<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572020000200013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Necesidad de un sistema ecográfico de estratificación del riesgo de malignidad en lesiones nodulares del tiroides]]></article-title>
<article-title xml:lang="en"><![CDATA[Need for an ultrasound system to stratify the risk of malignancy in nodular thyroid lesions]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Tabares]]></surname>
<given-names><![CDATA[Rubén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz de Armas]]></surname>
<given-names><![CDATA[María del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Cedeño]]></surname>
<given-names><![CDATA[Olayma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar "Dr. Mario Muñoz Monroy"  ]]></institution>
<addr-line><![CDATA[Matanzas ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>49</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572020000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572020000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572020000200013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El nódulo de tiroides es un frecuente problema de salud, que se ha incrementado con la mayor disponibilidad de ultrasonido diagnóstico en la atención primaria. Un adecuado sistema de estratificación del riesgo de malignidad permitiría disminuir la sobrecarga de los sistemas sanitarios, sobre todo en el contexto cubano. Se realizó una revisión en las bases Cumed, Lilacs, PubMed/MEDLINE, Web of Science y Scopus, con los descriptores: nódulo tiroideo, ultrasonografía y guía de práctica clínica como asunto; en español e inglés. Se seleccionaron las guías terapéuticas publicadas en los últimos 10 años, que aportaran un sistema de estratificación de riesgo de malignidad de los nódulos de tiroides por ultrasonido.  Objetivos:  Identificar los sistemas de estratificación del riesgo de malignidad de las lesiones nodulares del tiroides, a partir del examen ecográfico; reconocer sus coincidencias, divergencias y valorar su implementación en el contexto cubano.  Desarrollo:  Todos los sistemas reconocen las mismas características ecográficas de riesgo: nódulos sólidos hipo ecoicos, márgenes irregulares o espiculados, forma más alta que ancha (diámetro anteroposterior mayor que el transverso) y la presencia de micro calcificaciones; aunque ninguna de ellas por sí sola es patognomónica de cáncer de tiroides. Sin embargo, utilizan nomenclaturas y número de estadios diferentes y lo más importante, la decisión de realizar o no biopsia con aguja fina difiere en dependencia de cuál se use.  Conclusiones:  Se impone aplicar en Cuba alguno de estos sistemas de forma extendida y mejor aún, generar uno propio, basado en pacientes cubanos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The thyroid nodule is a frequent health problem, which has increased with the increased availability of diagnostic ultrasound in primary care. An adequate system of stratification of the risk of malignancy would reduce the overload of health systems, especially in the Cuban context. A review was carried out in the Cumed, Lilacs, PubMed / MEDLINE, Web of Science and Scopus bases, with the descriptors: thyroid nodule, ultrasonography and clinical practice guideline as subject; In Spanish and English. The therapeutic guidelines published in the last 10 years were selected, which would provide a stratification system of risk of malignancy of the thyroid nodules by ultrasound.  Objectives:  To identify the stratification systems of the risk of malignancy of nodular thyroid lesions, based on the ultrasound examination; recognize their coincidences, divergences and value their implementation in the Cuban context.  Development:  All systems recognize the same ultrasound risk characteristics: hypo-echoic solid nodules, irregular or spiculated margins, taller than wide (anteroposterior diameter greater than transverse) and the presence of micro calcifications; although none of them alone is pathognomonic for thyroid cancer. However, they use different nomenclatures and number of stages and most importantly, the decision to perform or not a fine needle biopsy differs depending on which one is used.  Conclusions:  It is necessary to apply in Cuba some of these systems in an extended way and even better, generate your own, based on Cuban patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[nódulo tiroideo]]></kwd>
<kwd lng="es"><![CDATA[ultrasonografía]]></kwd>
<kwd lng="es"><![CDATA[biopsia con aguja fina]]></kwd>
<kwd lng="en"><![CDATA[thyroid nodule]]></kwd>
<kwd lng="en"><![CDATA[ultrasonography]]></kwd>
<kwd lng="en"><![CDATA[fine needle biopsy]]></kwd>
</kwd-group>
</article-meta>
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