Observational management of papillary microcarcinoma appearing in the remnant thyroid after hemithyroidectomy

Endocrine journal

article

Takuya Noda¹  Akira Miyauchi²  Yasuhiro Ito²  Takumi Kudo³  Tsutomu Sano¹  Takahiro Sasaki¹  Takahito Ando²  Masatoshi Yamamoto²  Makoto Fujishima²  Hiroo Masuoka²  Takuya Higashiyama²  Minoru Kihara²  Naoyoshi Onoda²  Akihiro Miya² 

[1] Department of Head and Neck Surgery, Kuma Hospital;Department of Surgery, Kuma Hospital;Department of Internal Medicine, Kuma Hospital

关键词: Papillary thyroid microcarcinoma;    Hemithyroidectomy;    Remnant thyroid;    Tumor volume doubling rate;   

DOI  :  10.1507/endocrj.EJ21-0557

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

3 times ultrasound examinations. Their initial diagnoses were PTC (initially malignant group) in 37 patients and benign nodule (initially benign group) in 5 patients. We calculated the tumor volume doubling rate (TV-DR) during OM for each PTMC. The TV-DR (/year) was 0.5/year). They underwent conversion surgery and none of them had further recurrence. The remaining 36 patients retained OM without disease progression. The TV-DR in the initially malignant group was not significantly associated with patients’ backgrounds or their initial clinicopathological features. None of the patients in this study showed distant metastases/recurrences or died of thyroid carcinoma. Although a portion of PTMCs appearing after hemithyroidectomy for thyroid malignancy are moderately progressive, OM may be acceptable as a management option for PTMCs appearing in the remnant thyroid after hemithyroidectomy.

【 授权许可】

Unknown