open access

Vol 67, No 1 (2016)
Review article
Published online: 2016-02-17
Submitted: 2015-11-24
Accepted: 2015-11-30
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Well-differentiated thyroid cancer — are you overtreating your patients?

Iain J. Nixon
DOI: 10.5603/EP.2016.0009
·
Endokrynologia Polska 2016;67(1):60-66.

open access

Vol 67, No 1 (2016)
Review article
Published online: 2016-02-17
Submitted: 2015-11-24
Accepted: 2015-11-30

Abstract

Over the last 50 years there has been a move towards more aggressive therapy for well-differentiated thyroid cancer. In recent times, however, international guidelines have shown some trend back towards a more conservative approach to treating low-risk patients. This review explores how the state of the art in well-differentiated thyroid cancer research has evolved in tandem with improvements in riskstratification. A focus on the surgical approach to the primary thyroid tumour and the regional lymphatics in addition to the interplay between surgical decision making and the use of radioactive iodine are presented to allow the reader to determine whether they are now overtreating patients with well-differentiated thyroid cancer. (Endokrynol Pol 2016; 67 (1): 60–66)

Abstract

Over the last 50 years there has been a move towards more aggressive therapy for well-differentiated thyroid cancer. In recent times, however, international guidelines have shown some trend back towards a more conservative approach to treating low-risk patients. This review explores how the state of the art in well-differentiated thyroid cancer research has evolved in tandem with improvements in riskstratification. A focus on the surgical approach to the primary thyroid tumour and the regional lymphatics in addition to the interplay between surgical decision making and the use of radioactive iodine are presented to allow the reader to determine whether they are now overtreating patients with well-differentiated thyroid cancer. (Endokrynol Pol 2016; 67 (1): 60–66)

Get Citation

Keywords

thyroid cancer; papillary thyroid cancer; thyroidectomy; thyroid lobectomy

About this article
Title

Well-differentiated thyroid cancer — are you overtreating your patients?

Journal

Endokrynologia Polska

Issue

Vol 67, No 1 (2016)

Pages

60-66

Published online

2016-02-17

DOI

10.5603/EP.2016.0009

Bibliographic record

Endokrynologia Polska 2016;67(1):60-66.

Keywords

thyroid cancer
papillary thyroid cancer
thyroidectomy
thyroid lobectomy

Authors

Iain J. Nixon

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