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Published on: September 15, 2023
Surgical approaches for papillary microcarcinomas: Turkey's perspective
Özer Makay1, Murat Özdemir1, Yasemin Giles Şenyürek1
1Departments of General Surgey (Ö.M., M.Ö. muratozdemir.md@gmail.com, G.İ.) and Nuclear Medicine (Z.Ö.), Ege University School of Medicine, İzmir, Turkey; Department of General Surgey (Y.G.Ş., F.T.), İstanbul University İstanbul School of Medicine, İstanbul, Turkey; Department of General Surgery (M.D.), İstanbul University Cerrahpaşa School of Meidicine, İstanbul, Turkey; Department of General Surgey (M.U.), Şişli Etfal Training and Research Hospital, İstanbul, Turkey; Department of General Surgery (M.H.), İzmir Katip Çelebi University, Atatürk Tranining and Research Hospital; Department of General Surgery (A.İ.), Bahçeşehir University School of Medicine, İstanbul, Turkey; Department of General Surgery (S.Ö.), Güven Hospital, Ankara, Turkey; Department of General Surgery (S.T.), Koç University School of Medicine, İstanbul, Turkey.
Management of papillary microcarcinomas in Turkey varies, with total thyroidectomy being common for classical types. Active surveillance for these small thyroid cancers is infrequently recommended by clinicians.
Area of Science:
- Endocrinology
- Surgical Oncology
- Thyroid Cancer Research
Background:
- Papillary microcarcinomas (thyroid cancers <10mm) incidence is rising.
- Understanding current management practices in Turkey is crucial.
Purpose of the Study:
- To evaluate the current management perspectives of papillary microcarcinomas in Turkey.
- To assess surgical and non-surgical treatment approaches.
Main Methods:
- An internet-based questionnaire was distributed to 420 multidisciplinary healthcare professionals.
- Questions focused on the surgical management of small thyroid nodules and cancers, including pre-, intra-, and post-operative care.
- The active surveillance approach for papillary microcarcinomas was specifically queried.
Main Results:
- Total thyroidectomy was the preferred treatment for classical microcarcinoma (65%).
- Capsule invasion and patient-based management were highly valued (86% and 94%).
- Active surveillance was recommended by only 9% of responders.
Conclusions:
- Significant variability exists in the surgical treatment of papillary microcarcinomas in Turkey.
- Clinician perspectives highlight the importance of factors like capsule invasion and individualized patient management.
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