Bocio y enfermedad nodular

  1. Tasende Fernández, C. 1
  2. Rodríguez Troyano, M.J. 1
  3. Lallena Pérez, S. 1
  4. Álvarez Hernández, J. 1
  1. 1 Sección de Endocrinología y Nutrición, Hospital Universitario Principe de Asturias, Universidad de Alcala, Alcalá de Henares, Madrid, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2020

Título del ejemplar: Enfermedades endocrinológicas y metabólicas (I)Patología tiroidea

Serie: 13

Número: 13

Páginas: 709-717

Tipo: Artículo

DOI: 10.1016/J.MED.2020.07.001 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

El bocio y la enfermedad nodular tiroidea son enfermedades generalmente benignas, con una alta prevalencia en la población general. Su mecanismo de desarrollo es desconocido, aunque parecen implicados distintos factores de tipo genético, demográfico (déficit de yodo) y ambiental. El objetivo de la valoración clínica en estos pacientes es principalmente excluir el cáncer de tiroides y, en segundo lugar, valorar la función tiroidea y si existe clínica compresiva por afectación de estructuras anatómicas vecinas. En la evaluación de estas patologías, se realizará una historia clínica y una exploración física detalladas. Para valorar su funcionalidad, se debe solicitar como prueba de laboratorio la TSH y como prueba de imagen, fundamentalmente, la ecografía tiroidea que nos dará la información necesaria para valorar la necesidad de realizar un estudio citológico. Los estudios moleculares pueden estar indicados en pacientes seleccionados. Dependiendo de las características clínicas y ecográficas y/o del resultado citológico, se estratifica a los pacientes en función de su riesgo de malignidad y la mejor opción terapéutica que va desde la observación periódica al manejo quirúrgico.

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Fuente de los datos: Dialnet