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Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University Sejong Hospital, Sejong, Republic of Korea
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Department of Otolaryngology-Head and Neck Surgery, Chungnam National University Hospital, Daejeon, Republic of Korea
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Department of Otolaryngology-Head and Neck Surgery, Chungnam National University Hospital, Daejeon, Republic of Korea
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as 1993, a management protocol using active surveillance (AS) was attempted for PTMC patients, mainly in Japan. The results of approximately 10 years of follow-up were reported ( 9 , 10 ), and based on those results, AS was accepted as an effective
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Department of Otorhinolaryngology–Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon, Republic of Korea
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Department of Otorhinolaryngology–Head and Neck Surgery, Chungnam National University Sejong Hospital, Sejong, Republic of Korea
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Department of Otorhinolaryngology–Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon, Republic of Korea
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.6–4.8% between 2003 and 2019 ( 4 ). Consequently, given the resulting prevalence of low-risk papillary thyroid carcinoma (PTC) patients and the burden posed by the potential complications, active surveillance (AS) has received increased attention ( 6 , 7
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for active surveillance. Real-world data suggest that delaying MKI therapy until rapid disease progression may result in a suboptimal clinical benefit ( 9 ). However, there is no consensus on when to initiate MKI therapy. To elucidate the optimal
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distant metastases were detected. Therefore, an active surveillance strategy was chosen. At the following evaluation (June 2020) CTN values increased (3254 ng/L) and 2 small (<1 cm) suspicious liver metastases were detected by abdomen magnetic resonance
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postoperative years, only 85/1318 (6%) of the BT-alone patients were being actively followed (remaining at risk), as were 89/541 (16%) of the BT+RRA patients, probably consistent with a greater intensity of postoperative tumor surveillance in those patients who
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low tumour burden, active surveillance was advised. In June 2017, CT and CEA levels were 1097 ng/L and 9.5 µg/L, respectively, and MRI detected new small pelvic bone lesions, so treatment with denosumab was initiated. The symptoms were slowly but
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-to-lymphocyte ratio (NLR) is an inflammatory marker that reflects the imbalance between immune surveillance and tumor progression; an increased number of neutrophils and a decreased lymphocyte ratio are thought to reflect carcinoma progression and immunological
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surgery (lobectomy rather than total thyroidectomy), changes in DTC nomenclature, for example, NIFTP and the concept of 'active surveillance' in (very) low-risk PTC ( 8 , 12 ). Indeed, despite the inevitable body radiation exposure, the risk of the
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an ER at last evaluation (19/40 (47%)), belonged to the BiR/InR group after the second 131 I treatment. Among them, 10 patients received other 131 I treatments, while nine patients became ER without other active treatments during the follow
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Department of Internal Medicine and Therapeutics, University of Pavia, Italy
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cytology, according to which patients are assigned to surveillance or surgery. Many patients who undergo surgery will receive post-surgical therapy with radioactive iodine (RAI) and thyroid-stimulating hormone (TSH) suppression, which can improve long