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Extent of Thyroidectomy

Arch Otolaryngol Head Neck Surg. 2001;127:462-463.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Dr Otto et al have written a comprehensive review of the salient treatment concerns and objectives in patients with small papillary carcinomas. There are several terms relating to papillary cancer size that have been used with confusion in the literature. Intrathyroid papillary carcinoma refers to disease completely confined within the thyroid gland and does not imply any specific size. "Occult" papillary carcinomas are typically defined as less than 1.5 cm in diameter and are found incidentally at autopsy or in surgical specimens, but were not clinically manifest. Papillary microcarcinoma is simply defined as a papillary carcinoma 1.0 cm or smaller in diameter. The TNM classification defines T1 as tumors smaller than 1 cm in diameter; T2 as 1 to 4 cm; T3 as larger than 4 cm; and T4 as invading beyond the thyroid capsule. Cady¹ suggests a prognostic step off with lesions larger than 4 cm. Several researchers have . . . [Full Text of this Article]

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