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2020, Number 2

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Rev Cub Med Mil 2020; 49 (2)

Need for an ultrasound system to stratify the risk of malignancy in nodular thyroid lesions

González TR, Díaz AMC, Fernández CO

Language: Spanish
References: 16
Page: 352-363
PDF size: 255.55 Kb.


ABSTRACT

Introduction: The thyroid nodule is a frequent health problem, which has increased with the increased availability of diagnostic ultrasound in primary care. An adequate system of stratification of the risk of malignancy would reduce the overload of health systems, especially in the Cuban context. A review was carried out in the Cumed, Lilacs, PubMed/MEDLINE, Web of Science and Scopus bases, with the descriptors: thyroid nodule, ultrasonography and clinical practice guideline as subject; In Spanish and English. The therapeutic guidelines published in the last 10 years were selected, which would provide a stratification system of risk of malignancy of the thyroid nodules by ultrasound.
Objectives: To identify the stratification systems of the risk of malignancy of nodular thyroid lesions, based on the ultrasound examination; recognize their coincidences, divergences and value their implementation in the Cuban context.
Development: All systems recognize the same ultrasound risk characteristics: hypo-echoic solid nodules, irregular or spiculated margins, taller than wide (anteroposterior diameter greater than transverse) and the presence of micro calcifications; although none of them alone is pathognomonic for thyroid cancer. However, they use different nomenclatures and number of stages and most importantly, the decision to perform or not a fine needle biopsy differs depending on which one is used.
Conclusions: It is necessary to apply in Cuba some of these systems in an extended way and even better, generate your own, based on Cuban patients.


REFERENCES

  1. Hegedüs L, Paschke R, Krohn K, Bonnema SJ. Chapter 90 - Multinodular Goiter A2 - Jameson, J. Larry. In: Groot LJD, Kretser DMd, Giudice LC, Grossman AB, Melmed S, Potts JT, et al., editors. Endocrinology: Adult and Pediatric (Seventh Edition). Philadelphia: W.B. Saunders; 2016. p. 1570-83.

  2. Bustillo Madrigal E, Bustillo Solano E, Denis Cancio H. Prevalencia y caracterización de la enfermedad tiroidea nodular y del bocio difuso en un área urbana. Rev Cubana Endocrinol. 2014[acceso: 21/06/2019]; 25(2):87-103. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532014000200006&nrm=iso

  3. Bess Constanten S, Alonso Alomá I, Torres Vidal RM, López Nistal LM, Sánchez Sordo E, Martínez Morales MÁ. Anuario Estadístico de Salud 2016. La Habana: Ministerio de Salud Pública. Dirección de Registros Médicos y Estadísticas de Salud; 2017. [acceso: 21/06/2019]. Disponible en: https://files.sld.cu/dne/files/2017/05/Anuario_Estad%C3%ADstico-_de_Salud_e_2016_edici%C3%B3n_2017.pdf

  4. Vaccarella S, Franceschi S, Bray F, Wild CP, Plummer M, Dal Maso L. Worldwide Thyroid-Cancer Epidemic? The Increasing Impact of Overdiagnosis. N Engl J Med. 2016[acceso: 21/06/2019]; 375(7):614-7. Disponible en: https://www.nejm.org/doi/pdf/10.1056/NEJMp1604412

  5. Horvath E, Niedmann JP, Dominguez M, Rossi R, Majlis S, Franco C, et al. An Ultrasonogram Reporting System for Thyroid Nodules Stratifying Cancer Risk for Clinical Management. J Clin Endocrinol Metab [Internet]. 2009[acceso: 21/06/2019]; 94(5):1748-51. Disponible en: https://dx.doi.org/10.1210/jc.2008-1724

  6. Ceballos Díaz ME, Malpica Mederos AJ, Guerra González A, Machado del Risco E. Nódulo de Tiroides: estudio ecográfico. Revista Archivo Médico de Camagüey. 2009[acceso: 21/06/2019]; 13(3):PÁG. O CANT. PANT. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552009000300006&nrm=iso

  7. Cruz Ferreti E, Cordovés Molina K, Cruz Rivas E, Vargas Herrera R, Méndez Méndez O. Ecografía de los nódulos tiroideos y su correspondencia citológica. Correo Científico Médico de Holguín. 2010[acceso: 21/06/2019]; 14(3): PÁG. O CANT. PANT. Disponible en: https://www.cocmed.sld.cu/no143/no143ori06.htm

  8. González F, Nicolau Mena O, Durruthy O, Guerra González WA. Nódulos del tiroides: incidentalomas. Revista Archivo Médico de Camagüey. 2009[acceso: 21/06/2019]; 13(4): PÁG. O CANT. PANT. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552009000400005&nrm=iso

  9. Pino García MA, Trujillo López OL, Delgado Ramos A, Ferreira Moreno V. Diagnóstico ecográfico: valor en los nódulos tiroideos. Revista Médica Electrónica. 2007[acceso: 21/06/2019]; 29(2): PÁG. O CANT. PANT. Disponible en: https://www.revmatanzas.sld.cu/revista%20medica/ano%202007-/vol2%202007/tema03.htm

  10. Perros P, Boelaert K, Colley S, Evans C, Evans RM, Gerrard BA G, et al. Guidelines for the management of thyroid cancer. Clinical Endocrinology [Internet]. 2014[acceso: 21/06/2019]; 81(s1):1-122. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/cen.12515

  11. Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 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. Thyroid. 2016[acceso: 21/06/2019]; 26(1):1-133. Disponible en: https://www.liebertpub.com/doi/pdfplus/10.1089/thy.2015.0020

  12. Gharib H, Papini E, Garber JR, Duick DS, Harrell RM, Hegedüs L, et al. American Association of Clinical Endocrinologists, American College of Endocrinology, and Associazione Medici Endocrinologi Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules - 2016 UPDATE. Endocrine Practice. 2016[acceso: 21/06/2019]; 22(Supplement 1):1-60. Disponible en: https://journals.aace.com/doi/abs/10.4158/EP161208.GL

  13. Shin JH, Baek JH, Chung J, Ha EJ, Kim J-h, Lee YH, et al. Ultrasonography Diagnosis and Imaging-Based Management of Thyroid Nodules: Revised Korean Society of Thyroid Radiology Consensus Statement and Recommendations. Korean J Radiol. 2016[acceso: 21/06/2019]; 17(3):370-95. disponible en: https://synapse.koreamed.org/Synapse/Data/PDFData/0068KJR/kjr-17-370.pdf

  14. Russ G, Bonnema SJ, Erdogan MF, Durante C, Ngu R, Leenhardt L. European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS. Eur Thyroid J. 2017[acceso: 21/06/2019]; 6(5):225-37. Disponible en: https://www.karger.com/DOI/10.1159/000478927

  15. Tessler FN, Middleton WD, Grant EG, Hoang JK, Berland LL, Teefey SA, et al. ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. J Am Coll Radiol. 2017[acceso: 21/06/2019]; 14(5):587-95. Disponible en: https://www.sciencedirect.com/science/article/pii/S1546144017301862

  16. Grant EG, Tessler FN, Hoang JK, Langer JE, Beland MD, Berland LL, et al. Thyroid Ultrasound Reporting Lexicon: White Paper of the ACR Thyroid Imaging, Reporting and Data System (TIRADS) Committee. J Am Coll Radiol. 2015[acceso: 21/06/2019]; 12(12, Part A):1272-9. Disponible en: https://www.sciencedirect.com/science/article/pii/S1546144015006845




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