What are the ATA treatment guidelines for papillary thyroid carcinoma?

Updated: May 09, 2018
  • Author: Pramod K Sharma, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

ATA guidelines recommend near-total or total thyroidectomy for all patients with thyroid cancer greater than 1 cm, unless there are contraindications to this surgery. Lobectomy may be considered for small (1</ref>

Both the NCCN and ATA recommend that therapeutic neck dissection for patients with clinically involved central or lateral neck lymph nodes should accompany total thyroidectomy to provide clearance of disease from the central neck. Prophylactic central-compartment neck dissection (level VI) may be considered in patients with clinically uninvolved central neck lymph nodes, especially for advanced primary tumors (T3 or T4). [1, 33]


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