Estudio y manejo de nódulos tiroideos por médicos no especialistas. Consenso SOCHED

Estudio y manejo de nódulos tiroideos por médicos no especialistas. Consenso SOCHED

The thyroid nodule is a frequent cause of primary care consultation. The prevalence of a palpable thyroid nodule is approximately 4-7%, increasing up to 67% by the incidental detection of nodules on ultrasound. The vast majority are benign and asymptomatic, staying stable over time. The clinical imp...

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Detalles Bibliográficos
Autores principales: Tala,Hernán, Díaz,René E., Domínguez Ruiz-Tagle,José Miguel, Sapunar Zenteno,Jorge, Pineda,Pedro, Arroyo Albala,Patricia, Barberán,Marcela, Cabané,Patricio, Cruz Olivos,Francisco, Gac,Patricio E., Glasinovic Pizarro,Andrea, González,Hernán E., Grob,Francisca, Hidalgo Valle,Maria Soledad, Jaimovich,Rodrigo, Lanas,Alejandra, Liberman,Claudio, Lobo Guiñez,Maite, Madrid,Arturo, Moreno Seguel,Marcela, Mosso,Lorena, Munizaga,Fernando C., Ortiz Parada,Eugenia, Osorio Gonnet,Fernando, Slater Morales,Jeannie, Solar,Antonieta, Stehr,Carlos, Vásquez Rodríguez,Félix, Véliz,Jesús, Villaseca Najarian,Roberto, Wohllk,Nelson
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2017
Materias:
Consensus
Practice Guideline
Thyroid Gland
Thyroid Nodule
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000801028
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Sumario:The thyroid nodule is a frequent cause of primary care consultation. The prevalence of a palpable thyroid nodule is approximately 4-7%, increasing up to 67% by the incidental detection of nodules on ultrasound. The vast majority are benign and asymptomatic, staying stable over time. The clinical importance of studying a thyroid nodule is to exclude thyroid cancer, which occurs in 5 to 10% of the nodules. The Board of SOCHED (Chilean Society of Endocrinology and Diabetes) asked the Thyroid Study Group to develop a consensus regarding the diagnostic management of the thyroid nodule in Chile, aimed at non-specialist physicians and adapted to the national reality. To this end, a multidisciplinary group of 31 experts was established among university academics, active researchers with publications on the subject and prominent members of scientific societies of endocrinology, head and neck surgery, pathology and radiology. A total of 14 questions were developed with key aspects for the diagnosis and subsequent referral of patients with thyroid nodules, which were addressed by the participants. In those areas where the evidence was insufficient or the national reality had to be considered, the consensus opinion of the experts was used through the Delphi methodology. The consensus was approved by the SOCHED board for publication.

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