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Papillary Thyroid Cancer

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General Surgery

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Pearls and Pitfalls

  • Papillary thyroid cancer (PTC) accounts for 80% of all thyroid cancers and is the most rapidly increasing cancer in women in the United States.

  • Latent thyroid cancer is present in 6.2–36% of thyroid glands at autopsy.

  • Neck ultrasound evaluates the thyroid gland for suspicious nodules, as well as for thyroid cancer metastasis in cervical lymph nodes.

  • Fine needle aspiration biopsy cytology (FNAC) under ultrasound guidance accurately diagnoses papillary, medullary, and anaplastic thyroid cancer and/or lymph node involvement.

  • A total or near-total thyroidectomy is indicated for most patients with clinical thyroid cancer greater than 1 cm in size.

  • Central neck and/or lateral neck dissection is indicated for clinically or scan-positive abnormal lymph nodes.

  • A nonoperative approach is being done in Japan for patients with isolated micro PTC (≤1 cm) by FNAC without nodal involvement, in whom the tumor is not adjacent to the recurrent laryngeal nerve or trachea.

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Selected Readings

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Author information

Authors and Affiliations

  1. Department of Surgery, University of California San Francisco and UCSF/Mt. Zion Medical Center, 1600 Divisadero Street, #C347, San Francisco, CA, 94115, USA

    Takashi Uruno & Orlo H. Clark

Authors
  1. Takashi Uruno
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  2. Orlo H. Clark
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Editor information

Editors and Affiliations

  1. Department of Surgery, Deputy Director, Comprehensive Cancer Center University of Alabama School of Medicine, Birmingham, AL, USA

    Kirby I. Bland MD (Fay Fletcher Kerner Professor and Chairman) (Fay Fletcher Kerner Professor and Chairman)

  2. Department of General and Visceral Surgery, University of Heidelberg, Heidelberg, Germany

    Markus W. Büchler MD (Professor of Surgery and Chairman) (Professor of Surgery and Chairman)

  3. Department of Surgery, University Hospital, Santiago, Chile

    Attila Csendes MD, FACS (Hon) (Professor of Surgery and Chairman) (Professor of Surgery and Chairman)

  4. James C. Mason Professor of Surgery Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN, USA

    Michael G. Sarr MD

  5. Department of Clinical and Surgical Sciences, The University of Edinburgh Royal Infirmary of Edinburgh, Edinburgh, UK

    O. James Garden MBChB, MD, FRCS (Ed), FRCP (Ed), FRACS (Hon) (Regius Professor of Clinical Surgery) (Regius Professor of Clinical Surgery)

  6. Department of Surgery, The University of Hong Kong Queen Mary Hospital, Hong Kong, China

    John Wong BSc (Med (Syd)), MBBS (Syd), PhD (Syd), MD (Hon (Syd)), FRACS, FRCS (Edin), FRCS (Glasg), FACS (Hon) (Chair Professor) (Chair Professor)

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Uruno, T., Clark, O.H. (2009). Papillary Thyroid Cancer. In: Bland, K.I., Büchler, M.W., Csendes, A., Sarr, M.G., Garden, O.J., Wong, J. (eds) General Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-833-3_163

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  • DOI: https://doi.org/10.1007/978-1-84628-833-3_163

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-832-6

  • Online ISBN: 978-1-84628-833-3

  • eBook Packages: MedicineReference Module Medicine

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