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- Title
Surgical approaches for papillary microcarcinomas: Turkey's perspective.
- Authors
Makay, Özer; Özdemir, Murat; Şenyürek, Yasemin Giles; Tunca, Fatih; Düren, Mete; Uludağ, Mehmet; Hacıyanlı, Mehmet; Içöz, Gökhan; Işgör, Adnan; Özbaş, Serdar; Özcan, Zehra; Tezelman, Serdar
- Abstract
Objectives: The incidence of papillary microcarcinomas, which are defined as thyroid cancers of <10mm in size, has been increasing in the last decade. Herein, we present internet-based questionnaire results performed by the Turkish Association of Endocrine Surgery with the aim to evaluate the perspective of the management of papillary microcarcinomas in Turkey. Material and Methods: The user-friendly questionnaire consisted of 13 questions in total. These questions mainly addressed the surgical management of nodules and cancer of <1 cm in size. Patient management before, during, and after surgical intervention was also included; additionally, the "active surveillance approach" was questioned. Results: There were 420 responders in total who were of multidisciplinary origin (endocrinologists, surgeons, nuclear medicine specialists, pathologists, and oncologists). Total thyroidectomy was the predominant treatment approach (65%) for the classical type of microcarcinoma limited in one lobe, whereas in cases of microcarcinomas incidentally diagnosed during hemithyroidectomy, complementary surgery approach was advised by 40% of the responders. The responders found capsule invasion (86%) and patient based management (94%) of high importance. The percentage of the responders who recommended radioactive iodine ablation in incidental cancers having no aggressive criteria was 51%. The survey participants that were against routine central dissection in these cases accounted for 73% of the responders. The recommendation of active surveillance (follow-up without any interventional therapy) was limited with 9% responders. Conclusion: The results of the questionnaire demonstrated that there have been various choices in Turkey for the surgical treatment of the papillary microcarcinomas.
- Subjects
TURKEY; PAPILLARY carcinoma; DISEASE incidence; ONCOLOGIC surgery; THYROIDECTOMY; THERAPEUTICS
- Publication
Turkish Journal of Surgery (Turkish Surgical Association), 2018, Vol 34, Issue 2, p89
- ISSN
2564-6850
- Publication type
Article
- DOI
10.5152/turkjsurg.2018.3596