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Would you do active surveillance or completion thyroidectomy in a patient with 1.6 cm tall cell PTC with posterior margin’s indeterminate and 7 mm isoechoic solid nodule on other side?

Patient is a 41F and overall good surgical risk candidate.
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Would you do active surveillance or completion thyroidectomy in a patient with 1.6 cm tall cell PTC with indeterminate posterior margin and 7 mm contralateral nodule?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Endocrinology · University of Utah
Answered on

May qualify for monitoring with full disclosure to the patient (aggressive histology) and if the following histologic and clinical features are met.

Reassessing the path is recommended if the report is unclear.

  1. No extrathyroidal spread or invasion
  2. No angio-invasion
  3. Clear surgical margins
  4. Pre surgi...

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