Degradation of diagnosis and treatment of papillary thyroid microcarcinoma should be treated with caution
10.3760/cma.j.cn115807-20250109-00022
- VernacularTitle:甲状腺微小乳头状癌诊疗降级尚需谨慎对待
- Author:
Xu DAI
1
;
Wen TIAN
;
Qihui LI
;
Chaojie ZHANG
Author Information
1. 湖南省人民医院 湖南师范大学附属第一医院乳甲外科，长沙 410005
- Publication Type:Journal Article
- Keywords:
Thyroid cancer;
Overdiagnosis;
Overtreatment;
Active surveillance;
Early diagnosis
- From:
Chinese Journal of Endocrine Surgery
2025;19(4):613-616
- CountryChina
- Language:Chinese
-
Abstract:
Through reviewing literature on thyroid cancer management strategies, this article discusses the problems of active monitoring strategies, the real implementation status, and the hidden dangers of thermal ablation as a downgrade treatment. It points out that further research is needed to accurately identify low-risk PTMCs and implement active monitoring methods. The improvement in the 5-year survival rate of thyroid cancer is due to standardized diagnosis and treatment. At present, it is still too early to downgrade the diagnosis and treatment of thyroid cancer in China. The World Health Organization recommends the three early principles of early detection, early diagnosis, and early treatment for the treatment of malignant tumors as the fundamental principles of thyroid cancer diagnosis and treatment.
