Active surveillance of low-risk papillary thyroid microcarcinoma is an observational management approach increasingly used as an alternative to immediate surgery for small, low-risk papillary thyroid cancers that show no sign of spreading. Patients on active surveillance are monitored with periodic ultrasound examinations and thyroid function tests and are moved to surgery only if the disease shows signs of progressing; the approach has grown in use as detection of small thyroid cancers has risen over recent decades without a matching rise in deaths from the disease.
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Active surveillance of low-risk papillary thyroid microcarcinoma
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Who can be offered active surveillance instead of immediate thyroid surgery?
The 2015 American Thyroid Association guidelines name four groups who can be offered it.
The American Thyroid Association 2015 guidelines say active surveillance can be considered as an alternative to immediate surgery for four groups: patients with very low risk tumors, such as papillary microcarcinomas without clinically evident metastases or local invasion; patients at high surgical risk because of other conditions; patients expected to have a relatively short remaining life span; and patients with medical or surgical issues that need to be addressed before thyroid surgery. This page records the history of the approach and is not medical advice.
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Source Active surveillance of low-risk papillary thyroid microcarcinoma (Wikipedia)
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Active surveillance of low-risk papillary thyroid microcarcinoma (Wikipedia)
https://en.wikipedia.org/wiki/Active_surveillance_of_low-risk_papillary_thyroid_microcarcinoma, lead section
Active surveillance is an observational management being increasingly accepted as an alternative over immediate surgery due to low-risk papillary thyroid microcarcinoma with no evidence of extension or metastatic spread.
Lead
Akira Miyauchi proposed active surveillance management in 1993, when he was an associate professor of Department of Surgery, Kagawa Medical University (now Kagawa University Faculty of Medicine) and a registered doctor at Kuma Hospital (Kobe, Hyogo Prefecture, Japan).
Treats: Thyroid Cancer, Section: History (treats 280537)
In 2015, active surveillance for low-risk papillary thyroid microcarcinoma was also adopted in American Thyroid Association's Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer.
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