Thyroid Carcinoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology
2022; National Comprehensive Cancer; Volume: 20; Issue: 8 Linguagem: Inglês
10.6004/jnccn.2022.0040
ISSN1540-1413
AutoresRobert I. Haddad, Lindsay A. Bischoff, Douglas W. Ball, Victor Bernet, Erik Blomain, Naifa L. Busaidy, Michael J. Campbell, Paxton V. Dickson, Quan‐Yang Duh, Hormoz Ehya, Whitney Goldner, Theresa Guo, Megan R. Haymart, Shelby Holt, Jason P. Hunt, Andrei Iagaru, Fouad Kandeel, Dominick Lamonica, Susan J. Mandel, Stephanie Markovina, Bryan McIver, Christopher D. Raeburn, Rod Rezaee, John A. Ridge, Mara Y. Roth, Randall P. Scheri, Jatin P. Shah, Jennifer A. Sipos, Rebecca S. Sippel, Cord Sturgeon, Thomas N. Wang, Lori J. Wirth, Richard J. Wong, Michael W. Yeh, Carly J. Cassara, Susan Darlow,
Tópico(s)Thyroid and Parathyroid Surgery
ResumoDifferentiated thyroid carcinomas is associated with an excellent prognosis. The treatment of choice for differentiated thyroid carcinoma is surgery, followed by radioactive iodine ablation (iodine-131) in select patients and thyroxine therapy in most patients. Surgery is also the main treatment for medullary thyroid carcinoma, and kinase inhibitors may be appropriate for select patients with recurrent or persistent disease that is not resectable. Anaplastic thyroid carcinoma is almost uniformly lethal, and iodine-131 imaging and radioactive iodine cannot be used. When systemic therapy is indicated, targeted therapy options are preferred. This article describes NCCN recommendations regarding management of medullary thyroid carcinoma and anaplastic thyroid carcinoma, and surgical management of differentiated thyroid carcinoma (papillary, follicular, Hürthle cell carcinoma).
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