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대한갑상선학회 갑상선분화암 진료권고안; 개요 및 요약 2024

Korean Thyroid Association Guidelines on the Management of Differentiated Thyroid Cancers; Overview and Summary 2024

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초록

Differentiated thyroid cancer demonstrates a wide range of clinical presentations, from very indolent cases to those with an aggressive prognosis. Therefore, diagnosing and treating each cancer appropriately based on its risk status is important. The Korean Thyroid Association (KTA) has provided and amended the clinical guidelines for thyroid cancer management since 2007. The main changes in this revised 2024 guideline include 1) individualization of surgical extent according to pathological tests and clinical findings, 2) application of active surveillance in low-risk papillary thyroid microcarcinoma, 3) indications for minimally invasive surgery, 4) adoption of World Health Organization pathological diagnostic criteria and definition of terminology in Korean, 5) update on literature evidence of recurrence risk for initial risk stratification, 6) addition of the role of molecular testing, 7) addition of definition of initial risk stratification and targeting thyroid stimulating hormone (TSH) concentrations according to ongoing risk stratification (ORS), 8) addition of treatment of perioperative hypoparathyroidism, 9) update on systemic chemotherapy, and 10) addition of treatment for pediatric patients with thyroid cancer.

Abstract

Differentiated thyroid cancer demonstrates a wide range of clinical presentations, from very indolent cases to those with an aggressive prognosis. Therefore, diagnosing and treating each cancer appropriately based on its risk status is important. The Korean Thyroid Association (KTA) has provided and amended the clinical guidelines for thyroid cancer management since 2007. The main changes in this revised 2024 guideline include 1) individualization of surgical extent according to pathological tests and clinical findings, 2) application of active surveillance in low-risk papillary thyroid microcarcinoma, 3) indications for minimally invasive surgery, 4) adoption of World Health Organization pathological diagnostic criteria and definition of terminology in Korean, 5) update on literature evidence of recurrence risk for initial risk stratification, 6) addition of the role of molecular testing, 7) addition of definition of initial risk stratification and targeting thyroid stimulating hormone (TSH) concentrations according to ongoing risk stratification (ORS), 8) addition of treatment of perioperative hypoparathyroidism, 9) update on systemic chemotherapy, and 10) addition of treatment for pediatric patients with thyroid cancer.

참고문헌 (52)

  1. Chen DW, "Thyroid cancer", Lancet, 401(10387), pp.1531~1544 (2023)
  2. Nabhan F, "Thyroid cancer, recent advances in diagnosis and therapy", Int J Cancer, 149(5), pp.984~992 (2021)
  3. Kitahara CM, "Epidemiology of thyroid cancer", Cancer Epidemiol Biomarkers Prev, 31(7), pp.1284~1297 (2022)
  4. Kim WB, "Management guidelines for patients with thyroid nodules and thyroid cancer", J Korean Endocr Soc, 22(3), pp.157~187 (2007)
  5. 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)
  6. Yi KH, "Revised Korean Thyroid Association management guidelines for patients with thyroid nodules and thyroid cancer", J Korean Thyroid Assoc, 3(2), pp.65~96 (2010)
  7. Yi KH, "The revised 2016 Korean Thyroid Association guidelines for thyroid nodules and cancers : differences from the 2015American Thyroid Association guidelines", Endocrinol Metab(Seoul), 31(3), pp.373~378 (2016)
  8. 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)
  9. Park YJ, "2023 Korean Thyroid Association management guidelines for patients with thyroid nodules", Int J Thyroidol, 16(1), pp.1~31 (2023)
  10. Ali SZ, "The 2023 Bethesda system for reporting thyroid cytopathology", J Am Soc Cytopathol, 12(5), pp.319~325 (2023)
  11. Ali SZ, "The 2023 Bethesda system for reporting thyroid cytopathology", Thyroid, 33(9), pp.1039~1044 (2023)
  12. Ha EJ, "2021 Korean Thyroid Imaging Reporting and Data System and imaging-based management of thyroid nodules : Korean Society of Thyroid Radiology consensus statement and recommendations", Korean J Radiol, 22(12), pp.2094~2123 (2021)
  13. Jung CK, "2019practice guidelines for thyroid core needle biopsy : a report of the Clinical Practice Guidelines Development Committee of the Korean Thyroid Association", J Pathol Transl Med, 54(1), pp.64~86 (2020)
  14. Park JO, "Guideline for the surgical management of locally invasive differentiated thyroid cancer from the Korean Society of Head and Neck Surgery", Clin Exp Otorhinolaryngol, 16(1), pp.1~19 (2023)
  15. Aschebrook-Kilfoy B, "Thyroid cancer incidence patterns in the United States by histologic type, 1992-2006", Thyroid, 21(2), pp.125~134 (2011)
  16. Mazzaferri EL, "Long-term impact of initial surgical and medical therapy on papillary and follicular thyroid cancer", Am J Med, 97(5), pp.418~428 (1994)
  17. "Cancer", 1998, 2638~2648
  18. Mazzaferri EL, "An overview of the management of papillary and follicular thyroid carcinoma", Thyroid, 9(5), pp.421~427 (1999)
  19. Mazzaferri EL, "Long-term outcome of patients with differentiated thyroid carcinoma : effect of therapy", Endocr Pract, 6(6), pp.469~476 (2000)
  20. Cooper DS, "Thyrotropin suppression and disease progression in patients with differentiated thyroid cancer : results from the National Thyroid Cancer Treatment Cooperative Registry", Thyroid, 8(9), pp.737~744 (1998)
  21. Hay ID, "Predicting outcome in papillary thyroid carcinoma : development of a reliable prognostic scoring system in a cohort of 1779patients surgically treated at one institution during 1940 through 1989", Surgery, 114(6), pp.1050~1057 (1993)
  22. Shah MD, "Clinical course of thyroid carcinoma after neck dissection", Laryngoscope, 113(12), pp.2102~2107 (2003)
  23. Wang TS, "Incidence of metastatic well-differentiated thyroid cancer in cervical lymph nodes", Arch Otolaryngol Head Neck Surg, 130(1), pp.110~113 (2004)
  24. Lin JD, "Use of radioactive iodine for thyroid remnant ablation in welldifferentiated thyroid carcinoma to replace thyroid reoperation", Am J Clin Oncol, 21(1), pp.77~81 (1998)
  25. Brierley JD, "A comparison of different staging systems predictability of patient outcome. Thyroid carcinoma as an example", Cancer, 79(12), pp.2414~2423 (1997)
  26. Hay ID, "Papillary thyroid carcinoma managed at the Mayo Clinic during six decades(1940-1999) : temporal trends in initial therapy and long-term outcome in 2444consecutively treated patients", World J Surg, 26(8), pp.879~885 (2002)
  27. Sosa JA, "The importance of surgeon experience for clinical and economic outcomes from thyroidectomy", Ann Surg, 228(3), pp.320~330 (1998)
  28. Loyo M, "National trends in thyroid surgery and the effect of volume on short-term outcomes", Laryngoscope, 123(8), pp.2056~2063 (2013)
  29. Stavrakis AI, "Surgeon volume as a predictor of outcomes in inpatient and outpatient endocrine surgery", Surgery, 142(6), pp.887~899 (2007)
  30. Links TP, "Life expectancy in differentiated thyroid cancer : a novel approach to survival analysis", Endocr Relat Cancer, 12(2), pp.273~280 (2005)
  31. Kim S, "Predicting outcome and directing therapy for papillary thyroid carcinoma", Arch Surg, 139(4), pp.390~394 (2004)
  32. Bogdanovski AK, "Financial toxicity in thyroid cancer survivors", Curr Opin Endocrinol Diabetes Obes, 30(5), pp.238~243 (2023)
  33. Mongelli MN, "Financial burden and quality of life among thyroid cancer survivors", Surgery, 167(3), pp.631~637 (2020)
  34. Ronga G, "Lung metastases from differentiated thyroid carcinoma. A 40 years' experience", Q J Nucl Med Mol Imaging, 48(1), pp.12~19 (2004)
  35. Schlumberger M, "Radioactive iodine treatment and external radiotherapy for lung and bone metastases from thyroid carcinoma", J Nucl Med, 37(4), pp.598~605 (1996)
  36. Bernier MO, "Survival and therapeutic modalities in patients with bone metastases of differentiated thyroid carcinomas", J Clin Endocrinol Metab, 86(4), pp.1568~1573 (2001)
  37. Zettinig G, "Long-term follow-up of patients with bone metastases from differentiated thyroid carcinoma -- surgery or conventional therapy?", Clin Endocrinol (Oxf), 56(3), pp.377~382 (2002)
  38. Chiu AC, "Prognosis and treatment of brain metastases in thyroid carcinoma", J Clin Endocrinol Metab, 82(11), pp.3637~3642 (1997)
  39. Lin JD, "Papillary thyroid carcinomas with lung metastases", Thyroid, 14(12), pp.1091~1096 (2004)
  40. Shoup M, "Prognostic indicators of outcomes in patients with distant metastases from differentiated thyroid carcinoma", J Am Coll Surg, 197(2), pp.191~197 (2003)
  41. Pittas AG, "Bone metastases from thyroid carcinoma : clinical characteristics and prognostic variables in one hundred forty-six patients", Thyroid, 10(3), pp.261~268 (2000)
  42. Dinneen SF, "Distant metastases in papillary thyroid carcinoma : 100 cases observed at one institution during 5decades", J Clin Endocrinol Metab, 80(7), pp.2041~2045 (1995)
  43. Eustatia-Rutten CF, "Outcome of palliative embolization of bone metastases in differentiated thyroid carcinoma", J Clin Endocrinol Metab, 88(7), pp.3184~3189 (2003)
  44. Foote RL, "Is there a role for radiation therapy in the management of Hurthle cell carcinoma?", Int J Radiat Oncol Biol Phys, 56(4), pp.1067~1072 (2003)
  45. Pak H, "Role of metastasectomy in the management of thyroid carcinoma : the NIH experience", J Surg Oncol, 82(1), pp.10~18 (2003)
  46. Vitale G, "Pamidronate improves the quality of life and induces clinical remission of bone metastases in patients with thyroid cancer", Br J Cancer, 84(12), pp.1586~1590 (2001)
  47. Kitamura Y, "Immediate causes of death in thyroid carcinoma : clinicopathological analysis of 161 fatal cases", J Clin Endocrinol Metab, 84(11), pp.4043~4049 (1999)
  48. Lee YA, "Pediatric patients with multifocal papillary thyroid cancer have higher recurrence rates than adult patients : a retrospective analysis of a large pediatric thyroid cancer cohort over 33 years", J Clin Endocrinol Metab, 100(4), pp.1619~1629 (2015)
  49. Redlich A, "Age, American Thyroid Association risk group, and response to therapy are prognostic factors in children with differentiated thyroid cancer", J Clin Endocrinol Metab, 107(1), pp.e165~e177 (2022)
  50. Rangel-Pozzo A, "Genetic landscape of papillary thyroid carcinoma and nuclear architecture : an overview comparing pediatric and adult populations", Cancers(Basel), 12(11), pp.3146~ (2020)
  51. van de Berg DJ, "Long-term oncological outcomes of papillary thyroid cancer and follicular thyroid cancer in children : a nationwide populationbased study", Front Endocrinol(Lausanne), 13, pp.899506~ (2022)
  52. Lee YA, "Predominant DICER1 pathogenic variants in pediatric follicular thyroid carcinomas", Thyroid, 30(8), pp.1120~1131 (2020)

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