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Therapeutic Strategy of Papillary Microcarcinoma of the Thyroid Gland: A Nuclear Medicine Perspective

  • Otmar Schober
  • Burkhard Riemann
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

Patients with papillary thyroid microcarcinoma (PTMC) have an excellent prognosis with a normal life expectancy. According to the literature, the incidence of PTMC is increasing. To date, PMTCs account for up to 30 % of all differentiated thyroid cancers. Because of the differential definitions of the PTMC, the therapeutic approaches of the national Scientific Societies have not been standardised. The therapeutic algorithms have to be adjusted with regard to current thyroid surgery, radioiodine ablation and thyrotropin-suppressive therapy as well as follow-up. Recently, the Therapy Committee of the European Association of Nuclear Medicine (EANM) has recommended a risk-adapted therapy and follow-up. Risk factors which require a more aggressive therapeutic approach are multifocality, thyroid capsule infiltration, evidence of locoregional or distant metastasis and unfavourable histology. It was the aim to review the current therapeutic concepts in patients with PTMC from a nuclear medicine perspective.

Keywords

Thyroid Carcinoma Papillary Thyroid Carcinoma Papillary Carcinoma Differentiate Thyroid Cancer Follicular Thyroid Carcinoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg  2012

Authors and Affiliations

  1. 1.Department of Nuclear MedicineUniversity Hospital of MünsterMünsterGermany

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