Diagnosis of Nodular Goiter from a Comprehensive Approach
https://doi.org/10.31550/1727-2378-2023-22-8-61-66
Abstract
Aim. To consider the problem of diagnosing nodular goiter.
Key points. This article analyses the data of the world literature on the problems of various stages of diagnostics of nodular goiter. The data illustrating the recurrence of multinodular goiter with concomitant undiagnosed adenoma of parathyroid gland are presented, the difficulties of diagnosis even at the stage of histological examination in the postoperative period are described.
Conclusion. Despite a large list of diagnostic possibilities and a very good study of this problem, the difficulties at the stage of diagnosis remain, requiring the introduction of a comprehensive personalised approach using modern diagnostic technologies.
About the Authors
P. S. Vovk
Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
2/1 build. 1 Barrikadnaya str., Moscow, 125993
A. S. Ametov
Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
2/1 build. 1 Barrikadnaya str., Moscow, 125993
References
1. Abdulkhabirova F.M., Bezlepkina O.B., Brovin D.N. et al. Clinical practice guidelines “Management of iodine deficiency disorders”. Problems of Endocrinology. 2021;67(3):10–25. (in Russian). DOI: 10.14341/probl12750
2. Durante C., Grani G., Lamartina L. et al. The diagnosis and management of thyroid nodules: a review. JAMA. 2018;319(9): 914–924. DOI: 10.1001/jama.2018.0898. Erratum in: JAMA. 2018;319(15):1622.
3. Kachko V.A., Semkina G.V., Platonova N.M. et al. Diagnosis of thyroid neoplasms: state of the art on 2018. Endocrine Surgery. 2018;12(3):109-27. (in Russian). DOI: 10.14341/serg9977
4. Seib C.D., Sosa J.A. Evolving understanding of the epidemiology of thyroid cancer. Endocrinol. Metab. Clin. North Am. 2019;48(1): 23–35. DOI: 10.1016/j.ecl.2018.10.002
5. Clinical guidelines of the Ministry of Health of the Russian Federation "Differentiated thyroid cancer". Moscow, 2020. (in Russian)
6. Deng Y., Li H., Wang M. et al. Global burden of thyroid cancer from 1990 to 2017. JAMA Netw Open. 2020;3(6):e208759. DOI: 10.1001/jamanetworkopen.2020.8759
7. Abrosimov A.U., Andulkhabirova F.M., Nikankina L.V., Troshina E.A. Laboratory disonosis of thyroid neoplasms. Consilium Medicum. 2019;21(12):31–47. DOI: 10.26442/20751753.2019.12.190682
8. Brito J.P., Yarur A.J., Prokop L.J. et al. Prevalence of thyroid cancer in multinodular goiter versus single nodule: a systematic review and metaanalysis. Thyroid. 2013;23(4):449–455. DOI: 10.1089/thy.2012.0156
9. Endocrinology. National guidelines / I.I. Dedov, G.A. Melnichenko (еds.). Мoscow, 2019. 1112 p. (in Russian)
10. Swan K.Z., Nielsen V.E., Bonnema S.J. Evaluation of thyroid nodules by shear wave elastography: a review of current knowledge. J. Endocrinol Invest. 2021;44(10):2043–2056. DOI: 10.1007/s40618-021-01570-z
11. Jikuzono T., Ishibashi O., Kure S. et al. Reliability-index of Shearwave measurement in sonoelastography, is useful for the diagnosis of thyroid tumor malignancy. In Vivo. 2022;36(1):264–273. DOI: 10.21873/invivo.12700
12. Aghaghazvini L., Maheronnaghsh R., Soltani A. et al. Diagnostic value of shear wave sonoelastography in differentiation of benign from malignant thyroid nodules. Eur. J. Radiol. 2020;126:108926. DOI: 10.1016/j.ejrad.2020.108926
13. Mironov S.P., Sergienko V.B. Scintigraphy in thyroid nodular pathology. Journal of Radiology and Nuclear Medicine. 2022;103(4–6):108–116. (in Russian). DOI: 10.20862/0042-4676-2022-103- 4-6-108-116
14. Lau L.W., Ghaznavi S., Frolkis A.D. et al. Malignancy risk of hyperfunctioning thyroid nodules compared with non-toxic nodules: systematic review and a meta-analysis. Thyroid Res. 2021;14(3): 1–16. DOI: 10.1186/s13044-021-00094-1
15. Sidawy M.K., Del Vecchio D.M., Knoll S.M. Fine-needle aspiration of thyroid nodules: correlation between cytology and histology and evaluation of discrepant cases. Cancer. 1997;81(4): 253–259. DOI: 10.1002/(sici)1097-0142(19970825)81:4<253::aidcncr7>3.0.co;2-q
16. Pasternak I.A., Kazachkov E.L., Pasternak A.E. Classification and diagnostic aspects of thyroid pathology at the present stage (literature review). Journal of Siberian Medical Sciences. 2020;(1):108–115. DOI: 10.31549/2542-1174-2020-1-108-115
17. Гарднер Д., Шобек Д. Базисная и клиническая эндокринология. Книга 2. М., 2018. 696 с. Gardner D., Schobeck D. Basic and Clinical Endocrinology. Book 2. Moscow, 2018. 696 p. (in Russian)
18. Troshina E.A., Mazurina N.V., Abesadze I.A., Yushkov P.V., et al. Follicular thyroid neoplasia (a lecture). Problems of Endocrinology. 2006;52(1):22–25. (in Russian). DOI: 10.14341/probl200652122-25
19. Marotta V., Bifulco M., Vitale M. Significance of RAS mutations in thyroid benign nodules and non-medullary thyroid cancer. Cancers (Basel). 2021;13(15):3785. DOI: 10.3390/cancers13153785
20. Semyonov D.Y., Zaraisky M.I., Boriskova M.E., Saburova I.Y. et al Significance of BRAF gene mutation detection in preoperative diagnosis of thyroid cancer // KET. 2009;5(4):33–37. (in Russian)
21. Berezkina I.S., Saprina T.V., Zima A.P. et al. Study of galectin-3, Ki-67, ubiquitin, hmga2 by real-time polymerase chain reaction in puncture material in nodular goiter. Clinical and experimental tyreodology. 2016;12(2):19–27. (in Russian)
Review
For citations:
Vovk P.S., Ametov A.S. Diagnosis of Nodular Goiter from a Comprehensive Approach. Title. 2023;22(8):61-66. (In Russ.) https://doi.org/10.31550/1727-2378-2023-22-8-61-66
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