Treatment Decision Making in Papillary Thyroid Microcarcinoma

• 발행기관: 대한내분비외과학회
• 저자명: Giuseppe Navarra Guido Nicola Zanghì Francesco Freni Bruno Galletti Francesco Galletti Grazia Pagano Andrea Cogliandolo Alberto Barbera Salvatore Lazzara Gianlorenzo Dionigi
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』18권2호, 110~120쪽, 전체 11쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2018.05.30

영문 초록

The objective of this article is to detail the treatment for papillary thyroid microcarcinoma (PTMC). The literature presents only few contributions, with controversial results, about comparison between ‘active surveillance’ and surgery. Hemithyroidectomy is the treatment of choice for PTMC. Thyroidectomy is indicated in cases of multifocality, extrathyroid tumor growth, and familial PTMCs. Active surveillance can only be done under well-defined and controlled conditions. Collected findings and agreements with the patient must be precisely documented, also for medico-legal reasons. An observation of PTMC seems most appropriate for patients >60 years of age. In the case of observation of a PTMC, a lifelong examination of the tumor disease must be carried out, since tumor growth or metastases can still occur after 10–15 years. The follow-up periods for the ‘active surveillance’ proposed from the literature review are too short to conclude this as a real alternative.

키워드

Papillary thyroid microcarcinoma Surgery Thyroid nodule