低风险甲状腺癌的积极监测:对当前实践指南的审查
Min Joo Kim1,2, Jae Hoon Moon1,2, Eun Kyung Lee3
1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Endocrinology and metabolism (Seoul, Korea)
|February 15, 2024
概括
积极监测 (AS) 为低风险的乳头甲状腺小癌提供了手术的可行替代方案. 仔细的患者选择和定期监测是AS成功管理的关键.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 手术瘤学手术瘤学
背景情况:
- 乳头甲状腺小癌经常表现出惰的行为.
- 对于低风险的甲状腺癌,越来越多地考虑积极监测 (AS).
- 国际准则正在发展,以纳入AS.
研究的目的:
- 审查当前的状况和主动监测的指导方针,在管理乳腺状甲状腺小瘤.
- 在AS协议中确定患者选择的关键因素.
- 概述监测策略,并定义AS期间的疾病进展.
主要方法:
- 对甲状腺癌积极监测的国际实践准则的审查.
- 对AS患者和瘤选择标准的分析.
- 疾病进展的监测协议和指标的描述.
主要成果:
- 建议AS用于瘤≤1厘米没有侵略性特征.
- 瘤特征 (大小,位置,多重性) 和患者因素 (病情,年龄,家族病史) 引导AS候选.
- 共享决策,包括生活质量和成本效益至关重要.
结论:
- 积极监测是低风险甲状腺癌的可行和可靠的管理选择.
- 成功的AS需要细致的患者选择和清晰的沟通.
- 标准化的跟进和定义的进展标准对于有效的AS实施至关重要.
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