Nódulo tiroideo y cáncer diferenciado de tiroides

Autores/as

  • Luis Cimarra
  • Edgardo Berriel

DOI:

https://doi.org/10.31837/relatos/6

Palabras clave:

nódulo tiroideo, epidemiología, diagnóstico, clasificación, tiroides, cáncer diferenciado de tiroides, microcarcinoma, bocio multinodular, tratamiento quirúrgico, tratamiento médico

Resumen

Resulta difícil establecer una definición precisa de nódulo tiroideo (NT) por cuanto éste no constituye una entidad nosológica o anátomo-patológica específica, en la medida en que prácticamente cualquier enfermedad tiroidea puede presentarse bajo forma de uno o mas NT. Asumiendo que la anatomía normal de la glándula tiroides es la de un parénquima homogéneo, puede definirse al nódulo tiroideo como una estructura anatómica “anormal” y focal, de forma habitualmente redondeada u oval, única o múltiple, localizada en la glándula tiroides. La denominación “nódulo tiroideo” es por lo tanto necesariamente una denominación provisoria hasta tanto se logre obtener una confirmación anátomo-patológica definitiva de la naturaleza de la lesión. Mas aún, considerando
la forma en que es diagnosticado habitualmente el NT puede catalogarse al mismo como una suerte de “entidad clínico-imagenológica provisoria” (1,2) La forma de presentación de los NT puede ser muy variada, yendo desde el nódulo único no
palpable descubierto incidentalmente por imagenología o “incidentaloma”, pasando al nódulo único palpable, a los nódulos múltiples no palpables y palpables y finalmente en progresión ascendente en cuanto al número de nódulos a las glándulas tiroideas verdaderamente multinodulares. La afectación extensa y bilateral por nódulos puede configurar o no un diagnóstico de Bocio Multinodular, lo cual dependerá fundamentalmente del volumen glandular total y de la presencia o no de autonomía
de crecimiento en los nódulos(1)

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nódulo tiroideo

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2014-01-01

Cómo citar

Cimarra, L. ., & Berriel, E. (2014). Nódulo tiroideo y cáncer diferenciado de tiroides. Relatos De Los Congresos Uruguayos De Cirugía, 1–120. https://doi.org/10.31837/relatos/6