Well differentiated thyroid carcinoma: Current treatment

J. Kenneth Byrd, Robert J. Yawn, Christina S.T. Wilhoit, Nicoleta D. Sora, Linda Meyers, Jyotika Fernandes, Terry Day

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Opinion statement: Well differentiated thyroid carcinoma (WDTC) is a relatively common malignancy accounting for an estimated 37,000 thousand cases in the United States in 2009 [1]. WDTC also has a generally high 5 year survival rate that correlates with age. Papillary thyroid carcinoma (PTC) greater than 1 cm is best managed by total thyroidectomy. Thyroid lobectomy and isthmusectomy may be adequate for unifocal PTC less than 1 cm in patients without negative prognostic factors. Central compartment and possible lateral neck dissections should be performed when nodal metastases are present in the respective nodal basins. Post-operatively, radioactive iodine ablation with 131I followed by thyroid stimulating hormone (TSH) suppression is indicated in certain patients to improve locoregional control and reduce recurrence.

Original languageEnglish (US)
Pages (from-to)47-57
Number of pages11
JournalCurrent Treatment Options in Oncology
Volume13
Issue number1
DOIs
StatePublished - Mar 1 2012
Externally publishedYes

Keywords

  • Papillary thyroid cancer
  • Thyroglobulin
  • Thyroid cancer
  • Thyroidectomy

ASJC Scopus subject areas

  • Oncology
  • Pharmacology (medical)

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