SFE-AFCE-SFMN 2022 consensus on the management of thyroid nodules: Synthesis and algorithms

Area of Science:

• Endocrinology
• Nuclear Medicine
• Endocrine Surgery

Background:

• Thyroid nodules are common, with most being benign and asymptomatic.
• The primary clinical challenge is distinguishing benign nodules from malignant ones.
• Identifying toxic nodules causing hyperthyroidism or compressive nodules requiring intervention is crucial.

Purpose of the Study:

• To present the SFE-AFCE-SFMN 2022 consensus recommendations for thyroid nodule management.
• To provide algorithms for the exploration and treatment of thyroid nodules.

Main Methods:

• Joint consensus statement by the French Society of Endocrinology (SFE), French Association of Endocrine Surgery (AFCE), and French Society of Nuclear Medicine (SFMN).
• Inclusion of experts from various specialties including pathology, radiology, and pediatrics.
• Development of algorithms for nodule exploration and management.

Main Results:

• The consensus addresses the frequent clinical issue of thyroid nodules.
• It outlines strategies to differentiate benign from potentially harmful nodules.
• Algorithms are presented for systematic patient evaluation and treatment.

Conclusions:

• Effective thyroid nodule management requires collaboration among endocrinologists, surgeons, and nuclear medicine physicians.
• The consensus provides a unified approach to diagnosis and treatment.
• Algorithms facilitate optimal patient care pathways for thyroid nodules.