All Title Author
Keywords Abstract

Publish in OALib Journal
ISSN: 2333-9721
APC: Only $99


Physicians’ Practices toward Thyroid Nodules: Experience of the City of Casablanca, Morocco

DOI: 10.4236/oalib.1110143, PP. 1-10

Subject Areas: Oncology, Global Health, Public Health

Keywords: Physician’s Practice, Thyroid Nodule Management, Survey, Questionnaire

Full-Text   Cite this paper   Add to My Lib


Thyroid nodules (TN) are very frequent, with up to 8% of adults having palpable nodules and by using ultrasound we can detect up to 10 times more nodules (Yeung & Serpell, 2008) [1]. In the absence of any guidelines for thyroid nodule management in Morocco, our study aims to describe physicians’ practices in the Greater Casablanca Region regarding thyroid nodules. We conducted a descriptive cross-sectional study using a questionnaire issued to doctors who practice in the Greater Casablanca Region in both sectors public and private. Results show that half of the participants do a general exam for all patients and 72% of them include a routine palpation of thyroid. When they found a thyroid nodule, 97% and 99% demanded ultrasonography and TSH measure respectively. Furthermore, thirty percent refer patients for management regardless of the EU-TIRADS score. In brief, the management of thyroid nodules in Morocco needs a guideline based on the latest research advances and international guidelines, to improve diagnosis and management of thyroid nodules and avoid overdiagnosis and overtreatment.

Cite this paper

Tabiti, H. , Guensi, A. and Bendahhou, K. (2023). Physicians’ Practices toward Thyroid Nodules: Experience of the City of Casablanca, Morocco. Open Access Library Journal, 10, e143. doi:


[1]  Yeung, M.J. and Serpell, J.W. (2008) Management of the Solitary Thyroid Nodule. The Oncologist, 13, 105-112.
[2]  Cooper, D.S., Doherty, G.M., Haugen, B.R., Kloos, R.T., Lee, S.L., Mandel, S.J., et al. (2006) Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Taskforce. Thyroid, 16, 109-142.
[3]  Durante, C., Grani, G., Lamartina, L., Filetti, S., Mandel, S.J. and Cooper, D.S. (2018) The Diagnosis and Management of Thyroid Nodules?: A Review. JAMA, 319, 914-924.
[4]  Haugen, B.R., Alexander, E.K., Bible, K.C., Doherty, G.M., Mandel, S.J., Nikiforov, Y.E., et al. (2006) 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 26, 1-133.
[5]  Dean, D.S. and Gharib, H. (2008) Epidemiology of Thyroid Nodules. Best Practice & Research Clinical Endocrinology & Metabolism, 22, 901-911.
[6]  Brito, J.P., Gionfriddo, M.R., Al Nofal, A., Boehmer, K.R., Leppin, A.L., Reading, C., et al. (2014) The Accuracy of Thyroid Nodule Ultrasound to Predict Thyroid Cancer: Systematic Review and Meta-Analysis. The Journal of Clinical Endocrinology & Metabolism, 99, 1253-1263.
[7]  Elsevier Health Sciences (2019) Maladie C des enseignants d’endocrinologie diabète et. Endocrinologie, diabétologie et maladies métaboliques: Réussir les ECNi. 577 p.
[8]  Schneider, D.F. and Chen, H. (2013) New Developments in the Diagnosis and Treatment of Thyroid Cancer: New Developments in Thyroid Cancer. CA: A Cancer Journal for Clinicians, 63, 373-394.
[9]  Nguyen, Q.T., Lee, E.J., Huang, M.G., Park, Y.I., Khullar, A. and Plodkowski, R.A. (2015) Diagnosis and Treatment of Patients with Thyroid Cancer. American Health & Drug Benefits, 8, 30-40.
[10]  Paajanen, I., Metso, S., Jaatinen, P. and Kholová, I. (2018) Thyroid FNA Diagnostics in a Real-Life Setting: Experiences of the Implementation of the Bethesda System in Finland. Cytopathology, 29, 189-195.
[11]  Campennì, A., Barbaro, D., Guzzo, M., Capoccetti, F. and Giovanella, L. (2020) Personalized Management of Differentiated Thyroid Cancer in Real Life—Practical Guidance from a Multidisciplinary Panel of Experts. Endocrine, 70, 280-291.
[12]  Registre des Cancers de la Region du Grand Casablanca 2013-2017.
[13]  Ahn, H.S., Kim, H.J. and Welch, H.G. (2014) Korea’s Thyroid-Cancer “Epidemic”—Screening and Overdiagnosis. The New England Journal of Medicine, 371, 1765-1767.
[14]  Davies, L., Morris, L.G.T., Haymart, M., Chen, A.Y., Goldenberg, D., Morris, J., et al. (2015) American Association of Clinical Endocrinologists and American College of Endocrinology Disease State Clinical Review: The Increasing Incidence of Thyroid Cancer. Endocrine Practice: Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 21, 686-696.
[15]  Gharib, H. and Papini, E. (2007) Thyroid Nodules: Clinical Importance, Assessment, and Treatment. Endocrinology and Metabolism Clinics of North America, 36, 707-735.
[16]  Miki, H., Inoue, H., Komaki, K., Uyama, T., Morimoto, T. and Monden, Y. (1998) Value of Mass Screening for Thyroid Cancer. World Journal of Surgery, 22, 99-102.
[17]  Bennedbæk, F.N. and Hegedüs, L. (2000) Management of the Solitary Thyroid Nodule: Results of a North American Survey. The Journal of Clinical Endocrinology & Metabolism, 85, 2493-2498.
[18]  Bonnema, S.J., Bennedbæk, F.N., Wiersinga, W.M. and Hegedüs, L. (2000) Management of the Nontoxic Multinodular Goitre: A European Questionnaire Study. Clinical Endocrinology (Oxford), 53, 5-12.
[19]  Burch, H.B., Burman, K.D., Cooper, D.S., Hennessey, J.V. and Vietor, N.O. (2016) A 2015 Survey of Clinical Practice Patterns in the Management of Thyroid Nodules. The Journal of Clinical Endocrinology & Metabolism, 101, 2853-2862.
[20]  Führer, D., Mügge, C. and Paschke, R. (2005) Questionnaire on Management of Nodular Thyroid Disease (Annual Meeting of the Thyroid Section of the German Society of Endocrinology 2003). Experimental and Clinical Endocrinology & Diabetes, 113, 152-159.
[21]  Bomeli, S.R., LeBeau, S.O. and Ferris, R.L. (2010) Evaluation of a Thyroid Nodule. Otolaryngologic Clinics of North America, 43, 229-238.
[22]  Bennedbæk, F.N., Perrild, H. and Hegedüs, L. (1999) Diagnosis and Treatment of the Solitary Thyroid Nodule. Results of a European Survey. Clinical Endocrinology, 50, 357-363.
[23]  Popoveniuc, G. and Jonklaas, J. (2012) Thyroid Nodules. Medical Clinics of North America, 96, 329-349.
[24]  Welker, M.J. and Orlov, D. (2003) Thyroid Nodules. American Family Physician, 67, 559-566.
[25]  Sakorafas, G.H. (2010) Thyroid Nodules; Interpretation and Importance of Fine-Needle Aspiration (FNA) for the Clinician—Practical Considerations. Surgical Oncology, 19, e130-e139.
[26]  Davies, L., Ouellette, M., Hunter, M. and Welch, H.G. (2010) The Increasing Incidence of Small Thyroid Cancers: Where Are the Cases Coming from? The Laryngoscope, 120, 2446-2451.
[27]  Vaccarella, S., Franceschi, S., Bray, F., Wild, C.P., Plummer, M. and Maso, L.D. (2016) Worldwide Thyroid-Cancer Epidemic? The Increasing Impact of Overdiagnosis. The New England Journal of Medicine , 375, 614-617.


comments powered by Disqus

Contact Us


WhatsApp +8615387084133

WeChat 1538708413