SFE-AFCE-SFMN 2022 Consensus on the management of thyroid nodules : What is the role of functional imaging and isotopic treatment?

Ann Endocrinol (Paris). 2022 Dec;83(6):401-406. doi: 10.1016/j.ando.2022.10.008. Epub 2022 Oct 21.

Abstract

The SFE-AFCE-SFMN 2022 consensus deals with the management of thyroid nodules, a condition that is a frequent reason for consultation in endocrinology. In more than 90% of cases, patients are euthyroid, with benign non-progressive nodules that do not warrant specific treatment. The clinician's objective is to detect malignant thyroid nodules at risk of recurrence and death, toxic nodules responsible for hyperthyroidism or compressive nodules warranting treatment. The diagnosis and treatment of thyroid nodules requires close collaboration between endocrinologists, nuclear medicine physicians and surgeons, but also involves other specialists. Therefore, this consensus statement was established jointly by 3 societies: the French Society of Endocrinology (SFE), French Association of Endocrine Surgery (AFCE) and French Society of Nuclear Medicine (SFMN); the various working groups included experts from other specialties (pathologists, radiologists, pediatricians, biologists, etc.). This section deals with the role of thyroid scintigraphy in the diagnosis of autonomous thyroid nodules, nuclear medicine in nodules with indeterminate cytology and iodine treatment for autonomous thyroid nodules.

Keywords: (18)FDG-PET; (99m)Tc-MIBI scintigraphy; Consensus statement; Radioactive iodine therapy; Thyroid nodule; Thyroid scintigraphy.

Publication types

  • Practice Guideline

MeSH terms

  • Cytodiagnosis
  • Humans
  • Nuclear Medicine*
  • Radionuclide Imaging
  • Technetium Tc 99m Sestamibi
  • Thyroid Neoplasms* / pathology
  • Thyroid Nodule* / diagnostic imaging
  • Thyroid Nodule* / therapy

Substances

  • Technetium Tc 99m Sestamibi