What are the National Comprehensive Cancer Network (NCCN) guidelines for total thyroidectomy in papillary thyroid carcinoma (PTC)?

Updated: Jun 18, 2020
  • Author: Ponnandai S Somasundar, MD, MPH, FACS; Chief Editor: Neetu Radhakrishnan, MD  more...
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Answer

NCCN guidelines recommend total thyroidectomy for patients who meet any of the following criteria [8] :

  • Radiation history
  • Known distant metastases
  • Bilateral nodularity
  • Extrathyroidal extension
  • Tumor >4 cm in diameter
  • Cervical lymph node metastases
  • Poorly differentiated tumor

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