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KMID : 1011720230160010001
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International Journal of Thyroidology
2023 Volume.16 No. 1 p.1 ~ p.31
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2023 Korean Thyroid Association Management Guidelines for Patients with Thyroid Nodules
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Park Young-Joo
Lee Eun-Kyung
Song Young-Shin
Kang Soo-Hwan
Koo Bon-Seok
Kim Sun-Wook
Na Dong-Gyu
Baek Seung-Kuk
Oh So-Won
Lee Min-Kyoung
Lee Sang-Woo
Lee Young-Ah
Lee Yong-Sang
Lee Ji-Ye
Lim Dong-Jun
Joo Leehi
Jung Yuh-Seog
Jung Chan-Kwon
Cho Yoon-Young
Chung Yun-Jae
Kim Won-Bae
Yi Ka-Hee
Kang Ho-Cheol
Park Do-Joon
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Abstract
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Thyroid nodules are a prevalent condition that can be detected through palpation or ultrasound. However, a small fraction of these nodules can be cancerous, and even benign nodules can cause symptoms if they grow and compress surrounding tissue. As such, it is important to monitor thyroid nodules and determine appropriate treatment options. In recent years, there has been a shift towards enhancing diagnostic accuracy and less aggressive treatment options. As a result, there is a growing need for the development of appropriate recommendations for their clinical application to ensure optimal patient outcomes. The present clinical practice guideline was developed by extracting the nodule section from the prior version of guidelines and updating it to fit the Korean circumstances. Task force members reviewed relevant studies selected after electronic database searching, and the recommendations are provided with a level of recommendation for each section. The revised guideline includes recommendations for thyroid cancer screening in high-risk groups, appropriate diagnostic methods for thyroid nodules, the role of pathological and molecular marker tests in diagnosis, long-term follow-up and treatment of benign thyroid nodules, and special considerations for pregnant women. The major changes in this revision are the definition of high-risk groups for thyroid cancer screening, the application of the revised Korean Thyroid Imaging Reporting and Data System (K-TIRADS), the addition of the role of core needle biopsy and molecular marker tests, the application of active surveillance in low-risk papillary thyroid microcarcinoma, and updated indications for non-surgical treatment of benign thyroid nodules. These evidence-based recommendations are expected to assist in clinical decision-making for thyroid nodule management, ensuring that patients receive the most appropriate and effective treatment options
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KEYWORD
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Thyroid nodule, Guideline, Diagnosis, Treatment
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