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2022 European Thyroid Association Guidelines for the management of pediatric thyroid nodules and differentiated

Chantal A Lebbink1, Thera P Links2, Agnieszka Czarniecka3

  • 1Wilhelmina Children's Hospital and Princess Máxima Center, Utrecht, The Netherlands.

European Thyroid Journal
|October 13, 2022
PubMed

Insights

European experts developed new guidelines for pediatric thyroid nodules and differentiated thyroid carcinoma (DTC) management. These recommendations address unique pediatric characteristics, ensuring specialized care for children with these conditions.

Area of Science:

  • Endocrinology
  • Oncology
  • Pediatrics

Background:

  • No existing European guidelines for pediatric thyroid nodules and differentiated thyroid carcinoma (DTC).
  • Pediatric DTC exhibits distinct clinical, molecular, and pathological features compared to adults, necessitating tailored recommendations.
  • Need for specific guidance for healthcare professionals managing pediatric thyroid conditions.

Framework:

  • Developed by a European expert panel from diverse disciplines (endocrinology, pathology, surgery, genetics, oncology).
  • Utilized the 2015 American Thyroid Association Pediatric Guideline as a foundational framework.
  • Identified areas of discordance and formulated clinical questions for guideline development.

Implementation:

  • Recommendations formulated based on the latest evidence and expert consensus.
  • Emphasizes the requirement for specialized care in experienced centers for children with thyroid nodules or DTC.
  • Provides guidance for informed decision-making among healthcare professionals, patients, and parents.

Implications:

  • Establishes the first European recommendations for pediatric thyroid nodule and DTC management.
  • Aims to standardize and improve the quality of care for children with these conditions across Europe.
  • Facilitates collaborative decision-making for diagnosis, treatment, and follow-up of pediatric thyroid disorders.

Keywords:
Europeanpediatricrecommendationthyroid cancerthyroid nodule

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