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. According to current guidelines, preoperative treatment of (refractory) hyperthyroidism consists of the administration of a thionamide (e.g., methimazole), beta-blocker, glucocorticoid, and an iodine-containing preparation [ 1 ]. These treatment protocols
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). However, as thyrotoxicosis did not respond quickly to 0.5 mg/kg/day prednisone, an antithyroid treatment was added, as proposed by the European Thyroid Association (ETA) guidelines ( 2 ). Van den Bruel et al. proposed that the high thyroid radiologic
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presence of incidental MTC in all three cases is important for follow-up planning and scheduling but is not an indication for further surgery. Recent guidelines could not reach a consensus regarding serum calcitonin measurements for every patient with
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[ 19 - 21 ]. In contrast with current guidelines, a significant minority (more than a third) of endocrinologists would consider LT4 treatment in euthyroid female patients with infertility associated with chronic autoimmune thyroiditis
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accepted only for the screening of familial MTC. In particular, the European Consensus recommended it, whereas the American Thyroid Association guidelines do not recommend either for or against it [ 6 , 7 ]. Moreover, the recent American
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. References 1 Cooper DS , Doherty GM , Haugen BR , Kloos RT , Lee SL , Mandel SJ , . American Thyroid Association Guidelines Taskforce. Management guidelines for patients with thyroid nodules and differentiated thyroid cancer . Thyroid
Department of Pathology, General University Hospital of Ciudad Real, Ciudad Real, Spain
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Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, Málaga, Spain
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The Biomedical Research Institute of Malaga and Platform in Nanomedicine (IBIMA-BIONAND Platform), University of Malaga, Malaga, Spain
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The Biomedical Research Institute of Malaga and Platform in Nanomedicine (IBIMA-BIONAND Platform), University of Malaga, Malaga, Spain
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Department of Pathology, Virgen de la Victoria University Hospital, Málaga, Spain
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Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, Málaga, Spain
The Biomedical Research Institute of Malaga and Platform in Nanomedicine (IBIMA-BIONAND Platform), University of Malaga, Malaga, Spain
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influenced by guidelines published by international scientific societies, including those from 2006 ( 14 , 15 , 16 ), 2009/2010 ( 17 , 18 ), and 2015/2016 ( 3 , 4 ) . The year 2009 was a turning point due to the standardization of ultrasound risk
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thyroglobulin (Tg) measurement and diagnostic radioiodine whole body scan (WBS). According to several guidelines [ 1 , 2 ] the recommendations for remnant thyroid ablation are modulated on the basis of risk factors. RAI ablation is indicated in high
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considered. This therapy is included in the guidelines [ 2 ] and is often recommended by clinicians even when TSH is <10 mIU/l and in the absence of circulating TPOAb or goiter. Finally, the recommendation of annual follow-up after the second year in
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into a regular set of ETA guidelines [ 4 ]. The presentation is systematic and easily understandable, and it is a much welcomed contribution in this difficult field of clinical medicine. Unfortunately, even with these guidelines in hand, response to
