A study explored the outcomes of treating low-risk papillary thyroid microcarcinoma (PTMC) through immediate surgery (IOP) or delayed surgery after active surveillance (DOP). DOP was an alternative to immediate surgery. Among the 516 patients undergoing surgery, DOP patients had larger tumors, more lymphatic invasion, and multifocality. However, rates of complications didn’t significantly differ. Disease progression was observed in the DOP group, associated with lymph node metastasis and radioiodine therapy. Active surveillance might be a valid choice for low-risk PTMC but warrants further oncological assessment over time.
Journal Article by Hwang H, Choi JY (…) Jung YS et 15 al. in Ann Surg
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