본문 바로가기
KERD
논문KCI 등재

대한갑상선학회 갑상선분화암 진료권고안 2024 어떻게 바뀌었나: 진단부터 초기치료까지

Updates in the 2024 Korean Thyroid Association Clinical Practice Guidelines for Differentiated Thyroid Cancer: from Diagnosis to Initial Treatment

3

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류의학일반

초록

The 2024 Korean Thyroid Association (KTA) Clinical Practice Guidelines for Differentiated Thyroid Cancer (DTC) introduce updated recommendations based on recent advancements and clinical evidence. These guidelines encompass a broad spectrum of DTC cases, from localized thyroid cancer to advanced, treatment-resistant cases, covering both diagnostic and therapeutic approaches. Given the extensive content, careful organization was essential to effectively communicate these updates to KTA members. This article reviews the key changes in the 2024 guidelines, with a focus on revised diagnostic criteria, risk stratification, and initial treatment protocols for DTC. Updates include improved approaches to risk assessment, refinements in surgical intervention guidelines. Additionally, the new guidelines emphasize personalized management strategies that account for individual patient risk profiles and molecular characteristics. These updates aim to enhance diagnostic accuracy, optimize treatment outcomes, and minimize overtreatment for low-risk patients, aligning Korean practices with global standards.

Abstract

The 2024 Korean Thyroid Association (KTA) Clinical Practice Guidelines for Differentiated Thyroid Cancer (DTC) introduce updated recommendations based on recent advancements and clinical evidence. These guidelines encompass a broad spectrum of DTC cases, from localized thyroid cancer to advanced, treatment-resistant cases, covering both diagnostic and therapeutic approaches. Given the extensive content, careful organization was essential to effectively communicate these updates to KTA members. This article reviews the key changes in the 2024 guidelines, with a focus on revised diagnostic criteria, risk stratification, and initial treatment protocols for DTC. Updates include improved approaches to risk assessment, refinements in surgical intervention guidelines. Additionally, the new guidelines emphasize personalized management strategies that account for individual patient risk profiles and molecular characteristics. These updates aim to enhance diagnostic accuracy, optimize treatment outcomes, and minimize overtreatment for low-risk patients, aligning Korean practices with global standards.

참고문헌 (19)

  1. Chen DW, "Thyroid cancer", Lancet, 401(10387), pp.1531~1544 (2023)
  2. Miranda-Filho A, "Thyroid cancer incidence trends by histology in 25 countries : a population-based study", Lancet Diabetes Endocrinol, 9(4), pp.225~234 (2021)
  3. Park EH, "Cancer statistics in Korea : incidence, mortality, survival, and prevalence in 2021", Cancer Res Treat, 56(2), pp.357~371 (2024)
  4. Kim WB, "Management guidelines for patients with thyroid nodules and thyroid cancer", J Korean Endocr Soc, 22(3), pp.157~187 (2007)
  5. Yi KH, "Revised Korean Thyroid Association management guidelines for patients with thyroid nodules and thyroid cancer", Endocrinol Metab, 25(4), pp.270~297 (2010)
  6. Yi KH, "2016 Revised Korean Thyroid Association management guidelines for patients with thyroid nodules and thyroid cancer", Int J Thyroidol, 9(2), pp.59~126 (2016)
  7. Haugen BR, "2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer : the American Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid cancer", Thyroid, 26(1), pp.1~133 (2016)
  8. Park YJ, "Korean Thyroid Association guidelines on the management of differentiated thyroid cancers; overview and summary 2024", Int J Thyroidol, 17(1), pp.1~20 (2024)
  9. Park YJ, "Korean Thyroid Association management guidelines for patients with thyroid nodules 2024", Int J Thyroidol, 17(1), pp.208~244 (2024)
  10. Lee JY, "Korean Thyroid Association guidelines on the management of differentiated thyroid cancers; Part I. Initial management of differentiated thyroid cancers-Chapter 1. Preoperative imaging and diagnostic evaluation in thyroid cancer 2024", Int J Thyroidol, 17(1), pp.21~29 (2024)
  11. Ali SZ, "The 2023 Bethesda system for reporting thyroid cytopathology", J Am Soc Cytopathol, 12(5), pp.319~325 (2023)
  12. Cho YY, "Malignancy risk of follicular neoplasm(Bethesda IV)with variable cutoffs of tumor size : a systemic review and meta-analysis", J Clin Endocrinol Metab, 109(5), pp.1383~1392 (2024)
  13. Cho YY, "Korean Thyroid Association guidelines on the management of differentiated thyroid cancers; Part I. Initial management of differentiated thyroid cancers-Chapter 2. Surgical management of thyroid cancer 2024", Int J Thyroidol, 17(1), pp.30~52 (2024)
  14. Ryu CH, "Korean Thyroid Association guidelines on the management of differentiated thyroid cancers; Part I. Initial management of differentiated thyroid cancers-Chapter 3. Perioperative assessment of surgical complications 2024", Int J Thyroidol, 17(1), pp.53~60 (2024)
  15. Shin SJ, "Korean Thyroid Association guidelines on the management of differentiated thyroid cancers; Part I. Initial management of differentiated thyroid cancers-Chapter 4. Pathological diagnosis and staging after thyroidectomy 2024", Int J Thyroidol, 17(1), pp.61~67 (2024)
  16. Lee EK, "Korean Thyroid Association guidelines on the management of differentiated thyroid cancers; Part I. Initial management of differentiated thyroid cancers-Chapter 5. Evaluation of recurrence risk postoperatively and initial risk stratification in differentiated thyroid cancer 2024", Int J Thyroidol, 17(1), pp.68~96 (2024)
  17. Park S, "Korean Thyroid Association guidelines on the management of differentiated thyroid cancers; Part I. Initial management of differentiated thyroid cancers-Chapter 6. Radioactive iodine treatment after thyroidectomy 2024", Int J Thyroidol, 17(1), pp.97~110 (2024)
  18. Park S, "Comparison of recombinant human thyroid-stimulating hormone and thyroid hormone withdrawal for 131 I therapy in patients with intermediate-to high-risk thyroid cancer : a systematic review and meta-analysis", Clin Nucl Med, 49(3), pp.e96~e104 (2024)
  19. Chong A, "Clinical implications of adding SPECT", CT to radioiodine whole-body scan in patients with differentiated thyroid cancer : a systematic review and meta-analysis, 2024, pp.49(3), 215~225

관련 논문AI추천

대한갑상선학회 갑상선분화암 진료권고안; 개요 및 요약 2024강호철, 구본석, 권형주, 김근영, 김미진, 김보현, 김선욱, 김원구, 김원배, 김원웅, 김정한, 김희경, 나동규, 나희영, 문신제, 문정은, 박도준, 박소현, 박영주, 박준욱, 방지인, 백교림, 서영덕, 송영신, 신동엽, 신수진, 안화영, 오소원, 우승훈, 원호륜, 유창환, 윤지희, 이가희, 이민경, 이상우, 이승은, 이시훈, 이영아, 이은경, 이준협, 이지예, 이지은, 이초록, 임동준, 임재열, 전윤경, 정경연, 정아리, 정웅윤, 정윤재, 정찬권, 조관훈, 조윤영, 홍아람, 홍채문대한갑상선학회 · International Journal of Thyroidology2024 · 제17권 제1호대한갑상선학회 갑상선분화암 진료권고안; Part II. 갑상선분화암의 추적 2024강호철, 김미진, 김보현, 김선욱, 나동규, 박영주, 방지인, 서영덕, 송영신, 오소원, 이민경, 이상우, 이은경, 이지예, 임동준, 정아리, 정윤재, 홍채문대한갑상선학회 · International Journal of Thyroidology2024 · 제17권 제1호대한갑상선학회 갑상선분화암 진료권고안; Part III. 진행성 갑상선분화암의 치료 - 제1-2장 갑상선 수술부위 재발 또는 경부 전이림프절에 대한 수술 및 비수술적 치료 2024강호철, 구본석, 권형주, 김선욱, 김원웅, 김정한, 나동규, 박영주, 박준욱, 백교림, 송영신, 우승훈, 원호륜, 유창환, 이민경, 이은경, 이준협, 이지예, 이초록, 임동준, 임재열, 정윤재대한갑상선학회 · International Journal of Thyroidology2024 · 제17권 제1호대한갑상선학회 갑상선결절 진료권고안 2024강수환, 강호철, 구본석, 김선욱, 김원배, 나동규, 박도준, 박영주, 백승국, 송영신, 오소원, 이가희, 이민경, 이상우, 이영아, 이용상, 이은경, 이지예, 임동준, 정유석, 정윤재, 정찬권, 조윤영, 주리히대한갑상선학회 · International Journal of Thyroidology2024 · 제17권 제1호대한갑상선학회 갑상선분화암 진료권고안; Part I. 갑상선분화암의 초기치료 - 제5장 갑상선분화암의 수술 후 초기 질병 상태와 재발위험도 평가 및 초기위험군 분류 2024강호철, 김선욱, 나동규, 문신제, 박영주, 송영신, 이은경, 임동준, 정경연, 정윤재, 정찬권대한갑상선학회 · International Journal of Thyroidology2024 · 제17권 제1호대한갑상선학회 갑상선분화암 진료권고안; Part I. 갑상선분화암의 초기치료 - 제6장 갑상선분화암의 갑상선절제술 후 방사성요오드 치료 2024강호철, 김근영, 김선욱, 나동규, 박소현, 박영주, 방지인, 서영덕, 송영신, 오소원, 이상우, 이은경, 임동준, 정아리, 정윤재, 홍채문대한갑상선학회 · International Journal of Thyroidology2024 · 제17권 제1호

이 간행물의 다른 논문 (9건)