open access
Well-differentiated thyroid cancer — are you overtreating your patients?
open access
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)
Keywords
thyroid cancer; papillary thyroid cancer; thyroidectomy; thyroid lobectomy
About this articleTitle
Well-differentiated thyroid cancer — are you overtreating your patients?
Journal
Issue
Article type
Review paper
Pages
60-66
Published online
2016-02-17
Page views
1776
Article views/downloads
2602
DOI
10.5603/EP.2016.0009
Pubmed
Bibliographic record
Endokrynol Pol 2016;67(1):60-66.
Keywords
thyroid cancer
papillary thyroid cancer
thyroidectomy
thyroid lobectomy
Authors
Iain J. Nixon
