Conformal thyroidectomy in papillary thyroid microcarcinoma patients:10-year follow-up results

VernacularTitle:甲状腺微小乳头状癌适形切除术可行性的探讨:单中心10年随访结果报告
Author: Dongchen ZHANG ¹ ; Jian CAO ; Chen LI ; Guoshuai CHEN ; Xiaodong YANG ; Yingjiang YE ; Kewei JIANG
Author Information

1. 北京大学人民医院,北京 100044
Keywords: thyroid cancer; papillary thyroid microcarcinoma; conformal thyroidectomy; prognosis; function-preserving surgery
From: Journal of Xi'an Jiaotong University(Medical Sciences) 2024;45(1):100-104
CountryChina
Language:Chinese
Abstract: Papillary thyroid microcarcinoma(PTMC),which lacks lymph node metastasis,distant metastasis,extra-thyroid invasion,high-risk subtypes,and invasion of the trachea or recurrent laryngeal nerve,may be classified as low-risk PTMC based on clinical assessment.Surgical intervention such as lobectomy or total thyroidectomy is the primary treatment modality for PTMC.This study comprised 124 patients who underwent conformal thyroidectomy and revealed that this innovative surgical approach yielded long-term oncological outcomes comparable to those who received lobectomy or total thyroidectomy.The surgical intervention may play a significant role in the comprehensive management of PTMC,while the implementation of PTMC precision medicine necessitates the utilization of genetic testing,molecular typing,and other advanced technologies to detect early-stage high-risk factors like lymph node microinvasion and integrate biology-based surgery concept for optimal outcomes.