{"id":2400,"date":"2012-01-11T19:18:34","date_gmt":"2012-01-11T19:18:34","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/endtn\/"},"modified":"2025-05-13T20:28:24","modified_gmt":"2025-05-13T20:28:24","slug":"endtn","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/endtn\/","title":{"rendered":"Gu\u00eda de Manejo para Pacientes con N\u00f3dulos Tiroideos"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"hps\">Seg\u00fan la definici\u00f3n de<\/span>\u00a0<span class=\"hps\">grupo de trabajo<\/span>\u00a0<span class=\"hps\">de la American Thyroid Association<\/span>\u00a0<span class=\"hps\">en<\/span>\u00a0<span class=\"hps\">el manejo<\/span>\u00a0<span class=\"hps\">de los n\u00f3dulos tiroideos<\/span>\u00a0<span class=\"hps\">y<\/span>\u00a0<span class=\"hps\">c\u00e1ncer diferenciado de tiroides<\/span>,\u00a0<span class=\"hps\">un n\u00f3dulo tiroideo<\/span>\u00a0<span class=\"hps\">es<\/span>\u00a0<span class=\"hps\">una\u00a0<\/span><span class=\"hps\">lesi\u00f3n\u00a0<\/span><span class=\"hps\">discreta\u00a0<\/span><span class=\"hps\">en<\/span>\u00a0<span class=\"hps\">la gl\u00e1ndula tiroides que<\/span>\u00a0<span class=\"hps\">es<\/span>\u00a0<span class=\"hps\">radiol\u00f3gicamente<\/span>\u00a0<span class=\"hps\">distinto del<\/span>\u00a0<span class=\"hps\">par\u00e9nquima tiroideo <\/span><span class=\"hps\">circundante.<\/span><br \/>\n<!--more--><br \/>\nTodos los pacientes con n\u00f3dulos tiroideos conocidos o sospechosos deben someterse a dosajes de niveles de tirotrofina, tambi\u00e9n conocida como \u00bbhormona estimulante de tiroides\u00bb (TSH). El riesgo de malignidad en un n\u00f3dulo de tiroides ha demostrado ser significativamente mayor en pacientes con TSH elevada. Los pacientes con n\u00f3dulos e hipotiroidismo concomitantes tienen un odds ratio ajustado de c\u00e1ncer en m\u00e1s de 11.<\/p>\n<p>La decisi\u00f3n de remitir para evaluaci\u00f3n quir\u00fargica depende, en gran medida, de la interpretaci\u00f3n de la aspiraci\u00f3n con aguja fina (AAF). Los informes de la citolog\u00eda de AAF var\u00eda entre las instituciones y depende del entrenamiento y del sistema de clasificaci\u00f3n utilizado por el citopat\u00f3logo. Aunque la nomenclatura puede variar ligeramente, en general, los citopat\u00f3logos encuadran su diagn\u00f3stico en una de las siguientes categor\u00edas: no diagn\u00f3stica o inadecuada, benigna, lesi\u00f3n folicular celular, neoplasia folicular, sospechoso de malignidad o malignos.<\/p>\n<figure id=\"attachment_6697\" aria-describedby=\"caption-attachment-6697\" style=\"width: 960px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/thyroid_nodule_es.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6697 size-full\" src=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/thyroid_nodule_es.jpg\" alt=\"Gu\u00eda de Manejo para Pacientes con N\u00f3dulos Tiroideos\" width=\"960\" height=\"720\" srcset=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/thyroid_nodule_es.jpg 960w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/thyroid_nodule_es-300x225.jpg 300w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/thyroid_nodule_es-768x576.jpg 768w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/thyroid_nodule_es-400x300.jpg 400w\" sizes=\"auto, (max-width: 960px) 100vw, 960px\" \/><\/a><figcaption id=\"caption-attachment-6697\" class=\"wp-caption-text\">Gu\u00eda de Manejo para Pacientes con N\u00f3dulos Tiroideos<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Miller MC. The patient with a thyroid nodule. Med Clin North Am. 2010 Sep;94(5):1003-15. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20736109\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, Mandel SJ, Mazzaferri EL, McIver B, Pacini F, Schlumberger M, Sherman SI, Steward DL, Tuttle RM. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2009 Nov;19(11):1167-214. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19860577\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Ene 11, 2012.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Seg\u00fan la definici\u00f3n de\u00a0grupo de trabajo\u00a0de la American Thyroid Association\u00a0en\u00a0el manejo\u00a0de los n\u00f3dulos tiroideos\u00a0y\u00a0c\u00e1ncer diferenciado de tiroides,\u00a0un n\u00f3dulo tiroideo\u00a0es\u00a0una\u00a0lesi\u00f3n\u00a0discreta\u00a0en\u00a0la gl\u00e1ndula tiroides que\u00a0es\u00a0radiol\u00f3gicamente\u00a0distinto del\u00a0par\u00e9nquima tiroideo circundante.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[153],"tags":[273,274,259,260,1122,512,990,973,511,1123],"class_list":["post-2400","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-guia","tag-guidelines","tag-management","tag-manejo","tag-nodules","tag-nodulos","tag-pacientes","tag-patients","tag-thyroid","tag-tiroideos"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2400","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2400"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2400\/revisions"}],"predecessor-version":[{"id":8942,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2400\/revisions\/8942"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2400"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2400"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2400"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}