Active surveillance as a management strategy for papillary thyroid microcarcinoma

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Treatment for papillary thyroid microcarcinoma

AIM OF THE STUDY The treatment for papillary thyroid microcarcinoma (PTMC), which is a tumor measuring less than 1 cm, is still a subject of controversy. The aim of this study is to retrospectively evaluate the patients diagnosed with PTMC in terms of their clinical and histopathological features. MATERIAL AND METHODS A total of 153 consecutive patients with PTMC were treated, and their clini...

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Diagnosis and therapeutic strategy for papillary thyroid microcarcinoma.

HYPOTHESIS Total thyroidectomy followed by radioactive iodine I 131 treatment is effective in papillary thyroid microcarcinoma (PTM) with lymph node or extrathyroid invasion. DESIGN Retrospective study. SETTING Chang Gung Medical Center, Linkou, Taiwan. PATIENTS A total of 227 patients with PTM, categorized into high-risk (n = 12) and low-risk (n = 215) groups according to age, metastases...

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Active Surveillance of Papillary Thyroid Microcarcinoma: A Mini-Review from Korea

In Korea, the incidence of thyroid cancer increased explosively in the early 2000s, and reached a plateau in the early 2010s. Most cases of newly diagnosed thyroid cancer are small indolent microcarcinoma and could be good candidates for active surveillance (AS) instead of immediate surgery. Many considerations must be taken into account for establishing selection criteria for candidates for AS...

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A new paradigm in low-risk papillary microcarcinoma: active surveillance

Classical papillary thyroid microcarcinoma (PTMC) is a variant of papillary thyroid carcinoma (PTC) known to have excellent prognosis. It has a mortality of 0.3%, even in the presence of distance metastasis. The latest American Thyroid Association guidelines state that although lobectomy is acceptable, active surveillance can be considered in the appropriate setting. We present the case of a 37...

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Papillary thyroid microcarcinoma: a surgical perspective.

Papillary thyroid microcarcinoma (PTMC) is defined as a papillary thyroid cancer measuring less than 10mm in its greatest diameter. It is the most common form of thyroid cancer, detected in up to 36% in autopsy studies. The wide availability and use of neck ultrasonography in the evaluation of carotid arteries and of the thyroid resulted in an increased detection of PTMC. PTMC is often multifoc...

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ژورنال

عنوان ژورنال: Cancer Biology and Medicine

سال: 2020

ISSN: 2095-3941

DOI: 10.20892/j.issn.2095-3941.2019.0470