EurAsia Group Scientific Meeting | Thyroid Nodules: From Diagnosis to Treatment Strategies, December 12th, 2025 (Online)

On December 12, 2025, EurAsia Group successfully hosted an international online scientific meeting that brought together members and collaborators from different countries to discuss one of the most common and clinically challenging endocrine conditions: thyroid nodules. The meeting was conducted via an online platform, allowing wide international participation and interactive discussion among clinicians, researchers, and trainees with an interest in endocrine surgery, head and neck surgery, radiology, and minimally invasive therapies.

Scientific Focus of the Meeting

The session focused on a comprehensive, evidence-based approach to thyroid nodules, covering the full clinical pathway from detection to long-term follow-up. Key topics included:

• Epidemiology and Risk Stratification: The presentation reviewed the high prevalence of thyroid nodules in the general population, particularly in iodine-sufficient regions, and emphasized the importance of structured risk assessment given the non-negligible risk of malignancy.

• Initial Assessment and Ultrasound Evaluation: A detailed discussion was held on thyroid ultrasound as the cornerstone of evaluation, with particular attention to EU-TIRADS classification and its role in guiding further diagnostic steps.

• Fine-Needle Aspiration Cytology (FNAC): Indications, limitations, and interpretation of FNAC were reviewed, including situations where FNAC may be avoided, such as autonomous hyperfunctioning nodules. The Italian Consensus for the Classification and Reporting of Thyroid Cytology (ICCRTC) was highlighted, with special focus on indeterminate categories such as TIR3A.

• Management of Indeterminate Nodules

• Participants discussed integrated management strategies for low-risk indeterminate nodules, including repeat FNAC, ultrasound surveillance, molecular testing, and selective diagnostic surgery.

• Treatment Options

• The session provided a structured overview of treatment modalities:

  • Active surveillance for small, asymptomatic benign nodules

  • Minimally invasive treatments, including ethanol ablation and thermal ablation techniques

  • Radioiodine therapy for hyperfunctioning nodules

  • Surgical management, with clear indications for lobectomy versus total thyroidectomy

• Thermal Ablation Techniques: Special attention was given to thermal ablation as a minimally invasive alternative to surgery. Techniques such as radiofrequency ablation, laser ablation, microwave ablation, and high-intensity focused ultrasound were discussed, along with patient selection, procedural principles, and follow-up protocols.

• Surgical Complications and Postoperative Care: The meeting addressed common postoperative complications, particularly hypoparathyroidism and recurrent laryngeal nerve injury, and reviewed practical strategies for early diagnosis, treatment, and outpatient follow-up based on current evidence.

• Follow-Up Strategies: Long-term follow-up after minimally invasive treatments and surgery was discussed, including ultrasound surveillance, biochemical monitoring, and risk-adapted follow-up for differentiated and medullary thyroid cancers.

Interactive Discussion and International Perspective

The online format allowed for active discussion, questions, and exchange of experiences across different healthcare systems. This international perspective enriched the session and aligned closely with EurAsia Group’s mission of connecting expertise across regions to improve clinical practice and research.

Access the Presentation

The full presentation used during the meeting is available for download. Click here to download the presentation

About EurAsia Group Meetings

EurAsia Group regularly organizes international scientific meetings and educational activities that bring together clinicians and researchers to discuss current topics in head and neck surgery, clinical research, and evidence-based patient care. These meetings aim to foster collaboration, standardize practice, and promote high-quality research across regions.