European Thyroid Journal

European Thyroid Journal The official journal of the European Thyroid Association, publishing basic, translational and clinical thyroidology.

The European Thyroid Journal publishes papers reporting original research in basic, translational and clinical thyroidology. Original contributions cover all aspects of the field, from molecular and cellular biology to immunology and biochemistry, from physiology to pathology, and from pediatric to adult thyroid diseases with a special focus on thyroid cancer. Readers also benefit from reviews by

noted experts, which highlight especially active areas of current research. The journal will further publish formal guidelines in the field, produced and endorsed by the European Thyroid Association.

A new systematic review by Natasha Dowell et al. evaluates the diagnostic accuracy of the Afirma GSC and ThyroSeq v3 mol...
05/01/2026

A new systematic review by Natasha Dowell et al. evaluates the diagnostic accuracy of the Afirma GSC and ThyroSeq v3 molecular tests for detecting thyroid carcinoma in patients with cytologically indeterminate thyroid nodules.

The review provides a broader analysis than previous work by assessing surgically confirmed and unconfirmed cases separately and incorporating the latest published literature. The results demonstrate the value of both tests in ruling out malignancy and reducing unnecessary surgeries, supporting their use as effective tools for managing indeterminate thyroid nodules. However, with both tests showing low specificity, they remain limited in their ability to reliably rule in malignancy.

The review highlights the need for randomised controlled trials, long‑term follow‑up of unoperated nodules, and direct head‑to‑head comparisons to strengthen the evidence that guides clinical decision‑making.

Read the full article: doi.org/10.1530/ETJ-25-0296

✨ As 2025 draws to a close, we want to thank our global community for supporting the European Thyroid Journal and for ad...
31/12/2025

✨ As 2025 draws to a close, we want to thank our global community for supporting the European Thyroid Journal and for advancing thyroidology and patient care.

We’ve had the pleasure of publishing many innovative articles spanning basic, translational, and clinical thyroidology, across paediatric and adult thyroid diseases.

🥂 We wish you a very Happy New Year and look forward to what’s next for the field of thyroidology in 2026!

A new review by Luigi Bartalena et al. compares the European Group on Graves’ orbitopathy (EUGOGO) 2021 guidelines and t...
22/12/2025

A new review by Luigi Bartalena et al. compares the European Group on Graves’ orbitopathy (EUGOGO) 2021 guidelines and the American and European Thyroid Associations’ (ATA/ETA) 2022 consensus statement on the management of Graves’ orbitopathy (GO).

They found strong concordance on classification, assessment, prevention, and treatment of mild GO, moderate‑to‑severe and inactive GO, and sight‑threatening GO. The main divergence between the documents lies in guidance for the management of moderate‑to‑severe and active GO.

The review also provides considered revisions to current recommendations, incorporating the most recent additions to the literature.

📖 Read the full article: https://doi.org/10.1530/ETJ-25-0318

💙 Uniting for thyroid health in AfricaAfter the International Round Table - Global Challenges in Thyroid Health at the I...
16/12/2025

💙 Uniting for thyroid health in Africa

After the International Round Table - Global Challenges in Thyroid Health at the International Thyroid Congress, an editorial calls for collaboration among continental thyroid societies to strengthen clinical practice & advocacy.

doi.org/10.1530/ETJ-25-0374

New cryo-EM studies provide detailed structural insights into the full-length human TSH receptor (TSHR) and its interact...
08/12/2025

New cryo-EM studies provide detailed structural insights into the full-length human TSH receptor (TSHR) and its interactions with monoclonal autoantibodies.

A review by Bernard Rees Smith, Ricardo Núñez Miguel, and Jane Sanders offers key highlights:
• Stimulating antibodies (M22™, K1-18™) bind the entire LRD (LRR 1–11) concave surface, stabilising the receptor in its active state.
• Blocking type monoclonal antibody (K1-70™) binds LRR 1–7, preventing TSH and other TRAb from interacting.
• 5C9™ interacts differently, locking the receptor in the inactive state, inhibiting constitutive and mutation-driven activity.

👉 Read the full article: doi.org/10.1530/ETJ-25-0261

💫 Prof. Marek Niedziela is a leading expert in paediatric thyroid diseases, with a focus on nodular disease (genetically...
02/12/2025

💫 Prof. Marek Niedziela is a leading expert in paediatric thyroid diseases, with a focus on nodular disease (genetically determined multinodular goiter - DICER1 syndrome, hot nodules and thyroid cancer) and autoimmune thyroid disorders. As Head of Paediatric Endocrinology and Rheumatology at PUMS, he has advanced both clinical care and research for over two decades.

We are delighted to have his expertise on the European Thyroid Journal Editorial Board and as Collection Editor for our new Special Collection: Current Approaches and Challenging Issues in Paediatric Thyroid Carcinoma.

📢 This is a unique opportunity to amplify your work and contribute to the future of paediatric thyroidology.

👉 More info: etj.bioscientifica.com/page/paediatric-thyroid-carcinoma%20/current-approaches-and-challenging-issues-in-paediatric-thyroid-carcinoma

Resistance to thyroid hormone β (RTHβ) is characterised by elevated thyroid hormone concentrations with non‑suppressed t...
25/11/2025

Resistance to thyroid hormone β (RTHβ) is characterised by elevated thyroid hormone concentrations with non‑suppressed thyroid‑stimulating hormone (TSH) levels, and shows considerable phenotypic variability. Mosaic mutations causing mild RTHβ are extremely rare, with only three cases reported to date.

A new case report by Ferdy S. van Geest et al. describes a novel eight‑base‑pair duplication in THRB (c.1305_1312dup; (p.R438Lfs445X)) occurring in a mosaic pattern, resulting in a distinctive and severe developmental and thyrotoxic phenotype.

This report underscores the importance of recognising mosaicism in RTHβ diagnosis and demonstrates the beneficial effects of combined methimazole/Triac therapy in severe RTHβ, with potential implications for clinical management.

📖 Read the full article here: https://doi.org/10.1530/ETJ-25-0092

🧬Discover the emerging roles of DICER1 and DGCR8 in thyroid tumorigenesis and their impact on miRNA biogenesis and histo...
18/11/2025

🧬Discover the emerging roles of DICER1 and DGCR8 in thyroid tumorigenesis and their impact on miRNA biogenesis and histopathologic diversity.

Our latest open-access review by Lia Rodrigues synthesises the latest evidence on:
- Germline and somatic mutations in DICER1 and DGCR8
- Links to thyroid pathology and oncolytic morphology
- Clinical implications for diagnosis, genetic counselling, and patient management
- Future directions for refining surveillance and therapeutic approaches

📖 Read the full article here: doi.org/10.1530/ETJ-25-0188

📢 Call for Papers: Paediatric Thyroid Carcinoma – Current Approaches & ChallengesOur latest special collection is led by...
11/11/2025

📢 Call for Papers: Paediatric Thyroid Carcinoma – Current Approaches & Challenges

Our latest special collection is led by international experts in the fields of paediatrics and endocrinology with a specialised interest in paediatric thyroid cancer:
- Professor Marek Niedziela
- Professor Hanneke van Santen
- Professor Andy Bauer

This collection will feature a series of review articles on current approaches and ongoing challenges in the evaluation and treatment of thyroid carcinoma. Topics will include the new WHO classification of thyroid tumours and the paediatric Bethesda system for reporting thyroid cytopathology, alongside reviews of imaging, surgical, and non-surgical treatment modalities. We will explore the risks and benefits associated with each aspect of care.

📝 If you specialise in paediatric thyroid carcinoma, this is a valuable opportunity to contribute to a dedicated and expert-led collection. We welcome literature reviews on all aspects of paediatric thyroid carcinoma.

📧 Submit your proposal: [email protected]
💻 https://etj.bioscientifica.com/page/paediatric-thyroid-carcinoma%20/current-approaches-and-challenging-issues-in-paediatric-thyroid-carcinoma

Thyroid cancer is the most common endocrine malignancy and its tumors show striking genotype-phenotype correlations.A ne...
05/11/2025

Thyroid cancer is the most common endocrine malignancy and its tumors show striking genotype-phenotype correlations.

A new review by Giulia Calafato et al. provides a comprehensive, up-to-date summary of the somatic genetic and molecular alterations that drive development and progression of thyroid tumors of follicular cell origin.

Understanding the genetic landscape and related molecular mechanisms is essential to refine clinical management and to identify targeted therapies for aggressive and advanced forms of carcinoma.

Read the full review: doi.org/10.1530/ETJ-25-0104

🌐 Thyrotoxic periodic paralysis (TPP) is a rare but potentially life-threatening complication of thyrotoxicosis. Due to ...
28/10/2025

🌐 Thyrotoxic periodic paralysis (TPP) is a rare but potentially life-threatening complication of thyrotoxicosis. Due to its rarity, it poses considerable challenges when initiating epidemiological studies.

New research by Gloria Hoi-Yee Li introduces a novel algorithm and electronic medical database from Hong Kong to establish the first large-scale registry of TPP. The data reveal a steady rise in thyrotoxicosis incidence, while TPP remains rare, male-dominant, and clinically stable in terms of hospitalization and length of stay.

This registry offers a new lens for understanding the epidemiology of TPP and enables future studies focused on identifying precipitating factors to improve management strategies for this complication.

📖 Read the research: doi.org/10.1530/ETJ-25-0220

Could a more systematic search for NUTM1 fusions improve the identification of poorly differentiated thyroid cancer (PDT...
21/10/2025

Could a more systematic search for NUTM1 fusions improve the identification of poorly differentiated thyroid cancer (PDTC) and anaplastic thyroid cancer?

A new case report by Renaud Ciappuccini et al. describes two patients over 65 with PDTC harbouring the NSD3::NUTM1 translocation - a fusion typically seen in younger patients and only rarely reported in primary thyroid cancer.

These findings support the inclusion of NUTM1 fusions in RNA sequencing panels for advanced and refractory thyroid cancers, with potential implications for diagnosis and treatment strategies.

🔗 Read the article: doi.org/10.1530/ETJ-25-0100

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