January - March 2007, Volume 3, Issue 1

Piciu D, Irimie A

Diagnosis and treatment guidlines in thyroid carcinoma. American and European consensus, adapted to Romania

Acta Endo (Buc) 2007, 3 (1): 103-115
doi: 10.4183/aeb.2007.103

The optimization of the diagnosis and therapy strategies, and also their standardization represent a continuous activity of the professional societies. The aim of the study is to review the data from the literature, regarding the thyroid cancer guidelines and to propose a national consensus, especially for differentiated thyroid cancers. There were analyzed the guidelines of diagnosis and treatment for thyroid nodules and thyroid cancer published by the European and American Thyroid Associations (ETA, ATA), by British Thyroid Association, American Association of Clinical Endocrinologist (AACE) and endocrine surgeons (AAES), by European Association of Nuclear Medicine (EANM) and American and European Societies of Clinical Oncology (ASCO and ESMO). We studied the national cancer registry, the institutional cancer registry and the database of nuclear medicine departments from Romania, regarding the limits and instruments as are registered at the National Nuclear Committee. The significant increase of the incidence of thyroid cancer and of the epidemiological data concerning the high percentage of clinically and ultrasoundly detected thyroid nodules, requires a debate around a consensus for the diagnosis and treatment of the differentiated thyroid carcinoma.

Keywords: differentiated thyroid carcinoma, guidelines, Romania

Correspondence: Doina Piciu M.D., Ph.D., “Prof.Dr.I.Chiricuta” Institute of Oncology, Department of Nuclear Medicine, 34-36, Republicii St. 400015, Cluj-Napoca, Romania, Tel: +40- 264-598361; email: piciu.medicover@ecosoft.ro