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REVIEW ARTICLE
Year : 2016  |  Volume : 143  |  Issue : 6  |  Page : 689-695

The surgical approach to managing differentiated thyroid cancer


Department of Otolaryngology, Head & Neck Surgery, Lauriston Building, Lauriston Place, Edinburgh, EH3 9HA, UK

Correspondence Address:
Iain J Nixon
Department of Otolaryngology, Head & Neck Surgery, Lauriston Building, Lauriston Place, Edinburgh, EH3 9HA
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-5916.191923

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In recent decades, our understanding of thyroid cancer has improved significantly with the recognition that differentiated thyroid cancer (DTC) has good survival and oncological outcomes. Along with the recent rise in the detection of otherwise subclinical tumours due to improved diagnostics, there has been much debate on how aggressive one should be when performing thyroid and lymph node surgery. The use of risk stratification to categorize patients into low, intermediate and high risk has led to a more tailored approach to treating differentiated thyroid cancer. This ensures patients are not subject to preventable morbidity from overtreatment while maintaining good outcomes. We discuss the approach to primary thyroid and lymph node surgery by reviewing the current literature.


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