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В представленных клинических рекомендациях обсуждаются современные подходы к диагностике и лечению дифференцированного рака щитовидной железы у взрослых. Изменения в настоящей редакции Клинических рекомендаций касаются показаний к пункционной биопсии, скринингового определения концентрации кальцитонина, унификации заключений цитологического исследования, новых подходах к послеоперационной динамической стратификации риска рецидива, показаний к супрессивной и заместительной терапии, таргетной терапии йоднегативных форм дифференцированного рака щитовидной железы.
Ключевые слова:
дифференцированный рак щитовидной железы, ДРЩЖ, тонкоигольная аспирационная биопсия, ТАБ, скрининг, кальцитонин, цитология, супрессивная терапия, заместительная терапия, таргетная терапия, радиойод-резистентность, differentiated thyroid cancer, fine-needle aspiration, FNAB, FNA, screening, calcitonin, cytology, suppressive therapy, thyroid replacement therapy, targeted therapy, radioactive iodine-
Литература:
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The Russian clinical practice guidelines for diagnosis and treatment of differentiated thyroid cancer is dedicated to the management of patients with differentiated thyroid cancer. The guideline modifications 2016 include the following matters: indication for fine-needle aspiration biopsy, calcitonin screening, standards for biopsy results, new positions of postoperative risk stratification, indication for suppressive therapy and thyroid replacement therapy, targeted therapy in patients with radioiodine-refractory differentiated thyroid cancer.
Keywords:
дифференцированный рак щитовидной железы, ДРЩЖ, тонкоигольная аспирационная биопсия, ТАБ, скрининг, кальцитонин, цитология, супрессивная терапия, заместительная терапия, таргетная терапия, радиойод-резистентность, differentiated thyroid cancer, fine-needle aspiration, FNAB, FNA, screening, calcitonin, cytology, suppressive therapy, thyroid replacement therapy, targeted therapy, radioactive iodine-