Risk-stratified papillary thyroid microcarcinoma: post-operative management and treatment outcome in a single center.
Wasit KanokwongnuwatNoppadol LarbcharoensubChutintorn SriphrapradangChaiyawat SuppasilpKanungnij ThamniratChaninart SakulpisutiArpakorn KositwattanarerkChirawat UtamakulChanika SritaraWichana ChamroonratPublished in: Endocrine (2022)
In general, at least 98% of low-risk and intermediate-risk PTMC patients showed favorable outcomes without persistent or recurrent disease, defined by either imaging or serum tumor markers. Nevertheless, aggressive disease could occur in few PTMC patients. Decisions on post-operative management and follow-up may be guided by initial high-risk stratification and initial stimulated Tg levels (≥10 ng/mL) as independent predictors for PTMC unfavorable outcomes. Monitoring using both imaging and serum tumor markers is crucial and should be implemented for patients with PTMC.