医学
甲状腺癌
甲状腺癌
重症监护医学
多学科方法
入射(几何)
模式
甲状腺
肿瘤科
内科学
社会科学
光学
物理
社会学
作者
Pepijn van Houten,Romana T. Netea–Maier,Johannes W. A. Smit
标识
DOI:10.1016/j.beem.2022.101687
摘要
Differentiated thyroid carcinoma (DTC) is the most common endocrine cancer. Particularly the incidence of small clinically indolent tumors has been increasing significantly during the last decades because of increased diagnostic scrutiny, while the DTC-related mortality remained unchanged. In light of the increased awareness of the significant risk of detecting clinically indolent tumors and the potential harm and burden associated with overly diagnosis and the treatment, the approach towards management of DTC recently underwent a critical appraisal. The focus lays on reducing the unnecessary burden for patients with very low risk DTC and the correct identification of those who require treatment that is more intensive and/or follow-up. Management of DTC includes a range of different modalities, making multidisciplinary collaboration expedient. In this review, we elaborate on the recent developments in diagnosis, staging and management of DTC with specific focus on the more individualized risk assessment-based approach.
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