Minimally-invasive treatments for benign thyroid nodules: a Delphi-based consensus statement from the Italian minimally-invasive treatments of the thyroid (MITT) group
| Autor: | Martina Sollini, Stella Bernardi, Claudio Maurizio Pacella, Laura Fugazzola, Giovanni Gambelunghe, Giovanni Mauri, Fulvio Stacul, Bruno Raggiunti, Roberto Garberoglio, Luca Cozzaglio, Daniele Barbaro, Gioacchino Giugliano, Luigi Solbiati, Roberto Cesareo, Enrico Papini, Dominique Van Doorne, Francesco De Cobelli, Arturo Chiti, Luca Maria Sconfienza, Stefano Spiezia, Roberto Negro, Luca Persani, Vito Cantisani, Ettore Seregni, Maurilio Deandrea, Gaetano Achille, Francesco Sardanelli, Livio Luzi, Anna Crescenzi |
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| Přispěvatelé: | Papini, Enrico, Pacella, Claudio Maurizio, Solbiati, Luigi Alessandro, Achille, Gaetano, Barbaro, Daniele, Bernardi, Stella, Cantisani, Vito, Cesareo, Roberto, Chiti, Arturo, Cozzaglio, Luca, Crescenzi, Anna, De Cobelli, Francesco, Deandrea, Maurilio, Fugazzola, Laura, Gambelunghe, Giovanni, Garberoglio, Roberto, Giugliano, Gioacchino, Luzi, Livio, Negro, Roberto, Persani, Luca, Raggiunti, Bruno, Sardanelli, Francesco, Seregni, Ettore, Sollini, Martina, Spiezia, Stefano, Stacul, Fulvio, Van Doorne, Dominique, Sconfienza, Luca Maria, Mauri, Giovanni, Papini, E., Pacella, C. M., Solbiati, L. A., Achille, G., Barbaro, D., Bernardi, S., Cantisani, V., Cesareo, R., Chiti, A., Cozzaglio, L., Crescenzi, A., De Cobelli, F., Deandrea, M., Fugazzola, L., Gambelunghe, G., Garberoglio, R., Giugliano, G., Luzi, L., Negro, R., Persani, L., Raggiunti, B., Sardanelli, F., Seregni, E., Sollini, M., Spiezia, S., Stacul, F., Van Doorne, D., Sconfienza, L. M., Mauri, G. |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Thyroid nodules Cancer Research medicine.medical_specialty lcsh:Medical technology Consensus Goiter Physiology medicine.medical_treatment percutaneous thermal ablation minimally invasive treatment Physiology (medical) medicine Humans minimally invasive treatments thyroid gland business.industry Benignity Thyroid Nodule (medicine) Interventional ultrasonography ultrasonography medicine.disease Thyroid Gland Tissue Ablation Statement thyroid nodule medicine.anatomical_structure lcsh:R855-855.5 Italy Minimally invasive treatments Female Radiology medicine.symptom business |
| Zdroj: | International Journal of Hyperthermia, Vol 36, Iss 1, Pp 375-381 (2019) |
| Popis: | Benign thyroid nodules are a common clinical occurrence and usually do not require treatment unless symptomatic. During the last years, ultrasound-guided minimally invasive treatments (MIT) gained an increasing role in the management of nodules causing local symptoms. In February 2018, the Italian MIT Thyroid Group was founded to create a permanent cooperation between Italian and international physicians dedicated to clinical research and assistance on MIT for thyroid nodules. The group drafted this list of statements based on literature review and consensus opinion of interdisciplinary experts to facilitate the diffusion and the appropriate use of MIT of thyroid nodules in clinical practice. (#1) Predominantly cystic/cystic symptomatic nodules should first undergo US-guided aspiration; ethanol injection should be performed if relapsing (level of evidence [LoE]: ethanol is superior to simple aspiration = 2); (#2) In symptomatic cystic nodules, thermal ablation is an option when symptoms persist after ethanol ablation (LoE = 4); (#3) Double cytological benignity confirmation is needed before thermal ablation (LoE = 2); (#4) Single cytological sample is adequate in ultrasound low risk (EU-TIRADS ≤3) and in autonomously functioning nodules (LoE = 2); (#5) Thermal ablation may be proposed as first-line treatment for solid, symptomatic, nonfunctioning, benign nodules (LoE = 2); (#6) Thermal ablation may be used for dominant lesions in nonfunctioning multinodular goiter in patients refusing/not eligible for surgery (LoE = 5); (#7) Clinical and ultrasound follow-up is appropriate after thermal ablation (LoE = 2); (#8) Nodule re-treatment can be considered when symptoms relapse or partially resolve (LoE = 2); (#9) In case of nodule regrowth, a new cytological assessment is suggested before second ablation (LoE = 5); (#10) Thermal ablation is an option for autonomously functioning nodules in patients refusing/not eligible for radioiodine or surgery (LoE = 2); (#11) Small autonomously functioning nodules can be treated with thermal ablation when thyroid tissue sparing is a priority and ≥80% nodule volume ablation is expected (LoE = 3). |
| Databáze: | OpenAIRE |
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