AACE Highlights Guidelines for Diagnosis and Management of Thyroid Nodules in Conjunction with Thyroid Awareness Month

Publish Date:

Tuesday, January 24, 2012 3:00 am EST


JACKSONVILLE, Fla.-- In recognition of January as Thyroid Awareness Month, theAmerican Association of Clinical Endocrinologists are highlighting recently publishedGuidelines for Diagnosis and Management of Thyroid Nodules. The guidelines were issued jointly in 2010 by three of the world’s most respected medical associations for the treatment of thyroid disease: the American Association of Clinical Endocrinologists (AACE), the Associazione Medici Endocrinologi (AME) and the European Thyroid Association (ETA). The Thyroid Nodules guidelines are available free online
“These updated guidelines represent a complete overhaul and revision of the previous guidelines issued by AACE-AME in 2006, with weighted, evidence-based medicine assignment,” said Daniel S. Duick, MD, FACP, FACE, Past President of AACE and President of the American College of Endocrinology. “It is the most authoritative and comprehensive document published to date on the management of thyroid nodules.”

The new guidelines emphasize ultrasonography (US) as a central component in the diagnosis of thyroid nodule and in the indication and execution of Fine-Needle Aspiration Biopsy (FNA) and recommend its use widespread use for FNA assistance and guidance.

The new guidelines also propose the adoption of a five-class system for cytologic reporting and interpretation (Class 1 Nondiagnostic; Class 2 Benign; Class 3 Follicular lesions; Class 4 Suspicious; Class 5 Malignant) and update information on roles of laboratory evaluation and radionuclide scanning. 
Additionally, Levothyroxine therapy is not recommended for the management of thyroid nodules in most patients. The guidelines also recognize other interventional ultrasound-guided procedures for the management of thyroid nodules such as Percutaneous Ethanol Injection in cystic nodules, or future perspective options such as laser and other thermal ablation techniques in patients who have pressure symptoms and either decline surgery or are at surgical risk.

“These guidelines provide teaching tools for endocrinologists, as they review standards for laboratory measurements and radioiodine treatment, as well as extensively describe how to conduct a US diagnostic examination and US-guided procedures,” said Yehuda Handelsman, MD, FACP, FACE, FNLA, and President of theAmerican Association of Clinical Endocrinologists. “Further, the guidelines include illustrations on a diagnostic algorithm for the thyroid nodule, a figure correlating FNA indication with US findings, and several tables summarizing practical recommendations for the diagnosis and management of thyroid nodules.”
The creation of these guidelines is unique, as it represents the consensus between three major endocrinology-focused associations on the diagnosis and treatment of thyroid nodules. To view a copy of the updated guidelines for the diagnosis and management of thyroid nodules, click here
Providing physicians and patients with the greatest access to the best care and education on thyroid disease is a core mission for AACE. This is the 18th consecutive year AACE has sponsored January as Thyroid Awareness Month, helping to raise awareness about early detection and proper treatment of thyroid disease. More information regarding thyroid awareness is available at www.ThyroidAwareness.com
The American Association of Clinical Endocrinologists (AACE)

The American Association of Clinical Endocrinologists (AACE) represents more than 6,500 endocrinologists in the United States and abroad. AACE is the largest association of clinical endocrinologists in the world. The majority of AACE members are certified in Endocrinology and Metabolism and concentrate on the treatment of patients with endocrine and metabolic disorders including diabetes, thyroid disorders, osteoporosis, growth hormone deficiency, cholesterol disorders, hypertension and obesity. For more information about AACE, visit the AACE website at www.aace.com, become a fan on Facebook at www.facebook.com/theaace or follow AACE on Twitter at www.twitter.com/theaace.