Management of incidental and non-incidental papillary thyroid microcarcinoma

The incidence of papillary thyroid cancer is rising, with an increase in the number of microcarcinomas being discovered. There is controversy in the literature regarding the optimal management of these tumours. This study aimed to review our institution's experience with the presentation and ma...

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Bibliographic Details
Published in:Journal of laryngology and otology 2013-07, Vol.127 (S2), p.S17-S23
Main Authors: Elliott, M S, Gao, K, Gupta, R, Chua, E L, Gargya, A, Clark, J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Age Factors
Aged
Aged, 80 and over
Australia - epidemiology
Carcinoma, Papillary - epidemiology
Carcinoma, Papillary - therapy
Cohort Studies
Confidence intervals
Dissection
Female
Humans
Incidence
Incidental Findings
Lymph Nodes - pathology
Main Articles
Male
Medical imaging
Middle Aged
Mortality
Prognosis
Retrospective Studies
Surgery
Thyroid cancer
Thyroid Neoplasms - epidemiology
Thyroid Neoplasms - therapy
Thyroidectomy
Tomography
Treatment Outcome
Ultrasonic imaging
Young Adult
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Summary:The incidence of papillary thyroid cancer is rising, with an increase in the number of microcarcinomas being discovered. There is controversy in the literature regarding the optimal management of these tumours. This study aimed to review our institution's experience with the presentation and management of papillary thyroid microcarcinoma. Retrospective analysis from the Sydney Head and Neck Cancer Institute, from 1987 to 2009. A total of 228 patients were analysed. Papillary thyroid microcarcinomas were discovered incidentally in 116 (50.9 per cent) patients and non-incidentally in the remaining 112 (49.1 per cent) patients. Amongst the non-incidental group, 11.6 per cent of patients presented with lateral cervical lymph node involvement. Non-incidental microcarcinomas were significantly associated with younger age (
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215113000455