Diagnosis and management of thyroid cancer in adult patients. Recommendations of Polish Scientific Societies and the National Oncology Strategy, 2026 update.

Authors

Barbara Jarząb, Daria Handkiewicz-Junak, Marek Dedecjus, Zbigniew Adamczewski, Elwira Bakuła-Zalewska, Agata Bałdys-Waligórska, Marcin Barczyński, Magdalena Biskup-Frużyńska, Barbara Bobek-Billewicz, Artur Bossowski, Monika Buziak-Bereza, Ewa Chmielik, Jarosław Ćwikła, Agnieszka Czarniecka, Rafał Czepczyński, Katarzyna Dobruch-Sobczak, Janusz Dzięcioł, Aneta Gawlik-Starzyk, Jacek Gawrychowski, Wojciech Górecki, Małgorzata Haras-Gil, Jerzy Harasymczuk, Alicja Hubalewska-Dydejczyk, Joanna Januszkiewicz-Caulier, Michał Jarząb, Krzysztof Kaczka, Grzegorz Kamiński, Małgorzata Karbownik-Lewińska, Andrzej Kawecki, Agnieszka Kolasińska-Ćwikła, Maciej Kołodziej, Aleksander Konturek, Beata Kos-Kudła, Aldona Kowalska, Jolanta Krajewska, Andrzej Kram, Leszek Królicki, Aleksandra Kukulska, Michał Kusiński, Dariusz Lange, Ewa Małecka-Tendera, Przemysław Mańkowski, Bartosz Migda, Andrzej Mróz, Marek Niedziela, Małgorzata Oczko-Wojciechowska, Ewa Płaczkiewicz-Jankowska, Dariusz Polnik, Lech Pomorski, Anna Popławska-Kita, Marek Ruchała, Anna Skowrońska-Szcześniak, Agata Stanek-Widera, Ewa Stobiecka, Anhelli Syrenicz, Ewelina Szczepanek-Parulska, Anna Taczanowska-Niemczuk, Tomasz Tomkalski, Małgorzata Trofimiuk-Müldner, Andrzej Tysarowski, Klaudia Zajkowska, Ewa Zembala-Nożyńska, Agnieszka Zwolak, Arkadiusz Zygmunt, Agnieszka Żyłka

Published in

Endokrynologia Polska. Volume 77. Issue 5. Pages 401-472.

Abstract

The current update of the "Recommendations for the Management of Thyroid Cancer in Adult Patients" is based on a critical appraisalof whether the recommendations published in 2022 by the Polish Scientific Societies and the National Oncology Strategy remain valid,and which statements require modification or updating in light of the American Thyroid Association (ATA) Guidelines published in 2025. We have also taken into account the most recent National Comprehensive Cancer Network (NCCN) recommendations, as well as guidelines from other international and European scientific societies addressing thyroid cancer, adapting them to the specific epidemiologicaland legal conditions in Poland. We decided that the current Recommendations would not include management of medullary thyroid cancer, as, in our opinion, the Polish Guidelines published in 2022 and 2024 remain up to date. The Recommendations are divided into two sections: "General Principles" and "Clinical Management". The "General Principles" sectionoutlines the key principles of thyroid cancer management, whereas the "Clinical Management" section specifies these principlesaccording to the risk of recurrence, incorporating the well-established and highly accurate ATA 2025 risk stratification system. Thus,the reader will find specific management recommendations depending on whether the patient has low-risk or high-risk thyroid cancer. The "Clinical Management" section includes a dedicated subsection outlining the recommended clinical approach to thyroid noduleswith indeterminate cytology. In these Recommendations, the management of anaplastic thyroid carcinoma and thyroid lymphomas is addressed in a separate subsection. In addition, brief information on other rare histological subtypes of thyroid cancer is also provided.

PMID:
42949009
Bibliographic data and abstract were imported from PubMed on 28 Oct 2026.

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