization & administration
  • Societies, Medical / standards
  • Thyroid Neoplasms / diagnosis*
  • Thyroid Neoplasms / therapy*
  • Ultrasonography / methods
  • Ultrasonography / standards