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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
965
Thyroidectomy for Papillary Thyroid Carcinoma.
1Department of Surgery, The University of Hong Kong, Pok Fu Lam, Hong Kong. cylo@hku.hk.
Methods in Molecular Biology (Clifton, N.J.)
|June 7, 2022
Summary
Papillary thyroid carcinoma incidence is rising due to incidental findings. Management is shifting towards less invasive approaches, including active surveillance for low-risk cases.
Area of Science:
- Endocrinology
- Surgical Oncology
- Oncology
Background:
- Papillary thyroid carcinoma is the most common endocrine malignancy.
- Recent increases in incidence are primarily due to incidental detection of small tumors (microcarcinoma).
Purpose of the Study:
- To review the evolving surgical management of thyroid carcinoma.
- To highlight a risk-based approach to avoid overtreatment.
Main Methods:
- Review of current trends in thyroid carcinoma management.
- Analysis of risk stratification for surgical intervention.
Main Results:
- Hemithyroidectomy is recommended for low-risk carcinoma.
- Routine prophylactic central nodal dissections are being avoided.
- Postoperative radioiodine ablation threshold is higher after total thyroidectomy.
- Active observation/surveillance is a viable option for papillary microcarcinoma.
Conclusions:
- Surgical management of thyroid carcinoma is becoming less aggressive.
- A risk-based approach minimizes overtreatment.
- Active surveillance is a safe alternative for select papillary microcarcinoma patients.
