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Updated: Jun 27, 2026

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
Published on: June 9, 2023
American Head and Neck Society Endocrine Surgery Section and International Thyroid Oncology Group consensus statement
David C Shonka1, Alan Ho2, Ashish V Chintakuntlawar3
1Department of Otolaryngology - Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA.
Background:
The development of systemic treatment options leveraging the molecular landscape of advanced thyroid cancer is a burgeoning field. This is a multidisciplinary evidence-based statement on the definition of advanced thyroid cancer and its targeted systemic treatment.
Methods:
An expert panel was assembled, a literature review was conducted, and best practice statements were developed. The modified Delphi method was applied to assess the degree of consensus for the statements developed by the author panel.
Results:
A review of the current understanding of thyroid oncogenesis at a molecular level is presented and characteristics of advanced thyroid cancer are defined. Twenty statements in topics including the multidisciplinary management, molecular evaluation, and targeted systemic treatment of advanced thyroid cancer are provided.
Conclusions:
With the growth in targeted treatment options for thyroid cancer, a consensus definition of advanced disease and statements regarding the utility of molecular testing and available targeted systemic therapy is warranted.
Insights
This evidence-based statement defines advanced thyroid cancer and its targeted systemic treatments. It provides consensus statements on molecular evaluation and therapies for better patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Evidence-Based Medicine
Background:
- The molecular landscape of advanced thyroid cancer is driving the development of novel systemic treatments.
- A multidisciplinary, evidence-based approach is crucial for defining advanced thyroid cancer and its management.
Purpose of the Study:
- To establish a consensus definition for advanced thyroid cancer.
- To provide evidence-based statements on the molecular evaluation and targeted systemic treatment of advanced thyroid cancer.
Main Methods:
- An expert panel was convened to review the literature on advanced thyroid cancer.
- Best practice statements were developed using a modified Delphi method to ensure consensus.
Main Results:
- A review of thyroid cancer oncogenesis at the molecular level is presented.
- Characteristics of advanced thyroid cancer are defined.
- Twenty consensus statements cover multidisciplinary management, molecular testing, and targeted systemic therapies.
Conclusions:
- A consensus definition and management guidelines for advanced thyroid cancer are needed due to expanding targeted therapies.
- Molecular testing and targeted systemic treatments are essential components of managing advanced thyroid cancer.
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