Choice of management strategy for papillary thyroid microcarcinoma: active surveillance or immediate surgery?

Liu, Qi; Song, Mingyuan; Zhang, Hao

doi:10.7150/jca.91612

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International Journal of Biological Sciences

International Journal of Medical Sciences

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Journal of Genomics

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J Cancer 2024; 15(4):1009-1020. doi:10.7150/jca.91612 This issue Cite

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Choice of management strategy for papillary thyroid microcarcinoma: active surveillance or immediate surgery?

Qi Liu, Mingyuan Song, Hao Zhang^✉

Department of Thyroid Surgery, The First Hospital of China Medical University, Shenyang, China.

Citation:

Liu Q, Song M, Zhang H. Choice of management strategy for papillary thyroid microcarcinoma: active surveillance or immediate surgery?. J Cancer 2024; 15(4):1009-1020. doi:10.7150/jca.91612. https://www.jcancer.org/v15p1009.htm

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Abstract

Overdiagnosis of papillary thyroid microcarcinoma (PTMC) is prevalent, and effective management of PTMC is an important matter. The high incidence and low mortality rate of papillary thyroid carcinoma (PTC) justify the preference for active surveillance (AS) over immediate surgery (IS), particularly in cases of low-risk PTMC. Japan began AS in the 1990s as an alternative surgical option for PTMC and it has shown promising results. The safety and efficacy of AS management in PTMC have been verified. However, AS may not be suitable for all PTMC cases. How to find the balance between the decision-making of AS and IS requires careful consideration. Therefore, we collected and analyzed the relevant evidence on the clinical strategies for PTC and discussed AS and IS from the perspectives of health, economic, and psychological aspects, to help clinicians in choosing a more appropriate clinical strategy for PTC.

Keywords: Thyroid carcinoma, Papillary thyroid microcarcinoma, Overdiagnosis, Active surveillance, Outcome

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APA

Liu, Q., Song, M., Zhang, H. (2024). Choice of management strategy for papillary thyroid microcarcinoma: active surveillance or immediate surgery?. Journal of Cancer, 15(4), 1009-1020. https://doi.org/10.7150/jca.91612.

ACS

Liu, Q.; Song, M.; Zhang, H. Choice of management strategy for papillary thyroid microcarcinoma: active surveillance or immediate surgery?. J. Cancer 2024, 15 (4), 1009-1020. DOI: 10.7150/jca.91612.

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CSE

Liu Q, Song M, Zhang H. 2024. Choice of management strategy for papillary thyroid microcarcinoma: active surveillance or immediate surgery?. J Cancer. 15(4):1009-1020.

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