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Papillary Cancer of the Thyroid in Low-Risk Patients
The Perspective of the University of Texas Health Science Center at San Antonio
Arch Otolaryngol Head Neck Surg. 2001;127:458-461.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Hypothesis: A 20-year-old woman presents with 1-cm, palpable thyroid nodule. Findings
of histologic evaluation demonstrate papillary carcinoma with no extracapsular
extension. The best treatment for this patient would be a thyroid lobectomy
(hemithyroidectomy).
BACKGROUND
The medical literature contains more than 30 000 references to
management of thyroid disorders. Many of these publications discuss controversies
that have existed for years. The scenario presented here represents one such
controversy that will often stir heated debate regarding the inability, thus
far, to prospectively determine a clear-cut superiority of one treatment option
over another. This article attempts to provide the reader with key elements
to both sides of the debate as well as the consensus opinion as viewed by
members of the clinical services most actively involved in the care of these
patients (OtolaryngologyHead & Neck Surgery, General Surgery, and
Endocrinology) at the University of Texas Health Science Center at San Antonio.
Figure appears in full text version.
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CON
BOTTOM LINE
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