J Korean Med Assoc.  2004 Dec;47(12):1162-1167. 10.5124/jkma.2004.47.12.1162.

Surgical Treatment of Thyroid Microcarcinoma

Affiliations
  • 1Department of Surgery, Ajou University College of Medicine & Hospital, Korea.

Abstract

Thyroid microcarcinoma(TMC) is defined by the World Health Organization as carcinoma 1.0cm or less in its greatest dimension. TMC is being found in an increasing proportion of treated thyroid carcinomas due to the more frequent use and the technical improvement of ultrasonography and fine needle aspiration biopsy. Clinicians should be aware of the differences between TMC and clinical thyroid cancer (more than 1cm in diameter) when making a surgical decision. The aims of this study are to characterize the clinical and biological behaviors of TMC, to demonstrate the prognosis according to the risk factors and treatment modality, and to suggest a proper surgical management of TMC.

Keyword

Thyroid microcarcinoma; Clinical cancer; Thyroidectomy; Central compartment node dissection

MeSH Terms

Biopsy
Biopsy, Fine-Needle
Prognosis
Risk Factors
Thyroid Gland*
Thyroid Neoplasms
Thyroidectomy
Ultrasonography
World Health Organization

Figure

  • Figure 1

  • Figure 2


Reference

1. Hedinger C, Williams ED, Sobin LH, editors. histologic typing of thyroid tumors. International histologic classification of tumors, No, 11. 1998. Geneva: World Health Organization;1–18.
2. Bramly MD, Harrison BJ. Papillary microcarcinoma of the thyroid gland. Br J Surg. 1996. 83:1674–1683.
Article
3. Ishida T, Izuo M, Ogawa T, Kurebayashi J, Satoh K. Evaluation of mass screening for thyroid cancer. Jpn J Clin Oncol. 1988. 18:289–295.
5. Yamashita H. Clark O, Noguchi S, editors. Occult microcancer and clinical cancer. Thyroid cancer. 2000. Missouri: Quality Medical Pub;105–126.
6. Yamashita H, Nakayama I, Noguchi S, Murakami N, Yokoyama S, Mochizuki Y, et al. Minute carcinoma of the thyroid and its development to advanced carcinoma. Acta pathol Jpn. 1985. 35:377–383.
Article
7. Hay ID, Grant CS, van Heerden JA, Goellner JR, Ebersold JR, Bergstralh EJ. Papillary thyroid microcarcinoma : a study of 535 cases observed in a 50 year period. Surgery. 1992. 112:1139–1147.
8. Baudin E, Travagli JP, Ropers J, Mancusi F, Bruno-Bossio G, Schlumberger M, et al. Microcarcinoma of the thyroid gland. Cancer. 1998. 83:553–559.
Article
9. Hubert JP, Kiernan PD, Bearhs OH, McConahey WM, Woolner LB. Occult papillary carcinoma of the thyroid. Arch Surg. 1980. 115:394–398.
Article
10. Waterhouse J, Muir C, Shanmugaratnam K, Powell J, editors. Cancer incidence in five continents. IARC Scientific Publication No 42. 1982. vol. IV. lyon: IARC press.
11. Satge D, Grob JC, Pusel J, Methlin G. Microcarcinome thyroidien d'evolution fatale. Arch Anat Cytol Pathol. 1990. 38:143–151.
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr