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Active surveillance watches papillary thyroid cancers of 1 cm or less with ultrasound every 6 to 12 months instead of operating, because about 90% stay stable over a decade and delayed surgery works as well when needed. It is not suitable for tumours next to the windpipe or the voice nerve, and uptake outside Japan and Korea is still low.
Pioneered at Kuma Hospital (Japan) and Memorial Sloan Kettering: for papillary microcarcinomas (≤1 cm) without nodal or extrathyroidal disease, ~90% remain stable over a decade and delayed surgery is equally effective when needed. Endorsed by ATA guidelines; uptake outside Japan and Korea is still low. Addresses the overdiagnosis epidemic caused by ultrasound screening (South Korea's incidence rose 15-fold with no change in mortality).
Serial ultrasound at 6-12-month intervals with surgery triggered by growth ≥3 mm or nodal metastasis.
Query for this technology: (TITLE:"Active surveillance of papillary microcarcinoma" OR ABSTRACT:"Active surveillance of papillary microcarcinoma") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Active surveillance of papillary microcarcinoma, not a curated reading list.
Shares Ultrasound restraint and surveillance to reverse thyroid cancer overdiagnosis, Overdiagnosis and false alarms.
Shares Low-risk differentiated thyroid cancer (ATA risk), Thyroid cancer.
Shares Ultrasound, Overdiagnosis and false alarms, Thyroid cancer.
Shares Ultrasound restraint and surveillance to reverse thyroid cancer overdiagnosis, Ultrasound, Overdiagnosis and false alarms, Thyroid cancer.
Shares Low-risk differentiated thyroid cancer (ATA risk), Thyroid cancer.
Shares Low-risk differentiated thyroid cancer (ATA risk), Surgery roadmap: radical operations → less surgery → no surgery when a drug has done the work, Thyroid cancer.
Shares Surgery roadmap: radical operations → less surgery → no surgery when a drug has done the work, Overdiagnosis and false alarms.