Postoperative management and risk stratification of papillary thyroid microcarcinoma
10.3760/cma.j.issn.1674-6090.2016.04.001
- VernacularTitle:甲状腺乳头状微小癌的术后管理及动态风险评估
- Author:
Xiaoli LIU
;
Hui SUN
- Publication Type:Journal Article
- Keywords:
Papillary thyroid microcarcinoma;
Postoperative management;
Risk stratification
- From:
Chinese Journal of Endocrine Surgery
2016;10(4):265-268
- CountryChina
- Language:Chinese
-
Abstract:
The postoperative management of papillary thyroid microcarcinoma (PTMC) is one of the most important parts of management for PTMC,and it includes the initial management and long-term management of PTMC.The initial management of thyroid cancer is based on initial recurrence risk stratification system.The initial risk stratification system can be used to guide initial TSH suppression therapy,RAI assistant therapy and management of follow up.Initial risk assessment of recurrence,as a static representation of the patient in the first few weeks post-operatively,could not be continually updated during follow up.In order to account for the changes of the recurrence risk and disease specific mortality,re-stratification of risk should be performed during follow up,using all the clinical,biochemical,imaging (structural and functional),and cytopathologic findings obtained during follow up.Re-stratification of risk can inform clinicians on degree of ongoing TSH suppression,frequency and intensity of follow-up,and need for additional therapies were recommended in guideline.Adjustment of TSH suppression therapy should incorporate the impact of side effects and set TSH targets to ensure the benefits of TSH suppression outweigh against the potential risks.
