Is total thyroidectomy the procedure of choice for low-risk papillary thyroid cancer?
Daniel T Ruan and Orlo H Clark*
Correspondence *Department of Surgery, Mount Zion Medical Center, University of California at San Francisco, Hellman Building, Room C-347, 1600 Divisadero Street, San Francisco, CA 94143-1674, USA
Email clarko@surgery.ucsf.edu
This article has no abstract so we have provided the first paragraph of the full text.
Some controversy persists about the best therapy for patients with isolated PTC 1–4 cm in size.1 Bilimoria et al. deserve credit for providing some clarity to this topic. For PTC as small as 1 cm, patients treated with total thyroidectomy had significantly longer overall survival than those treated with thyroid lobectomy. In addition, the authors validated previous work that suggested lower recurrence rates for lesions >1 cm when resected by total thyroidectomy.2
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