Secondary Logo

Institutional members access full text with Ovid®

Papillary microcarcinoma of the thyroid gland

current controversies and management

Rovira, Aleixa; Nixon, Iain J.b; Simo, Ricardc

Current Opinion in Otolaryngology & Head and Neck Surgery: April 2019 - Volume 27 - Issue 2 - p 110–116
doi: 10.1097/MOO.0000000000000520
HEAD AND NECK ONCOLOGY: Edited by Cesare Piazza
Buy
SDC

Purpose of review To highlight recent advances in our understanding of the nature of micropapillary thyroid carcinoma (mPTC), its evaluation and options of management based on risk.

Recent findings A dramatic increase of the incidence of papillary thyroid carcinoma has been reported worldwide during recent decades, specifically those smaller than 10 mm (mPTC). Although not taking into consideration other risk factors for aggressiveness when describing tumours by their size, most of these newly diagnosed mPTC are indolent and active surveillance can be considered as valid option for their management.

Summary An increasing number of patients with mPTC will be encountered in clinical practice. Although it is difficult to assess the aggressiveness of a tumour on size criteria, less than a total thyroidectomy and active surveillance can be considered for the majority of patients with mPTC. Further trials should be performed to prove this as a valid option of management in the majority of these patients.

aDepartment of Otorhinolaryngology – Head and Neck Surgery, Head, Neck and Thyroid Oncology Unit, Guy's and St Thomas NHS Foundation Trust, London

bDepartment of Otolaryngology Head and Neck Surgery, NHS Lothian, Edinburgh

cDepartment of Otorhinolaryngology – Head and Neck Surgery, Head, Neck and Thyroid Oncology Unit, Guy's and St Thomas’ Hospital, London, UK

Correspondence to Ricard Simo, Department of Otorhinolaryngology – Head and Neck Surgery, Guy's and St Thomas’ Hospital NHS Foundation Trust, 3rd Floor Southwark Wing, St Thomas’ Street, London SE1 9RT, UK. Tel: +44 020718826; fax: +44 020718806; e-mail: ricard.simo@gstt.nhs.uk

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.