Active Surveillance of Papillary Thyroid Microcarcinoma: A Mini-Review from Korea
김태영, 송영기,
소속 상세정보
김태영 ( Kim Tae-Yong )
University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
송영기 ( Shong Young-Kee )
University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
Abstract
In Korea, the incidence of thyroid cancer increased explosively in the early 2000s, and reached a plateau in the early 2010s. Most cases of newly diagnosed thyroid cancer are small indolent microcarcinoma and could be good candidates for active surveillance (AS) instead of immediate surgery. Many considerations must be taken into account for establishing selection criteria for candidates for AS of papillary thyroid microcarcinoma (PTMC), including the characteristics of the tumor, the patient, and the medical team. If possible, AS of PTMC should be a part of a prospective clinical trial to ensure long-term safety and to identify clinical and/or molecular markers of the progression of PTMC. In this review, we discuss lessons regarding surgical interventions for PTMC, and then describe the concept, application, caveats, unanswered questions, and future perspectives of AS of PTMC. For appropriately selected patients with PTMC, AS can be a good alternative to immediate surgery.
키워드
Thyroid neoplasms; Active surveillance
원문 및 링크아웃 정보
등재저널 정보
SCI(E)
MEDLINE
KCI
KoreaMed
KAMS