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Active Surveillance as an Effective Management Option for Low-Risk Papillary Thyroid Microcarcinoma

Active surveillance (AS) for low-risk papillary thyroid microcarcinoma (PTMC) has been accepted worldwide as safe and effective. Despite the growing acceptance of AS in the management of low-risk PTMCs, there are barriers to AS in real clinical settings, and it is important to understand and establi...

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Autores principales: Jeon, Min Ji, Kim, Won Gu, Kim, Tae Yong, Shong, Young Kee, Kim, Won Bae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Endocrine Society 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8419618/
https://www.ncbi.nlm.nih.gov/pubmed/34379969
http://dx.doi.org/10.3803/EnM.2021.1042
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author Jeon, Min Ji
Kim, Won Gu
Kim, Tae Yong
Shong, Young Kee
Kim, Won Bae
author_facet Jeon, Min Ji
Kim, Won Gu
Kim, Tae Yong
Shong, Young Kee
Kim, Won Bae
author_sort Jeon, Min Ji
collection PubMed
description Active surveillance (AS) for low-risk papillary thyroid microcarcinoma (PTMC) has been accepted worldwide as safe and effective. Despite the growing acceptance of AS in the management of low-risk PTMCs, there are barriers to AS in real clinical settings, and it is important to understand and establish appropriate AS protocol from initial evaluation to follow-up. PTMC management strategies should be decided upon after careful consideration of patient and tumor characteristics by a multidisciplinary team of thyroid cancer specialists. Patients should understand the risks and benefits of AS, participate in decision-making and follow structured monitoring strategies. In this review, we discuss clinical outcomes of AS from previous studies, optimal indications and follow-up strategies for AS, and unresolved questions about AS.
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spelling pubmed-84196182021-09-14 Active Surveillance as an Effective Management Option for Low-Risk Papillary Thyroid Microcarcinoma Jeon, Min Ji Kim, Won Gu Kim, Tae Yong Shong, Young Kee Kim, Won Bae Endocrinol Metab (Seoul) Review Article Active surveillance (AS) for low-risk papillary thyroid microcarcinoma (PTMC) has been accepted worldwide as safe and effective. Despite the growing acceptance of AS in the management of low-risk PTMCs, there are barriers to AS in real clinical settings, and it is important to understand and establish appropriate AS protocol from initial evaluation to follow-up. PTMC management strategies should be decided upon after careful consideration of patient and tumor characteristics by a multidisciplinary team of thyroid cancer specialists. Patients should understand the risks and benefits of AS, participate in decision-making and follow structured monitoring strategies. In this review, we discuss clinical outcomes of AS from previous studies, optimal indications and follow-up strategies for AS, and unresolved questions about AS. Korean Endocrine Society 2021-08 2021-08-11 /pmc/articles/PMC8419618/ /pubmed/34379969 http://dx.doi.org/10.3803/EnM.2021.1042 Text en Copyright © 2021 Korean Endocrine Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Jeon, Min Ji
Kim, Won Gu
Kim, Tae Yong
Shong, Young Kee
Kim, Won Bae
Active Surveillance as an Effective Management Option for Low-Risk Papillary Thyroid Microcarcinoma
title Active Surveillance as an Effective Management Option for Low-Risk Papillary Thyroid Microcarcinoma
title_full Active Surveillance as an Effective Management Option for Low-Risk Papillary Thyroid Microcarcinoma
title_fullStr Active Surveillance as an Effective Management Option for Low-Risk Papillary Thyroid Microcarcinoma
title_full_unstemmed Active Surveillance as an Effective Management Option for Low-Risk Papillary Thyroid Microcarcinoma
title_short Active Surveillance as an Effective Management Option for Low-Risk Papillary Thyroid Microcarcinoma
title_sort active surveillance as an effective management option for low-risk papillary thyroid microcarcinoma
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8419618/
https://www.ncbi.nlm.nih.gov/pubmed/34379969
http://dx.doi.org/10.3803/EnM.2021.1042
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