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Updated: Jan 29, 2026
04:01
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
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Management of Papillary Thyroid Microcarcinoma
1Division of Diabetes, Endocrinology, Metabolism, and Nutrition, Department of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA; Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Endocrinology and Metabolism Clinics of North America
|February 6, 2019
Summary
Papillary thyroid microcarcinoma (PTM) incidence is rising. Individualized care, considering patient preferences and tumor biology, is crucial for managing PTM, moving beyond surgery alone.
Area of Science:
- Endocrinology
- Oncology
- Surgical Oncology
Background:
- Global incidence of thyroid cancer is increasing.
- Papillary thyroid microcarcinoma (PTM), defined as tumors ≤1 cm, constitutes one-third of new thyroid cancer cases.
- PTM typically presents as indolent with an excellent prognosis.
Purpose of the Study:
- To describe current and novel management options for PTM.
- To highlight the importance of individualized treatment decisions for PTM.
- To introduce shared decision-making (SDM) as a method for personalizing PTM care.
Main Methods:
- Review of current literature on PTM management.
- Discussion of surgical and non-surgical treatment modalities.
- Exploration of the principles and application of SDM in PTM.
Main Results:
- Thyroid surgery remains the most common PTM treatment.
- Emerging management strategies necessitate personalized approaches.
- SDM facilitates incorporating patient preferences, context, and tumor biology into treatment choices.
Conclusions:
- PTM management requires a shift towards individualized care.
- Shared decision-making is a valuable framework for optimizing PTM treatment strategies.
- Personalized care ensures treatment aligns with patient values and tumor characteristics.
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