Management of thyroid nodules and surgery for differentiated thyroid cancer Journal Article


Authors: Iyer, N. G.; Shaha, A. R.
Article Title: Management of thyroid nodules and surgery for differentiated thyroid cancer
Abstract: The incidence of well-differentiated thyroid cancer has seen a worldwide increase in the last three decades. Whether this is due to a 'true increase' in incidence or simply increased detection of otherwise subclinical disease remains unclear. The treatment of thyroid cancer revolves around appropriate surgical intervention, minimising complications and the use of adjuvant therapy in select circumstances. Prognostic features and risk stratification are crucial in determining the appropriate treatment. There continues to be considerable debate in several aspects of management in these patients. Level 1 evidence is lacking, and there are limited prospective data to direct therapy, hence limiting decision-making to retrospective analyses, treatment guidelines based on expert opinion and personal philosophies. This overview focuses on the major issues associated with the investigation of thyroid nodules and the extent of surgery. As overall survival in well-differentiated thyroid cancer exceeds 95%, it is important to reduce over-treating the large majority of patients, and focus limited resources on high-risk patients who require aggressive treatment and closer attention. The onus is on the physician to avoid treatment-related complications from thyroid surgery and to offer the most efficient and cost-effective therapeutic option. © 2010 The Royal College of Radiologists.
Keywords: adult; cancer survival; human tissue; cancer surgery; survival rate; major clinical study; cancer localization; positron emission tomography; lymph node metastasis; cancer diagnosis; risk factors; high risk patient; cost effectiveness analysis; patient care; thyroidectomy; physician; thyroid cancer; thyroid neoplasms; aspiration biopsy; thyroid nodule; incidentaloma; differentiated thyroid cancer; medullary thyroid cancer
Journal Title: Clinical Oncology
Volume: 22
Issue: 6
ISSN: 0936-6555
Publisher: Elsevier Science, Inc.  
Date Published: 2010-08-01
Start Page: 405
End Page: 412
Language: English
DOI: 10.1016/j.clon.2010.03.009
PUBMED: 20381323
PROVIDER: scopus
PMCID: PMC4806860
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: CLIOE" - "Source: Scopus"
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MSK Authors
  1. Ashok R Shaha
    698 Shaha
  2. Narayanan Gopalakrishna Iyer
    16 Iyer
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