成人低危型甲状腺微小乳头状癌临床主动监测研究进展

Junsong Liu; Chongiven Xu; Xiaobao Yao; Ruimin Zhao; Shaoqiang Zhang

doi:10.13201/j.issn.2096-7993.2023.02.016

成人低危型甲状腺微小乳头状癌临床主动监测研究进展

Translated title of the contribution: Progress in active surveillance for adult low-risk papillary thyroid microcarcinoma

Junsong Liu
, Chongiven Xu
, Xiaobao Yao
, Ruimin Zhao
, Shaoqiang Zhang

The First Affiliated Hospital of Xi’an Jiaotong University

Research output: Contribution to journal › Review article › peer-review

Abstract

The incidence of papillary thyroid microcarcinoma (PTMC) increases rapidly. However, epidemio logical and autopsy studies show that the prevalence of low-risk papillary thyroid microcarcinoma (LR-PTMC) is very high, but the mortality is very low. There is over-diagnosis and over-treatment for LR-PTMC. Active sur veillance (AvS) was adopted for LR-PTMCs instead of immediate surgery, and more than 70% of the lesions re mained stable or shrank in clinical observation. Therefore, AS is recommended for LR-PTMCs in clinical guide lines of several academic organizations around the world. However, PTMC is not equal to low-risk cancer. The implementation of AS strategy requires a strict grasp of indications and full consideration of population characteris tics to ensure the maximum benefit of patients. This paper summarizes the present clinical progress of active sur veillance for adult LR-PTMC.

Translated title of the contribution	Progress in active surveillance for adult low-risk papillary thyroid microcarcinoma
Original language	Chinese (Traditional)
Pages (from-to)	150-156
Number of pages	7
Journal	Journal of Clinical Otorhinolaryngology Head and Neck Surgery
Volume	37
Issue number	2
DOIs	https://doi.org/10.13201/j.issn.2096-7993.2023.02.016
State	Published - 2023
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.13201/j.issn.2096-7993.2023.02.016

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title = "成人低危型甲状腺微小乳头状癌临床主动监测研究进展",

abstract = "The incidence of papillary thyroid microcarcinoma (PTMC) increases rapidly. However, epidemio logical and autopsy studies show that the prevalence of low-risk papillary thyroid microcarcinoma (LR-PTMC) is very high, but the mortality is very low. There is over-diagnosis and over-treatment for LR-PTMC. Active sur veillance (AvS) was adopted for LR-PTMCs instead of immediate surgery, and more than 70\% of the lesions re mained stable or shrank in clinical observation. Therefore, AS is recommended for LR-PTMCs in clinical guide lines of several academic organizations around the world. However, PTMC is not equal to low-risk cancer. The implementation of AS strategy requires a strict grasp of indications and full consideration of population characteris tics to ensure the maximum benefit of patients. This paper summarizes the present clinical progress of active sur veillance for adult LR-PTMC.",

keywords = "active surveillance, autopsy study, papillary thyroid microcarcinoma, qver-diagnosis",

author = "Junsong Liu and Chongiven Xu and Xiaobao Yao and Ruimin Zhao and Shaoqiang Zhang",

year = "2023",

doi = "10.13201/j.issn.2096-7993.2023.02.016",

language = "繁体中文",

volume = "37",

pages = "150--156",

journal = "Journal of Clinical Otorhinolaryngology Head and Neck Surgery",

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T1 - 成人低危型甲状腺微小乳头状癌临床主动监测研究进展

AU - Liu, Junsong

AU - Xu, Chongiven

AU - Yao, Xiaobao

AU - Zhao, Ruimin

AU - Zhang, Shaoqiang

PY - 2023

Y1 - 2023

N2 - The incidence of papillary thyroid microcarcinoma (PTMC) increases rapidly. However, epidemio logical and autopsy studies show that the prevalence of low-risk papillary thyroid microcarcinoma (LR-PTMC) is very high, but the mortality is very low. There is over-diagnosis and over-treatment for LR-PTMC. Active sur veillance (AvS) was adopted for LR-PTMCs instead of immediate surgery, and more than 70% of the lesions re mained stable or shrank in clinical observation. Therefore, AS is recommended for LR-PTMCs in clinical guide lines of several academic organizations around the world. However, PTMC is not equal to low-risk cancer. The implementation of AS strategy requires a strict grasp of indications and full consideration of population characteris tics to ensure the maximum benefit of patients. This paper summarizes the present clinical progress of active sur veillance for adult LR-PTMC.

AB - The incidence of papillary thyroid microcarcinoma (PTMC) increases rapidly. However, epidemio logical and autopsy studies show that the prevalence of low-risk papillary thyroid microcarcinoma (LR-PTMC) is very high, but the mortality is very low. There is over-diagnosis and over-treatment for LR-PTMC. Active sur veillance (AvS) was adopted for LR-PTMCs instead of immediate surgery, and more than 70% of the lesions re mained stable or shrank in clinical observation. Therefore, AS is recommended for LR-PTMCs in clinical guide lines of several academic organizations around the world. However, PTMC is not equal to low-risk cancer. The implementation of AS strategy requires a strict grasp of indications and full consideration of population characteris tics to ensure the maximum benefit of patients. This paper summarizes the present clinical progress of active sur veillance for adult LR-PTMC.

KW - active surveillance

KW - autopsy study

KW - papillary thyroid microcarcinoma

KW - qver-diagnosis

UR - https://www.scopus.com/pages/publications/85147724836

U2 - 10.13201/j.issn.2096-7993.2023.02.016

DO - 10.13201/j.issn.2096-7993.2023.02.016

M3 - 文献综述

C2 - 36756834

AN - SCOPUS:85147724836

SN - 2096-7993

VL - 37

SP - 150

EP - 156

JO - Journal of Clinical Otorhinolaryngology Head and Neck Surgery

JF - Journal of Clinical Otorhinolaryngology Head and Neck Surgery

IS - 2

ER -

成人低危型甲状腺微小乳头状癌临床主动监测研究进展

Abstract

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