Management of Low-Risk Papillary Thyroid Cancer

被引:37
|
作者
Iniguez-Ariza, Nicole M. [1 ,2 ]
Brito, Juan P. [2 ,3 ]
机构
[1] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Endocrinol & Metab, Mexico City, DF, Mexico
[2] Mayo Clin, Div Endocrinol Diabet Metab & Nutr, Rochester, MN 55905 USA
[3] Mayo Clin, Knowledge & Evaluat Res Unit, Rochester, MN 55905 USA
关键词
Low-risk; Carcinoma; papillary; Micropapillary; Active surveillance; Ethanol injection; ENCAPSULATED FOLLICULAR VARIANT; GUIDED RADIOFREQUENCY ABLATION; RADIOIODINE REMNANT ABLATION; PERCUTANEOUS LASER-ABLATION; NUCLEAR FEATURES; EXTRATHYROIDAL EXTENSION; ACTIVE SURVEILLANCE; MICROCARCINOMA; CARCINOMA; NODULES;
D O I
10.3803/EnM.2018.33.2.185
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The incidence of thyroid cancer has increased, mainly due to the incidental finding of low-risk papillary thyroid cancers (PTC). These malignancies grow slowly, and are unlikely to cause morbidity and mortality. New understanding about the prognosis of tumor features has led to reclassification of many tumors within the low-risk thyroid category, and to the development of a new one "very low-risk tumors." Alternative less aggressive approaches to therapy are now available including active surveillance and minimally invasive interventions. In this narrative review, we have summarized the available evidence for the management of low-risk PTC.
引用
收藏
页码:185 / 194
页数:10
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