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KMID : 1202020100030020102
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Journal of Korean Thyroid Association
2010 Volume.3 No. 2 p.102 ~ p.110
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Surgeon’s View for Revised Korean Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Thyroid Cancer
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Chang Hang-Seok
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Abstract
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Recent abrupt increasement of the incidence of thyroid cancers in the world and the social concern about this disease enhanced the publications of the treatment guidelines from the related academic societies in this field. As these guidelines primarily focus on the standardization of the managements for thyroid cancer patients, there can be innate limitations caused by the different socio-ecomomic status of each country and the different situation of each patients. However, the publication of these guidelines will be practically helpful for the patients as well as the clinicians who takes care of the whole process of the management of thyroid cancers. After 3 years from the first publication of the "Korean Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Thyroid Cancers" Korean Thyroid Association (KTA) revised its original version on the bases of recently increased scientific evidences. The most important foci of revisions are; The recommendation about the size of thyroid nodules which need practical evaluation with fine needle aspiration biopsy (FNAB), the decision making for the extent of surgery by the size of cancers and risk factors in thyroid cancer patients, and the introduction of 3-grade classification of risk groups of thyroid cancers and the precise pathological classification system of FNAB from recently published Bethesda system. In this article, I would like review the revised KTA management guidelines in the Surgeons’ point of view.
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KEYWORD
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Thyroid nodule, Thyroid cancer, Management guidelines
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