摘要
我国2023年发布的《甲状腺结节和分化型甲状腺癌诊治指南》(第二版)是在第一版(2012年版)的基础上由7个国家级学会、近百位内分泌科、甲状腺外科、肿瘤科、核医学科、超声医学科和病理科专家历时一年联合修订.新版《指南》仍分为甲状腺结节和分化型甲状腺癌两大部分,采用提出临床问题、进行解释、给出推荐意见的撰写模式,共给出了117条推荐意见.本文从外科视角比较新版和旧版《指南》中甲状腺结节的良恶性鉴别、分化型甲状腺癌的手术治疗等重点内容差异,并浅谈一些理解和体会.
Abstract
The set of guidelines for the diagnosis and treatment of thyroid nodules and differentiated thyroid cancer(the second edition)was published in 2023 in China.Based on the first(2012)edition,the current set was revised jointly by nearly 100 experts in endocrinology,thyroid surgery,oncology,nuclear medicine,ultrasound medicine,and pathology from seven national societies for one year.The new version of the guideline is still divided into two parts,namely,thyroid nodules and differentiated thyroid cancer.The writing mode of asking clinical questions,explaining and giving recommendations is adopted,and a total of 117 recommendations are provided.This article aims to compare the variations in the differentiation of benign and malignant thyroid nodules and surgical treatment of differentiated thyroid cancer between the new and old versions from the perspective of surgery.The author's own understanding and experiences are also discussed.
基金项目
国家自然科学基金(82160462)
云南省"万人计划"—名医专项(RLCRC20210412)
云南省"兴滇英才支持计划"—名医专项(RLMY20220012)
昆明医科大学第一附属医院"535"高层次人才学科带头人培养项目(2023535D07)