Ji Ye Lee, Min Kyoung Lee, Hyun Kyung Lim, Chang Yoon Lee, Jin Yong Sung, Jung Hyun Yoon, Soo Yeon Han, Jung Hee Shin, Ji-Hoon Kim, So Lyung Jung, Sae Rom Chung, Jung Hwan Baek, Dong Gyu Na
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引用次数: 0
摘要
由于甲状腺乳头状微腺癌(PTMC)病情较轻且疗效较好,因此已广泛采用主动监测(AS)作为立即手术的替代方案。一般建议对肿瘤大小≤1厘米、无侵袭性细胞学亚型、无甲状腺外总扩展(ETE)、淋巴结转移(LNM)或远处转移风险的患者进行主动监测。甲状腺癌需要根据患者和肿瘤的不同特征以及超声(US)检查结果仔细选择患者。此外,在 AS 期間,還需要定期進行 US 檢查,以監測任何腫瘤進展的跡象,包括腫瘤生長、潛在總 ETE 的新 US 特徵和 LNM。因此,适当的影像学评估对决定是否应进行 AS 或手术起着至关重要的作用。然而,目前有关 US 评估的详细建议尚不充分,因此有必要制定本指南。韩国甲状腺放射学会针对低风险的 PTMC 制定了一份共识声明,涵盖了在考虑 AS 作为一种治疗方案时的 US 评估方法,以及在 AS 期间进行随访影像学检查的方法。本指南旨在为低风险 PTMC 的标准化 US 评估方案提供最佳科学证据和专家意见共识。
Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus Statement.
Active surveillance (AS) has been widely adopted as an alternative to immediate surgery owing to the indolent nature and favorable outcomes of papillary thyroid microcarcinoma (PTMC). AS is generally recommended for tumors measuring ≤1 cm without aggressive cytological subtypes, risk of gross extrathyroidal extension (ETE), lymph node metastasis (LNM), or distant metastasis. AS requires careful patient selection based on various patient and tumor characteristics, and ultrasound (US) findings. Moreover, during AS, regular US is performed to monitor any signs of tumor progression, including tumor growth, new US features of potential gross ETE, and LNM. Therefore, appropriate imaging-based assessment plays a crucial role in determining whether AS or surgery should be pursued. However, detailed recommendations concerning US evaluation are currently insufficient, necessitating the formulation of this guideline. The Korean Society of Thyroid Radiology has developed a consensus statement for low-risk PTMC, covering US assessment methods when considering AS as a management option and conducting follow-up imaging tests during AS. This guideline aims to provide optimal scientific evidence and expert opinion consensus regarding a standardized US-based assessment protocol for low-risk PTMC.
期刊介绍:
The inaugural issue of the Korean J Radiol came out in March 2000. Our journal aims to produce and propagate knowledge on radiologic imaging and related sciences.
A unique feature of the articles published in the Journal will be their reflection of global trends in radiology combined with an East-Asian perspective. Geographic differences in disease prevalence will be reflected in the contents of papers, and this will serve to enrich our body of knowledge.
World''s outstanding radiologists from many countries are serving as editorial board of our journal.