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Three Distinctly Different Kinds of Papillary Thyroid Microcarcinoma should be Recognized: Our Treatment Strategies and Outcomes

World Journal of Surgery · 2010 · Vol. 34(6) · pp. 1222–1231

Iwao Sugitani✉(The Cancer Institute Hospital)Kazuhisa Toda(The Cancer Institute Hospital)Keiko Yamada(The Cancer Institute Hospital)Noriko Yamamoto(The Cancer Institute Hospital)Motoko IKENAGA(The Cancer Institute Hospital)Yoshihide Fujimoto(The Cancer Institute Hospital)

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Abstract

Nonsurgical observation seems to represent an attractive alternative to surgery for asymptomatic PMC. Almost 95% of asymptomatic PMC patients are type I, and another 5% are type II and can be treated with conservative surgery. A small number of PMCs with bulky lymph node metastasis or extrathyroidal invasion are high-risk type III and require aggressive treatment.

Thyroid Cancer Diagnosis and Treatment Head and Neck Anomalies Thyroid and Parathyroid SurgeryMedicineAsymptomaticSurgeryThyroid cancerPapillary thyroid cancerThyroid carcinomaCancerCardiothoracic surgeryVascular surgeryRetrospective cohort study

MeSH terms

AdultAgedAged, 80 and overCarcinoma, PapillaryFemaleHumansIodine RadioisotopesMaleMiddle AgedNeoplasm InvasivenessNeoplasm MetastasisNeoplasm StagingPrognosisProspective StudiesRisk Factors

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Guidelines for the management of thyroid cancer