Resumen de Estudio y manejo de nódulos tiroideos por médicos no especialistas. Consenso SOCHED
Hernán Tala, René E. Díaz, José Miguel Domínguez Ruiz-Tagle, Jorge Sapunar, Pedro Pineda, Patricia Arroyo Albala, Marcela Barberán, Patricio CabanéToledo, Francisco Cruz Olivos, Patricio E. Gac, Andrea Glasinovic Pizarro, Hernán E. González, Francisca Grob, Maria Soledad Hidalgo Valle, Rodrigo Jaimovich, Alejandra Lanas, Claudio Liberman, Maite Lobo Guiñez, Arturo Madrid, Marcela Moreno Seguel, Lorena Mosso, Fernando Munizaga, Eugenia Ortiz P, Fernando Osorio Gonnet, Jeannie Slater Morales, Antonieta Solar González, Carlos Stehr, Félix Vásquez Rodríguez, Jesús Véliz, Roberto Villaseca Najarian, Nelson Wohllk
The thyroid nodule is a frequent cause of primary care consultation. The prevalence of a palpable thyroid nodule is approximately 4-7%, increasing up to 67% by the incidental detection of nodules on ultrasound. The vast majority are benign and asymptomatic, staying stable over time. The clinical importance of studying a thyroid nodule is to exclude thyroid cancer, which occurs in 5 to 10% of the nodules. The Board of SOCHED (Chilean Society of Endocrinology and Diabetes) asked the Thyroid Study Group to develop a consensus regarding the diagnostic management of the thyroid nodule in Chile, aimed at non-specialist physicians and adapted to the national reality. To this end, a multidisciplinary group of 31 experts was established among university academics, active researchers with publications on the subject and prominent members of scientific societies of endocrinology, head and neck surgery, pathology and radiology. A total of 14 questions were developed with key aspects for the diagnosis and subsequent referral of patients with thyroid nodules, which were addressed by the participants. In those areas where the evidence was insufficient or the national reality had to be considered, the consensus opinion of the experts was used through the Delphi methodology. The consensus was approved by the SOCHED board for publication.
