Diagnosis and management of thyroid cancer in adult patients. Recommendations of Polish Scientific Societies and the National Oncology Strategy, 2026 update
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.
Authors
- Jacek Gawrychowski (ORCID: https://orcid.org/0000-0001-9180-5186)
- Przemysław Mańkowski (ORCID: https://orcid.org/0000-0002-4182-7288)
- Małgorzata Oczko‐Wojciechowska (ORCID: https://orcid.org/0000-0002-8989-0075)
- Leszek Królicki (ORCID: https://orcid.org/0000-0002-7117-9621)
- Ewa Zembala‐Nożyńska (ORCID: https://orcid.org/0000-0002-6045-2995)
- Beata Kos‐Kudła (ORCID: https://orcid.org/0000-0003-3755-1722)
- Barbara Jarząb (ORCID: https://orcid.org/0000-0001-9811-9584)
- Rafał Czepczyński (ORCID: https://orcid.org/0000-0003-0684-1647)
- Ewa Małecka‐Tendera (ORCID: https://orcid.org/0000-0002-2693-7622)
- Janusz Bogdan Dzięcioł (ORCID: https://orcid.org/0000-0002-7193-5693)
- Dariusz Polnik (ORCID: https://orcid.org/0000-0001-5259-6932)
- Agnieszka Zwolak (ORCID: https://orcid.org/0000-0002-2556-4705)
- Alicja Hubalewska‐Dydejczyk (ORCID: https://orcid.org/0000-0001-5208-4689)
- Ewa Chmielik (ORCID: https://orcid.org/0000-0001-8316-0541)
- Agata Stanek‐Widera (ORCID: https://orcid.org/0000-0002-5221-4524)
- Wojciech J. Górecki (ORCID: https://orcid.org/0000-0003-4907-0520)
- Marcin Barczyński (ORCID: https://orcid.org/0000-0001-6062-1851)
- Krzysztof Kaczka (ORCID: https://orcid.org/0000-0002-7241-0979)
- Marek Ruchała (ORCID: https://orcid.org/0000-0002-6296-7220)
- Jarosław Bogdan Ćwikła (ORCID: https://orcid.org/0000-0001-5147-4167)
- Ewa Stobiecka (ORCID: https://orcid.org/0000-0003-4050-8696)
- Agnieszka Kolasińska-Ćwikła
- Katarzyna Dobruch‐Sobczak (ORCID: https://orcid.org/0000-0003-1470-4140)
- Michał Jarząb (ORCID: https://orcid.org/0000-0002-2642-9724)
- Agnieszka Czarniecka (ORCID: https://orcid.org/0000-0003-1249-7205)
- Klaudia Zajkowska (ORCID: https://orcid.org/0000-0003-3929-6112)
- Zbigniew Adamczewski (ORCID: https://orcid.org/0000-0001-8713-6936)
- Marek Dedecjus (ORCID: https://orcid.org/0000-0003-3485-8219)
- Daria Handkiewicz-Junak (ORCID: https://orcid.org/0000-0003-0802-2880)
- Monika Buziak‐Bereza
- Andrzej Kawecki (ORCID: https://orcid.org/0000-0003-4653-6655)
- Michał Kusiński (ORCID: https://orcid.org/0000-0003-2145-0708)
- Aleksandra Kukulska (ORCID: https://orcid.org/0000-0002-4909-9190)
- Andrzej Mróz (ORCID: https://orcid.org/0000-0001-9488-7287)
- Joanna Januszkiewicz-Caulier (ORCID: https://orcid.org/0000-0003-1102-4852)
- Anhelli Syrenicz (ORCID: https://orcid.org/0000-0002-7302-4404)
- Aldona Kowalska (ORCID: https://orcid.org/0000-0001-5647-5898)
- Małgorzata Karbownik‐Lewińska (ORCID: https://orcid.org/0000-0002-3045-5669)
- Anna Skowrońska-Szcześniak (ORCID: https://orcid.org/0000-0003-1059-7421)
- Jerzy Harasymczuk (ORCID: https://orcid.org/0000-0001-8120-220X)
- Jolanta Krajewska (ORCID: https://orcid.org/0000-0003-0479-4998)
- Agata Bałdys‐Waligórska (ORCID: https://orcid.org/0000-0002-5539-6642)
- Ewelina Szczepanek‐Parulska (ORCID: https://orcid.org/0000-0003-3661-3274)
- Elwira Bakuła‐Zalewska (ORCID: https://orcid.org/0000-0003-3001-0421)
- Dariusz Lange (ORCID: https://orcid.org/0000-0001-7088-5439)
- Magdalena Biskup-Frużyńska (ORCID: https://orcid.org/0000-0002-5189-2964)
- Andrzej Tysarowski (ORCID: https://orcid.org/0000-0001-7726-490X)
- Aneta Gawlik (ORCID: https://orcid.org/0000-0002-9309-4741)
- Bartosz Migda (ORCID: https://orcid.org/0000-0001-8308-8121)
- Andrzej Kram (ORCID: https://orcid.org/0000-0003-0621-0204)
- Lech Pomorski (ORCID: https://orcid.org/0000-0003-1221-2708)
- Artur Bossowski
- Barbara Bobek‐Billewicz (ORCID: https://orcid.org/0000-0003-3262-9738)
- Maciej Kołodziej (ORCID: https://orcid.org/0000-0003-1943-264X)
- Marek Niedziela (ORCID: https://orcid.org/0000-0001-8862-6937)
- Małgorzata Haras-Gil
- Arkadiusz Zygmunt (ORCID: https://orcid.org/0000-0003-2941-8868)
- Agnieszka Żyłka (ORCID: https://orcid.org/0000-0001-5271-541X)
- Grzegorz Kamiński (ORCID: https://orcid.org/0000-0002-2357-0634)
- Anna Popławska‐Kita (ORCID: https://orcid.org/0000-0003-2627-4213)
- Anna Taczanowska-Niemczuk (ORCID: https://orcid.org/0009-0009-7280-5557)
- Ewa Płaczkiewicz‐Jankowska
- Tomasz Tomkalski (ORCID: https://orcid.org/0000-0003-2850-7316)
- Aleksander Józef Konturek (ORCID: https://orcid.org/0000-0001-8103-4082)
- Małgorzata Trofimiuk-Müldner (ORCID: https://orcid.org/0000-0001-5247-9760)
Institutions
- Wrocław University of Science and Technology (PL)
- Poznan University of Medical Sciences (PL)
- Medical University of Lublin (PL)
- Jagiellonian University (PL)
- Medical University of Białystok (PL)
- Medical University of Silesia (PL)
- Jan Kochanowski University (PL)
- Medical University of Warsaw (PL)
- Szpital im Tadeusza Marciniaka (PL)
- Children's Memorial Health Institute (PL)
- National Institute of Oncology (HU)
- Medical University of Lodz (PL)
- Ministry of Interior and Administration (PL)
- Akademia Śląska (PL)
- Polish Mother’s Memorial Hospital Research Institute (PL)
- Wojskowy Instytut Medyczny (PL)
- Andrzej Frycz Modrzewski Krakow University (PL)
- The Maria Sklodowska-Curie National Research Institute of Oncology (PL)
- National Medical Institute of the Ministry of Interior and Administration (PL)
- University of Warmia and Mazury in Olsztyn (PL)
- Adam Mickiewicz University in Poznań (PL)
- Pomeranian Medical University (PL)
Publication Details
- Journal
- Endokrynologia Polska
- Published
- 2026-10-28
- DOI
- https://doi.org/10.5603/ep.114300
- Primary Topic
- Thyroid Cancer Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00