Controversies in the management of low-risk thyroid carcinoma

Zhang Tingting; Wei Wenjun; Wang Yu

doi:10.13406/j.cnki.cyxb.003126

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Controversies in the management of low-risk thyroid carcinoma

The management of thyroid cancer | 更新时间：2025-10-21

- Controversies in the management of low-risk thyroid carcinoma
- Journal of Chongqing Medical University Vol. 47, Issue 11, Pages: 1265-1267(2022)
- 作者机构：
  
  复旦大学附属肿瘤医院头颈外科，上海 200032
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.003126
  CLC： R736.1
- Received：04 July 2022，
  
  Published：28 November 2022
- 稿件说明：
移动端阅览
张婷婷,魏文俊,王宇.低危型甲状腺癌诊疗争议[J].重庆医科大学学报,2022,47(11):1265-1267.

Zhang Tingting,Wei Wenjun,Wang Yu.Controversies in the management of low-risk thyroid carcinoma[J].Journal of Chongqing Medical University,2022,47(11):1265-1267.
张婷婷,魏文俊,王宇.低危型甲状腺癌诊疗争议[J].重庆医科大学学报,2022,47(11):1265-1267. DOI： 10.13406/j.cnki.cyxb.003126.

Zhang Tingting,Wei Wenjun,Wang Yu.Controversies in the management of low-risk thyroid carcinoma[J].Journal of Chongqing Medical University,2022,47(11):1265-1267. DOI： 10.13406/j.cnki.cyxb.003126.

摘要

低危型甲状腺癌的管理是目前甲状腺恶性肿瘤的焦点问题。虽然国内外陆续更新低危型甲状腺癌治疗策略指导，但临床诊疗中仍存在若干争议问题。选择临床主动观察、手术干预还是微创治疗成为低危型甲状腺癌治疗的争议所在，而热消融技术在低危型甲状腺癌的指证选择也存较多争议。因此，需要更多的研究来进一步探讨低危型甲状腺癌的最佳诊疗策略。在符合综合规范治疗的原则下，低危型甲状腺癌的治疗需要医患双方充分沟通，根据肿瘤本身以及患者家庭及社会因素（性格、工作、经济）、心理承受能力等多方面因素实现真正的个体化治疗策略。

Abstract

Management of low-risk thyroid carcinoma has been the hotspot in the field of thyroid malignancy. Although the management guidelines for the patients with low-risk thyroid carcinoma standardize the diagnosis and therapy，there still are some controversies. Because of the favorable prognosis of low-risk thyroid carcinoma，it's difficult to choose the optimal treatment from clinical follow-up，surgery in early stage or minimally invasive technology. However，radiofrequency ablation was controversial currently in the management of low-risk thyroid carcinoma more researches are necessary to guide the optimal treatment strategy for low-risk thyroid carcinoma. In line with the principle of comprehensive and standardized treatment，the treatment of low-risk thyroid cancer requires communication between doctors and patients，and a truly individualized treatment strategy based on the tumor，the patient's social psychological factors and other factors.

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references

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