ijt.2016.9.2.59 2016년 대한갑상선학회 ... - thyroid.kr

1 59 SPECIALCONTRI BUTI ONpISSN: 2384-3799 eISSN: 2466-1899 Int J Thyroidol 2016 November 9(2): 59-126 : Ka Hee Yi, MD, PhD, Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, 20 Boramaero 5-gil, Dongjakgu, Seoul 07061, KoreaTel: 82-2-870-3864, Fax: 82-2-870-3866, E-mail: , , , , , .Copyright 2016 , the Korean thyroid Association. All rights reserved.

2 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly 1, 2, 16, 3, 4, 8, 5, 6, 14, 7, 9, 17, 10, 11, 12, 13, 15, 18, 19 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12.

3 13, 14, 15, 16, 17, 18, 5, 192016 Revised Korean thyroid Association management guidelines for Patients with thyroid Nodules and thyroid CancerKa Hee Yi1, Eun Kyung Lee2, Ho-Cheol Kang3, Yunwoo Koh4, Sun Wook Kim5, In Joo Kim6, Dong Gyu Na7, Kee-Hyun Nam8, So Yeon Park9, Jin Woo Park10, Sang Kyun Bae11, Seung-Kuk Baek12, Jung Hwan Baek13, Byung-Joo Lee14, Ki-Wook Chung15, Yuh-Seog Jung16, Gi Jeong Cheon17, Won Bae Kim18, Jae Hoon Chung5 and Young-Soo Rho19 Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center1, Departments of Internal Medicine2 and Otorhinolaryngology16, Center for thyroid Cancer, National Cancer Center, Department of Internal Medicine, Chonnam National University Medical School3, Departments of Otorhinolaryngology4 and Surgery8, College of Medicine, Yonsei University, Department of Medicine.

4 thyroid Center, Samsung Medical Center, Sungkyunkwan University School of Medicine5, Departments of Internal Medicine6, and Otorhinolaryngology14, College of Medicine, Pusan National University, Department of Radiology, Human Medical Imaging and Intervention Center7, Departments of Pathology9 and Nuclear Medicine17, Seoul National University College of Medicine, Department of Surgery, College of Medicine, Chungbuk National University10, Department of Nuclear Medicine, Inje University College of Medicine11, Department of Otorhinolaryngology, College of Medicine, Korea University12, Departments of Radiology13, Surgery15 and Internal Medicine18, University of Ulsan College of Medicine, Department of Otorhinolaryngology, Hallym University College of Medicine19, Korea , (7-15%).

5 2000 , . , . 2007 Ka Hee Yi, et alVol. 9, No. 2, 201660 Table 1. 1 : 2 : , 3 : (expert opinion) 4.

6 , , , 1) , 2010 2010 2) . 10.

7 3,4) , ,5) (American thyroid Association, ATA) .6) 7) . , 2015 ,6) 2016 AACE/ACE/AME (American Association of Clinical Endo-crinologists/Association of Clinical Endocrinology/Associa-zione Medici Endocrinologi)8) , , , , , , , 2016 .

8 1) , 2) , 3) , Table 1 . 1) , 2) 1 cm (fine needle aspiration cytology; FNAC) (active surveillance) , 3) . 2016 Revised Korean thyroid Association management guidelines for Patients with thyroid Nodules and thyroid Cancer61 Int J Thyroidol.

9 ,9) ..10) 1 cm .. 4 1) ; 2) ; 3) , . 5-10% 2 ,11) 12,13) 14) .. (PTEN hamartoma tumor syndrome [Cowden s disease], familial adenomatous polyposis [FAP], Carney complex, Werner syndrome/ progeria) ( ).

10 15) (Fig. 1). , ,16) , 14 ,17) (PTEN hamartoma tumor syndrome [Cowden s disease], FAP, Carney complex, Werner syndrome/progeria, MEN 2 ) , . , , . 1) ( thyroid stimulating hormone; TSH) TSH.