Endocrine Abstracts

The introduction of fine needle aspiration biopsy revolutionised the investigation of thyroid nodules. Several decades on, diagnosis relies largely on the same technique. Meanwhile clinicians are faced with an epidemic of incidentally discovered thyroid nodules and an increasingly ‘informed’ public frequently misled by unreliable sources. Molecular diagnostics and new imaging techniques are in the horizon, but unlikely to influence clinical practice in the next few y...

Thyroid cancer is the commonest endocrine cancer. It is increasingly diagnosed both due to the diagnosis of previously undiagnosed subclinical lesions as well as due to a lesser true increase in incidence. Surgery is the only treatment modality that can cure thyroid cancer and has a key role in the multidisciplinary treatment of the malignancy. The combination of the rarity of the disease and broad spectrum of clinical outcomes has hindered the accumulation of level 1 evidence...

After total thyroidectomy, patients with differentiated thyroid cancer are treated with 131I activities aimed at ablating any remnant thyroid tissue and potential microscopic residual tumor. This procedure decreases the risk of locoregional recurrence and facilitates the long-term follow-up. In addition the high activity of 131I allows obtaining a highly sensitive post-therapeutic WBS. Radioiodine ablation is recommended in high-risk patients and in low-r...

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