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Thyroid microcarcinomas - To treat or not

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Dr Bipin Kumar Sethi, Hyderabad    18 November 2018

  1. Increasing surveillance has led to detection of many thyroid nodules that the patients would have lived (and died) happily with!
  2. Detection of a nodule should not lead to further work up (FNAC) unless otherwise indicated.
  3. All lesions without the high risk characteristics can be offered the choice of observation, and if they are operated, could have the choice of less extensive surgeries.
  4. Active follow-up is the key to the plan of surveillance should the patient choose this path.
  5. Active surveillance does not mean no treatment. Treatment is delayed until the cancer shows significant progression.

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