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that most PTMCs have a very indolent nature and excellent outcomes [ 2 , 5 , 6 ]. Recently, active surveillance (AS) instead of immediate surgery was suggested as a management option for PTMCs [ 6 - 8 ]. By definition, AS means applying life
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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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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Introduction Patients with small papillary thyroid carcinomas (PTC) can currently be maintained under active surveillance (AS) instead of being submitted to immediate surgery [ 1 - 5 ]. This management is accepted for cases in which the risk
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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managed with active surveillance or thyroidectomy, depending on clinical considerations. Bethesda IV (B4) nodules are associated with a 15–30% ROM and require surgery [ 1 ]. Importantly, the actual incidence of thyroid cancer in operated patients may
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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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Dear Editor, Recently, Russ et al. [ 1 ] endorsed active surveillance for low-risk papillary microcarcinoma of the thyroid (PMT). It is also reasonable to imagine that, if immediate treatment is not necessary, fine-needle aspiration (FNA) of
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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
Thyroid Head and Neck Ablation Center, Kaohsiung Chang Gung Memorial Hospital, Taiwan
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thyroid AUS/FLUS nodules. Although the potential malignant risks associated with these nodules cannot be entirely ruled out, not all nodules of this nature require surgery, and when compared to active surveillance, RFA has shown therapeutic benefits. RFA
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contributing stressor cannot be excluded. In addition, in the young, it is difficult to perform active surveillance, which is now recommended for some PTMs in adults [ 19 , 20 ]. In the case of children, such an observation may last for more than half a
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revision central neck surgery for 6 months or more in order to improve the preservation of these structures has been advocated by an experienced surgeon [ 19 ]. Active surveillance of small, stable recurrent nodal disease in differentiated thyroid carcinoma