| Abstract: |
Active surveillance as an alternative to immediate surgical intervention has been accepted as a viable management option for properly selected patients with low-risk papillary thyroid cancer. In this chapter we review (1) the low likelihood and pattern of disease progression in low-risk papillary thyroid cancer during active surveillance, (2) the approach to proper patient selection, (3) the characteristics of a successful observational management program, and (4) the criteria used to determine when transition from observation to surgical intervention is warranted. When used properly, active surveillance of low-risk papillary thyroid cancer can provide patients and clinicians with a very safe and effective management alternative to immediate thyroid surgery. © 2021 Elsevier Inc. All rights reserved. |
