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Active Surveillance of Thyroid Microcarcinomas: a Critical View
Purpose of the Review There has been an increasing interest on active surveillance for papillary thyroid microcarcinomas (PTMC) in the literature. We will analyze the contributions of those authors who support this approach in most patients with low-risk tumors. Recent Findings The development of mo...
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| Published in: | Current oncology reports 2022, Vol.24 (1), p.69-76 |
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| Main Authors: | , , , , , , , , , , |
| Format: | Article |
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| container_end_page | 76 |
| container_issue | 1 |
| container_start_page | 69 |
| container_title | Current oncology reports |
| container_volume | 24 |
| creator | Cernea, Claudio R. Matos, Leandro Luongo Eugênio, Cecília Ferreira, Giovanna Mattos Cerqueira, Yasmin Sa Leite, Ana Kober N. Vanderlei, Felipe A. B. de Carlucci, Dorival Gotoda, Renato N. Hojaij, Flávio C. Araújo-Filho, Vergilius J. F. |
| description | Purpose of the Review
There has been an increasing interest on active surveillance for papillary thyroid microcarcinomas (PTMC) in the literature. We will analyze the contributions of those authors who support this approach in most patients with low-risk tumors.
Recent Findings
The development of molecular methods to effectively detect aggressive PTMC at the fine-needle aspiration biopsy will enable the sound indication of immediate surgery in those patients, assuring the other individuals with the far more frequent indolent PTMC will undergo active surveillance with less anxiety. Several studies compared the quality of life between patients with PTMC who underwent active surveillance with immediate total thyroidectomy. However, thyroid lobectomy is a quite acceptable intermediate alternative for most patients with PTMC, with less surgical morbidity.
Summary
It is important to wait for worldwide validation, with reports from low- and middle-income areas, before recommending the routine adoption of active surveillance for patients with PTMC, due to difficult logistic obstacles in those environments. |
| doi_str_mv | 10.1007/s11912-021-01177-w |
| format | article |
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There has been an increasing interest on active surveillance for papillary thyroid microcarcinomas (PTMC) in the literature. We will analyze the contributions of those authors who support this approach in most patients with low-risk tumors.
Recent Findings
The development of molecular methods to effectively detect aggressive PTMC at the fine-needle aspiration biopsy will enable the sound indication of immediate surgery in those patients, assuring the other individuals with the far more frequent indolent PTMC will undergo active surveillance with less anxiety. Several studies compared the quality of life between patients with PTMC who underwent active surveillance with immediate total thyroidectomy. However, thyroid lobectomy is a quite acceptable intermediate alternative for most patients with PTMC, with less surgical morbidity.
Summary
It is important to wait for worldwide validation, with reports from low- and middle-income areas, before recommending the routine adoption of active surveillance for patients with PTMC, due to difficult logistic obstacles in those environments.</description><identifier>ISSN: 1523-3790</identifier><identifier>EISSN: 1534-6269</identifier><identifier>DOI: 10.1007/s11912-021-01177-w</identifier><identifier>PMID: 35061193</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biopsy ; Carcinoma, Papillary - pathology ; Carcinoma, Papillary - surgery ; Head and Neck Cancers (EY Hanna ; Humans ; Medicine ; Medicine & Public Health ; Morbidity ; Oncology ; Patients ; Quality of Life ; Retrospective Studies ; Section Editor ; Surveillance ; Thyroid ; Thyroid cancer ; Thyroid gland ; Thyroid Gland - pathology ; Thyroid Neoplasms - surgery ; Thyroidectomy ; Topical Collection on Head and Neck Cancers ; Tumors ; Watchful Waiting</subject><ispartof>Current oncology reports, 2022, Vol.24 (1), p.69-76</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-68a05f6358648d0c9832015ec637029b157fbf6fae69936682424a9127fa34d63</citedby><cites>FETCH-LOGICAL-c375t-68a05f6358648d0c9832015ec637029b157fbf6fae69936682424a9127fa34d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35061193$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cernea, Claudio R.</creatorcontrib><creatorcontrib>Matos, Leandro Luongo</creatorcontrib><creatorcontrib>Eugênio, Cecília</creatorcontrib><creatorcontrib>Ferreira, Giovanna Mattos</creatorcontrib><creatorcontrib>Cerqueira, Yasmin Sa</creatorcontrib><creatorcontrib>Leite, Ana Kober N.</creatorcontrib><creatorcontrib>Vanderlei, Felipe A. B.</creatorcontrib><creatorcontrib>de Carlucci, Dorival</creatorcontrib><creatorcontrib>Gotoda, Renato N.</creatorcontrib><creatorcontrib>Hojaij, Flávio C.</creatorcontrib><creatorcontrib>Araújo-Filho, Vergilius J. F.</creatorcontrib><title>Active Surveillance of Thyroid Microcarcinomas: a Critical View</title><title>Current oncology reports</title><addtitle>Curr Oncol Rep</addtitle><addtitle>Curr Oncol Rep</addtitle><description>Purpose of the Review
There has been an increasing interest on active surveillance for papillary thyroid microcarcinomas (PTMC) in the literature. We will analyze the contributions of those authors who support this approach in most patients with low-risk tumors.
Recent Findings
The development of molecular methods to effectively detect aggressive PTMC at the fine-needle aspiration biopsy will enable the sound indication of immediate surgery in those patients, assuring the other individuals with the far more frequent indolent PTMC will undergo active surveillance with less anxiety. Several studies compared the quality of life between patients with PTMC who underwent active surveillance with immediate total thyroidectomy. However, thyroid lobectomy is a quite acceptable intermediate alternative for most patients with PTMC, with less surgical morbidity.
Summary
It is important to wait for worldwide validation, with reports from low- and middle-income areas, before recommending the routine adoption of active surveillance for patients with PTMC, due to difficult logistic obstacles in those environments.</description><subject>Biopsy</subject><subject>Carcinoma, Papillary - pathology</subject><subject>Carcinoma, Papillary - surgery</subject><subject>Head and Neck Cancers (EY Hanna</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Oncology</subject><subject>Patients</subject><subject>Quality of Life</subject><subject>Retrospective Studies</subject><subject>Section Editor</subject><subject>Surveillance</subject><subject>Thyroid</subject><subject>Thyroid cancer</subject><subject>Thyroid gland</subject><subject>Thyroid Gland - pathology</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroidectomy</subject><subject>Topical Collection on Head and Neck Cancers</subject><subject>Tumors</subject><subject>Watchful Waiting</subject><issn>1523-3790</issn><issn>1534-6269</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kD1PwzAURS0EoqXwBxhQJBaWwLOd2DELqiq-pCIGCqvlOg64SppiJ63673EIHxIDky353Ov3DkLHGM4xAL_wGAtMYiA4Bow5jzc7aIhTmsSMMLHb3QmNKRcwQAfeLwAIQAb7aEBTYCFMh-hqrBu7NtFT69bGlqVaahPVRTR727ra5tGD1a7Wymm7rCvlLyMVTZxtrFZl9GLN5hDtFar05ujrHKHnm-vZ5C6ePt7eT8bTWFOeNjHLFKQFo2nGkiwHLTJKAKdGM8qBiDlOeTEvWKEME4IylpGEJCpsxwtFk5zRETrre1eufm-Nb2RlvTbdwKZuvSSMEJJhnnXo6R90UbduGabrKI4p5kQEivRU2M97Zwq5crZSbisxyE6v7PXKoFd-6pWbEDr5qm7nlcl_It8-A0B7wIen5atxv3__U_sB9KeC5Q</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Cernea, Claudio R.</creator><creator>Matos, Leandro Luongo</creator><creator>Eugênio, Cecília</creator><creator>Ferreira, Giovanna Mattos</creator><creator>Cerqueira, Yasmin Sa</creator><creator>Leite, Ana Kober N.</creator><creator>Vanderlei, Felipe A. B.</creator><creator>de Carlucci, Dorival</creator><creator>Gotoda, Renato N.</creator><creator>Hojaij, Flávio C.</creator><creator>Araújo-Filho, Vergilius J. 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B. ; de Carlucci, Dorival ; Gotoda, Renato N. ; Hojaij, Flávio C. ; Araújo-Filho, Vergilius J. F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-68a05f6358648d0c9832015ec637029b157fbf6fae69936682424a9127fa34d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Biopsy</topic><topic>Carcinoma, Papillary - pathology</topic><topic>Carcinoma, Papillary - surgery</topic><topic>Head and Neck Cancers (EY Hanna</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Oncology</topic><topic>Patients</topic><topic>Quality of Life</topic><topic>Retrospective Studies</topic><topic>Section Editor</topic><topic>Surveillance</topic><topic>Thyroid</topic><topic>Thyroid cancer</topic><topic>Thyroid gland</topic><topic>Thyroid Gland - pathology</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Thyroidectomy</topic><topic>Topical Collection on Head and Neck Cancers</topic><topic>Tumors</topic><topic>Watchful Waiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cernea, Claudio R.</creatorcontrib><creatorcontrib>Matos, Leandro Luongo</creatorcontrib><creatorcontrib>Eugênio, Cecília</creatorcontrib><creatorcontrib>Ferreira, Giovanna Mattos</creatorcontrib><creatorcontrib>Cerqueira, Yasmin Sa</creatorcontrib><creatorcontrib>Leite, Ana Kober N.</creatorcontrib><creatorcontrib>Vanderlei, Felipe A. B.</creatorcontrib><creatorcontrib>de Carlucci, Dorival</creatorcontrib><creatorcontrib>Gotoda, Renato N.</creatorcontrib><creatorcontrib>Hojaij, Flávio C.</creatorcontrib><creatorcontrib>Araújo-Filho, Vergilius J. 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B.</au><au>de Carlucci, Dorival</au><au>Gotoda, Renato N.</au><au>Hojaij, Flávio C.</au><au>Araújo-Filho, Vergilius J. F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Active Surveillance of Thyroid Microcarcinomas: a Critical View</atitle><jtitle>Current oncology reports</jtitle><stitle>Curr Oncol Rep</stitle><addtitle>Curr Oncol Rep</addtitle><date>2022</date><risdate>2022</risdate><volume>24</volume><issue>1</issue><spage>69</spage><epage>76</epage><pages>69-76</pages><issn>1523-3790</issn><eissn>1534-6269</eissn><abstract>Purpose of the Review
There has been an increasing interest on active surveillance for papillary thyroid microcarcinomas (PTMC) in the literature. We will analyze the contributions of those authors who support this approach in most patients with low-risk tumors.
Recent Findings
The development of molecular methods to effectively detect aggressive PTMC at the fine-needle aspiration biopsy will enable the sound indication of immediate surgery in those patients, assuring the other individuals with the far more frequent indolent PTMC will undergo active surveillance with less anxiety. Several studies compared the quality of life between patients with PTMC who underwent active surveillance with immediate total thyroidectomy. However, thyroid lobectomy is a quite acceptable intermediate alternative for most patients with PTMC, with less surgical morbidity.
Summary
It is important to wait for worldwide validation, with reports from low- and middle-income areas, before recommending the routine adoption of active surveillance for patients with PTMC, due to difficult logistic obstacles in those environments.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35061193</pmid><doi>10.1007/s11912-021-01177-w</doi><tpages>8</tpages></addata></record> |
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| subjects | Biopsy Carcinoma, Papillary - pathology Carcinoma, Papillary - surgery Head and Neck Cancers (EY Hanna Humans Medicine Medicine & Public Health Morbidity Oncology Patients Quality of Life Retrospective Studies Section Editor Surveillance Thyroid Thyroid cancer Thyroid gland Thyroid Gland - pathology Thyroid Neoplasms - surgery Thyroidectomy Topical Collection on Head and Neck Cancers Tumors Watchful Waiting |
| title | Active Surveillance of Thyroid Microcarcinomas: a Critical View |
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