新医学2025,Vol.56Issue(2):109-123,15.DOI:10.12464/j.issn.0253-9802.2024-0363
甲状腺乳头状癌(初诊)一体化诊疗路径
Integrated diagnosis and treatment pathway for papillary thyroid carcinoma(initial diagnosis):expert consensus of Thyroid Center of the Third Affiliated Hospital of Sun Yat-sen University
摘要
Abstract
In recent years,the incidence of papillary thyroid carcinoma(PTC)in China has increased significantly.Thus,it is necessary to standardize the procedures of diagnosis,treatment and follow-up.Thyroid Center of the Third Affiliated Hospital of Sun Yat-sen University(consisted of Department of Ultrasound,Department of Thyroid and Breast Surgery,Department of Otolaryngology Head and Neck Surgery,Department of Endocrinology,Department of Nuclear Medicine,Department of Medical Oncology,Department of Pathology,and Department of Radiology)referred to the 2015 American Thyroid Society guidelines for the diagnosis and treatment of adult thyroid nodules and differentiated thyroid cancer,the 2021 Chinese society of clinical oncology thyroid guidelines,China Anti-Cancer Association guidelines for holistic integrative management of thyroid cancer(2022 version)combined with clinical front-line work experience,aimed at the pre-operative diagnosis process of papillary thyroid cancer,fine needle aspiration pathology reporting standards,the indications and complication of radical treatments such as open surgery,endoscopic surgery,thermal ablation treatment for newly diagnosed PTC,the standards and processes of 131I treatments with intents of thyroid clearance,adjuvant therapy,and focal cleaning treatment,postoperative dynamic evaluation,and TSH inhibition treatment,etc.,and finally built the integrated diagnosis and treatment path of PTC(initial treatment).Hereby we released this guideline.关键词
甲状腺乳头状癌/初诊/多学科诊疗/专家共识Key words
Papillary thyroid carcinoma/Initial diagnosis/Multi-disciplinary diagnosis and treatment/Expert consensus引用本文复制引用
中山大学附属第三医院甲状腺多学科诊疗中心,李星,任杰,胡昆鹏,刘仁斌,叶进,邵春奎,程木华,曾龙驿,郑博文,尹庭辉,吴涛,刘宇,张鹏,刘勇,焦举,林硕,王曼曼,郭月飞,邬杰忠,姜华,王志远,李海凤,李建芳,邓洪容..甲状腺乳头状癌(初诊)一体化诊疗路径[J].新医学,2025,56(2):109-123,15.基金项目
科技部国家重点研发计划(2023YFFO715305) (2023YFFO715305)
广州市高水平创新重大科技项目(2024P-GX25) (2024P-GX25)
中山大学临床医学研究5010计划项目(2022010) (2022010)
中山大学附属第三医院"五个五"工程建设项目(82000-31630015) (82000-31630015)