Diagnosis and treatment of thyroid cancer in adult patients - Recommendations of Polish Scientific Societies and the National Oncological Strategy. 2022 Update [Diagnostyka i leczenie raka tarczycy u chorych dorosłych - Rekomendacje Polskich Towarzystw Naukowych oraz Narodowej Strategii Onkologicznej. Aktualizacja na rok 2022]
The guidelines Thyroid Cancer 2022 are prepared based on previous Polish recommendations updated in 2018. They consider international guidelines - American Thyroid Association (ATA) 2015 and National Comprehensive Cancer Network (NCCN); however, they are adapted according to the ADAPTE process. The...
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| Veröffentlicht in: | Endokrynologia Polska 2022-01, Vol.73 (2), p.173-300 |
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| creator | Jarząb, Barbara Dedecjus, Marek Lewiński, Andrzej Adamczewski, Zbigniew Bakuła-Zalewska, Elwira Bałdys-Waligórska, Agata Barczyński, Marcin Biskup-Frużyńska, Magdalena Bobek-Billewicz, Barbara Bossowski, Artur Buziak-Bereza, Monika Chmielik, Ewa Czarniecka, Agnieszka Czepczyński, Rafał Ćwikła, Jarosław Dobruch-Sobczak, Katarzyna Dzięcioł, Janusz Gawlik, Aneta Gawrychowski, Jacek Handkiewicz-Junak, Daria Harasymczuk, Jerzy Hubalewska-Dydejczyk, Alicja Januszkiewicz-Caulier, Joanna Jarząb, Michał Kaczka, Krzysztof Kalemba, Michał Kamiński, Grzegorz Karbownik-Lewińska, Małgorzata Kawecki, Andrzej Kluczewska-Gałka, Aneta Kolasińska-Ćwikła, Agnieszka Kołton, Magdalena Konturek, Aleksander Kos-Kudła, Beata Kotecka-Blicharz, Agnieszka Kowalska, Aldona Krajewska, Jolanta Kram, Andrzej Królicki, Leszek Kukulska, Aleksandra Kusiński, Michał Kuzdak, Krzysztof Lange, Dariusz Ledwon, Aleksandra Małecka-Tendera, Ewa Mańkowski, Przemysław Migda, Bartosz Niedziela, Marek Oczko-Wojciechowska, Małgorzata Polnik, Dariusz Pomorski, Lech Ruchała, Marek Samborski, Konrad Skowrońska-Szcześniak, Anna Stanek-Widera, Agata Stobiecka, Ewa Stojčev, Zoran Suchorzepka-Simek, Magdalena Syrenicz, Anhelli Szczepanek-Parulska, Ewelina Trofimiuk-Müldner, Małgorzata Tysarowski, Andrzej Wygoda, Andrzej Zajkowska, Klaudia Zembala-Nożyńska, Ewa Żyłka, Agnieszka |
| description | The guidelines Thyroid Cancer 2022 are prepared based on previous Polish recommendations updated in 2018. They consider international guidelines - American Thyroid Association (ATA) 2015 and National Comprehensive Cancer Network (NCCN); however, they are adapted according to the ADAPTE process. The strength of the recommendations and the quality of the scientific evidence are assessed according to the GRADE system and the ATA 2015 and NCCN recommendations. The core of the changes made in the Polish recommendations is the inclusion of international guidelines and the results of those scientific studies that have already proven themselves prospectively. These extensions allow de-escalation of the therapeutic management in low-risk thyroid carcinoma, i.e., enabling active surveillance in papillary microcarcinoma to be chosen alternatively to minimally invasive techniques after agreeing on such management with the patient. Further extensions allow the use of thyroid lobectomy with the isthmus (hemithyroidectomy) in low-risk cancer up to 2 cm in diameter, modification of the indications for postoperative radioiodine treatment toward personalized approach, and clarification of the criteria used during postoperative L-thyroxine treatment. At the same time, the criteria for the preoperative differential diagnosis of nodular goiter in terms of ultrasonography and fine-needle aspiration biopsy have been clarified, and the rules for the histopathological examination of postoperative thyroid material have been updated. New, updated rules for monitoring patients after treatment are also presented. The updated recommendations focus on ensuring the best possible quality of life after thyroid cancer treatment while maintaining the good efficacy of this treatment. |
| doi_str_mv | 10.5603/EP.a2022.0028 |
| format | Article |
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They consider international guidelines - American Thyroid Association (ATA) 2015 and National Comprehensive Cancer Network (NCCN); however, they are adapted according to the ADAPTE process. The strength of the recommendations and the quality of the scientific evidence are assessed according to the GRADE system and the ATA 2015 and NCCN recommendations. The core of the changes made in the Polish recommendations is the inclusion of international guidelines and the results of those scientific studies that have already proven themselves prospectively. These extensions allow de-escalation of the therapeutic management in low-risk thyroid carcinoma, i.e., enabling active surveillance in papillary microcarcinoma to be chosen alternatively to minimally invasive techniques after agreeing on such management with the patient. Further extensions allow the use of thyroid lobectomy with the isthmus (hemithyroidectomy) in low-risk cancer up to 2 cm in diameter, modification of the indications for postoperative radioiodine treatment toward personalized approach, and clarification of the criteria used during postoperative L-thyroxine treatment. At the same time, the criteria for the preoperative differential diagnosis of nodular goiter in terms of ultrasonography and fine-needle aspiration biopsy have been clarified, and the rules for the histopathological examination of postoperative thyroid material have been updated. New, updated rules for monitoring patients after treatment are also presented. The updated recommendations focus on ensuring the best possible quality of life after thyroid cancer treatment while maintaining the good efficacy of this treatment.</description><identifier>ISSN: 0423-104X</identifier><identifier>EISSN: 2299-8306</identifier><identifier>DOI: 10.5603/EP.a2022.0028</identifier><identifier>PMID: 35593680</identifier><language>eng</language><publisher>Poland: Wydawnictwo Via Medica</publisher><subject>Breast diseases ; Cardiology ; Endocrinology ; Internal medicine ; Medical diagnosis ; Metabolic disorders ; Nuclear medicine ; Oncology ; Pediatrics ; Research centers ; Surgery ; Thyroid cancer</subject><ispartof>Endokrynologia Polska, 2022-01, Vol.73 (2), p.173-300</ispartof><rights>2022. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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The updated recommendations focus on ensuring the best possible quality of life after thyroid cancer treatment while maintaining the good efficacy of this treatment.</description><subject>Breast diseases</subject><subject>Cardiology</subject><subject>Endocrinology</subject><subject>Internal medicine</subject><subject>Medical diagnosis</subject><subject>Metabolic disorders</subject><subject>Nuclear medicine</subject><subject>Oncology</subject><subject>Pediatrics</subject><subject>Research centers</subject><subject>Surgery</subject><subject>Thyroid cancer</subject><issn>0423-104X</issn><issn>2299-8306</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNo9kt9v0zAQgAMCsWrskVd0Es8p_pGkyeM0CkyaWLVuEhJC0dV2WjdpXGxHVfLI_8b_hdN2e_L59N358-mi6AMl0zQj_PN8MUVGGJsSwvLX0YSxoohzTrI30YQkjMeUJD8voivn9IowniUk59m76IKnacGznExe3X7RuG6N0w6wleCtQr9TrQdTgd_01mgJAluhLOgWUHaNhz16HRAHMTwoYXaBlyFlWjdWLUyj3QaWYmR0pQUsTYhDyfmJjYIfRxwbuG-FacxaixAvvUWv1v0Uxi_B0z40VfDrLOj7GkFDo8SgWq3AYrh7tGLoRQ8diI2xvdiANNa4f3_HcNSrzdFObNUo5mod8o_mgHbonT8Eka42hxE2FodwtUaag9o-y2gdFOuT4tCq7RSua99ho4fQEqFFsKY--v5-H72tsHHq6nxeRk9f54833-O7-2-3N9d3sUhI4mOVzVAIyVByUWUrpJLlqyRPsjTDCmmGqeQVpYXKOU34iiYkZWomq3SW5lilKb-MPp367q350ynny63pbBimK1lWsBmlKSkCFZ8oEcbhrKrKvdU7tH1JSTnuTjlflMfdKcfdCfzHc9dutVPyhX7eFP4fXk3HGA</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Jarząb, Barbara</creator><creator>Dedecjus, Marek</creator><creator>Lewiński, Andrzej</creator><creator>Adamczewski, Zbigniew</creator><creator>Bakuła-Zalewska, Elwira</creator><creator>Bałdys-Waligórska, Agata</creator><creator>Barczyński, Marcin</creator><creator>Biskup-Frużyńska, Magdalena</creator><creator>Bobek-Billewicz, Barbara</creator><creator>Bossowski, Artur</creator><creator>Buziak-Bereza, Monika</creator><creator>Chmielik, Ewa</creator><creator>Czarniecka, Agnieszka</creator><creator>Czepczyński, Rafał</creator><creator>Ćwikła, Jarosław</creator><creator>Dobruch-Sobczak, Katarzyna</creator><creator>Dzięcioł, Janusz</creator><creator>Gawlik, Aneta</creator><creator>Gawrychowski, Jacek</creator><creator>Handkiewicz-Junak, Daria</creator><creator>Harasymczuk, Jerzy</creator><creator>Hubalewska-Dydejczyk, Alicja</creator><creator>Januszkiewicz-Caulier, Joanna</creator><creator>Jarząb, Michał</creator><creator>Kaczka, Krzysztof</creator><creator>Kalemba, Michał</creator><creator>Kamiński, Grzegorz</creator><creator>Karbownik-Lewińska, Małgorzata</creator><creator>Kawecki, Andrzej</creator><creator>Kluczewska-Gałka, Aneta</creator><creator>Kolasińska-Ćwikła, Agnieszka</creator><creator>Kołton, Magdalena</creator><creator>Konturek, Aleksander</creator><creator>Kos-Kudła, Beata</creator><creator>Kotecka-Blicharz, Agnieszka</creator><creator>Kowalska, Aldona</creator><creator>Krajewska, Jolanta</creator><creator>Kram, Andrzej</creator><creator>Królicki, Leszek</creator><creator>Kukulska, Aleksandra</creator><creator>Kusiński, Michał</creator><creator>Kuzdak, Krzysztof</creator><creator>Lange, Dariusz</creator><creator>Ledwon, Aleksandra</creator><creator>Małecka-Tendera, Ewa</creator><creator>Mańkowski, Przemysław</creator><creator>Migda, Bartosz</creator><creator>Niedziela, Marek</creator><creator>Oczko-Wojciechowska, Małgorzata</creator><creator>Polnik, Dariusz</creator><creator>Pomorski, Lech</creator><creator>Ruchała, Marek</creator><creator>Samborski, Konrad</creator><creator>Skowrońska-Szcześniak, Anna</creator><creator>Stanek-Widera, Agata</creator><creator>Stobiecka, Ewa</creator><creator>Stojčev, Zoran</creator><creator>Suchorzepka-Simek, Magdalena</creator><creator>Syrenicz, Anhelli</creator><creator>Szczepanek-Parulska, Ewelina</creator><creator>Trofimiuk-Müldner, Małgorzata</creator><creator>Tysarowski, Andrzej</creator><creator>Wygoda, Andrzej</creator><creator>Zajkowska, Klaudia</creator><creator>Zembala-Nożyńska, Ewa</creator><creator>Żyłka, Agnieszka</creator><general>Wydawnictwo Via Medica</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20220101</creationdate><title>Diagnosis and treatment of thyroid cancer in adult patients - Recommendations of Polish Scientific Societies and the National Oncological Strategy. 2022 Update [Diagnostyka i leczenie raka tarczycy u chorych dorosłych - Rekomendacje Polskich Towarzystw Naukowych oraz Narodowej Strategii Onkologicznej. Aktualizacja na rok 2022]</title><author>Jarząb, Barbara ; Dedecjus, Marek ; Lewiński, Andrzej ; Adamczewski, Zbigniew ; Bakuła-Zalewska, Elwira ; Bałdys-Waligórska, Agata ; Barczyński, Marcin ; Biskup-Frużyńska, Magdalena ; Bobek-Billewicz, Barbara ; Bossowski, Artur ; Buziak-Bereza, Monika ; Chmielik, Ewa ; Czarniecka, Agnieszka ; Czepczyński, Rafał ; Ćwikła, Jarosław ; Dobruch-Sobczak, Katarzyna ; Dzięcioł, Janusz ; Gawlik, Aneta ; Gawrychowski, Jacek ; Handkiewicz-Junak, Daria ; Harasymczuk, Jerzy ; Hubalewska-Dydejczyk, Alicja ; Januszkiewicz-Caulier, Joanna ; Jarząb, Michał ; Kaczka, Krzysztof ; Kalemba, Michał ; Kamiński, Grzegorz ; Karbownik-Lewińska, Małgorzata ; Kawecki, Andrzej ; Kluczewska-Gałka, Aneta ; Kolasińska-Ćwikła, Agnieszka ; Kołton, Magdalena ; Konturek, Aleksander ; Kos-Kudła, Beata ; Kotecka-Blicharz, Agnieszka ; Kowalska, Aldona ; Krajewska, Jolanta ; Kram, Andrzej ; Królicki, Leszek ; Kukulska, Aleksandra ; Kusiński, Michał ; Kuzdak, Krzysztof ; Lange, Dariusz ; Ledwon, Aleksandra ; Małecka-Tendera, Ewa ; Mańkowski, Przemysław ; Migda, Bartosz ; Niedziela, Marek ; Oczko-Wojciechowska, Małgorzata ; Polnik, Dariusz ; Pomorski, Lech ; Ruchała, Marek ; Samborski, Konrad ; Skowrońska-Szcześniak, Anna ; Stanek-Widera, Agata ; Stobiecka, Ewa ; Stojčev, Zoran ; Suchorzepka-Simek, Magdalena ; Syrenicz, Anhelli ; Szczepanek-Parulska, Ewelina ; Trofimiuk-Müldner, Małgorzata ; Tysarowski, Andrzej ; Wygoda, Andrzej ; Zajkowska, Klaudia ; Zembala-Nożyńska, Ewa ; Żyłka, Agnieszka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-e67accd2ad3cf6ba1d28b484656afa16a5d3f119e83143b14052e7df5758af553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Breast diseases</topic><topic>Cardiology</topic><topic>Endocrinology</topic><topic>Internal medicine</topic><topic>Medical diagnosis</topic><topic>Metabolic disorders</topic><topic>Nuclear 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Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Endokrynologia Polska</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jarząb, Barbara</au><au>Dedecjus, Marek</au><au>Lewiński, Andrzej</au><au>Adamczewski, Zbigniew</au><au>Bakuła-Zalewska, Elwira</au><au>Bałdys-Waligórska, Agata</au><au>Barczyński, Marcin</au><au>Biskup-Frużyńska, Magdalena</au><au>Bobek-Billewicz, Barbara</au><au>Bossowski, Artur</au><au>Buziak-Bereza, Monika</au><au>Chmielik, Ewa</au><au>Czarniecka, Agnieszka</au><au>Czepczyński, Rafał</au><au>Ćwikła, Jarosław</au><au>Dobruch-Sobczak, Katarzyna</au><au>Dzięcioł, Janusz</au><au>Gawlik, Aneta</au><au>Gawrychowski, Jacek</au><au>Handkiewicz-Junak, Daria</au><au>Harasymczuk, Jerzy</au><au>Hubalewska-Dydejczyk, Alicja</au><au>Januszkiewicz-Caulier, Joanna</au><au>Jarząb, Michał</au><au>Kaczka, Krzysztof</au><au>Kalemba, Michał</au><au>Kamiński, Grzegorz</au><au>Karbownik-Lewińska, Małgorzata</au><au>Kawecki, Andrzej</au><au>Kluczewska-Gałka, Aneta</au><au>Kolasińska-Ćwikła, Agnieszka</au><au>Kołton, Magdalena</au><au>Konturek, Aleksander</au><au>Kos-Kudła, Beata</au><au>Kotecka-Blicharz, Agnieszka</au><au>Kowalska, Aldona</au><au>Krajewska, Jolanta</au><au>Kram, Andrzej</au><au>Królicki, Leszek</au><au>Kukulska, Aleksandra</au><au>Kusiński, Michał</au><au>Kuzdak, Krzysztof</au><au>Lange, Dariusz</au><au>Ledwon, Aleksandra</au><au>Małecka-Tendera, Ewa</au><au>Mańkowski, Przemysław</au><au>Migda, Bartosz</au><au>Niedziela, Marek</au><au>Oczko-Wojciechowska, Małgorzata</au><au>Polnik, Dariusz</au><au>Pomorski, Lech</au><au>Ruchała, Marek</au><au>Samborski, Konrad</au><au>Skowrońska-Szcześniak, Anna</au><au>Stanek-Widera, Agata</au><au>Stobiecka, Ewa</au><au>Stojčev, Zoran</au><au>Suchorzepka-Simek, Magdalena</au><au>Syrenicz, Anhelli</au><au>Szczepanek-Parulska, Ewelina</au><au>Trofimiuk-Müldner, Małgorzata</au><au>Tysarowski, Andrzej</au><au>Wygoda, Andrzej</au><au>Zajkowska, Klaudia</au><au>Zembala-Nożyńska, Ewa</au><au>Żyłka, Agnieszka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis and treatment of thyroid cancer in adult patients - Recommendations of Polish Scientific Societies and the National Oncological Strategy. 2022 Update [Diagnostyka i leczenie raka tarczycy u chorych dorosłych - Rekomendacje Polskich Towarzystw Naukowych oraz Narodowej Strategii Onkologicznej. Aktualizacja na rok 2022]</atitle><jtitle>Endokrynologia Polska</jtitle><addtitle>Endokrynol Pol</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>73</volume><issue>2</issue><spage>173</spage><epage>300</epage><pages>173-300</pages><issn>0423-104X</issn><eissn>2299-8306</eissn><abstract>The guidelines Thyroid Cancer 2022 are prepared based on previous Polish recommendations updated in 2018. They consider international guidelines - American Thyroid Association (ATA) 2015 and National Comprehensive Cancer Network (NCCN); however, they are adapted according to the ADAPTE process. The strength of the recommendations and the quality of the scientific evidence are assessed according to the GRADE system and the ATA 2015 and NCCN recommendations. The core of the changes made in the Polish recommendations is the inclusion of international guidelines and the results of those scientific studies that have already proven themselves prospectively. These extensions allow de-escalation of the therapeutic management in low-risk thyroid carcinoma, i.e., enabling active surveillance in papillary microcarcinoma to be chosen alternatively to minimally invasive techniques after agreeing on such management with the patient. Further extensions allow the use of thyroid lobectomy with the isthmus (hemithyroidectomy) in low-risk cancer up to 2 cm in diameter, modification of the indications for postoperative radioiodine treatment toward personalized approach, and clarification of the criteria used during postoperative L-thyroxine treatment. At the same time, the criteria for the preoperative differential diagnosis of nodular goiter in terms of ultrasonography and fine-needle aspiration biopsy have been clarified, and the rules for the histopathological examination of postoperative thyroid material have been updated. New, updated rules for monitoring patients after treatment are also presented. The updated recommendations focus on ensuring the best possible quality of life after thyroid cancer treatment while maintaining the good efficacy of this treatment.</abstract><cop>Poland</cop><pub>Wydawnictwo Via Medica</pub><pmid>35593680</pmid><doi>10.5603/EP.a2022.0028</doi><tpages>128</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0423-104X |
| ispartof | Endokrynologia Polska, 2022-01, Vol.73 (2), p.173-300 |
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| language | eng |
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| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Breast diseases Cardiology Endocrinology Internal medicine Medical diagnosis Metabolic disorders Nuclear medicine Oncology Pediatrics Research centers Surgery Thyroid cancer |
| title | Diagnosis and treatment of thyroid cancer in adult patients - Recommendations of Polish Scientific Societies and the National Oncological Strategy. 2022 Update [Diagnostyka i leczenie raka tarczycy u chorych dorosłych - Rekomendacje Polskich Towarzystw Naukowych oraz Narodowej Strategii Onkologicznej. Aktualizacja na rok 2022] |
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