Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus Statement
Active surveillance (AS) has been widely adopted as an alternative to immediate surgery owing to the indolent nature and favorable outcomes of papillary thyroid microcarcinoma (PTMC). AS is generally recommended for tumors measuring ≤1 cm without aggressive cytological subtypes, risk of gross extr...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2024-11-01
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| Series: | Journal of the Korean Society of Radiology |
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| Online Access: | https://doi.org/10.3348/jksr.2024.0132 |
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| author | Ji Ye Lee Min Kyoung Lee Hyun Kyung Lim Chang Yoon Lee Jin Yong Sung Jung Hyun Yoon Soo Yeon Hahn Jung Hee Shin Ji-hoon Kim So Lyung Jung Sae Rom Chung Jung Hwan Baek Dong Gyu Na |
| author_facet | Ji Ye Lee Min Kyoung Lee Hyun Kyung Lim Chang Yoon Lee Jin Yong Sung Jung Hyun Yoon Soo Yeon Hahn Jung Hee Shin Ji-hoon Kim So Lyung Jung Sae Rom Chung Jung Hwan Baek Dong Gyu Na |
| author_sort | Ji Ye Lee |
| collection | DOAJ |
| description | Active surveillance (AS) has been widely adopted as an alternative to immediate surgery
owing to the indolent nature and favorable outcomes of papillary thyroid microcarcinoma (PTMC). AS is generally recommended for tumors measuring ≤1 cm without aggressive cytological
subtypes, risk of gross extrathyroidal extension (ETE), lymph node metastasis (LNM), or distant metastasis.
AS requires careful patient selection based on various patient and tumor characteristics, and
ultrasound (US) findings. Moreover, during AS, regular US is performed to monitor any signs of tumor
progression, including tumor growth, new US features of potential gross ETE, and LNM. Therefore,
appropriate imaging-based assessment plays a crucial role in determining whether AS or surgery
should be pursued. However, detailed recommendations concerning US evaluation are currently insufficient,
necessitating the formulation of this guideline. The Korean Society of Thyroid Radiology
has developed a consensus statement for low-risk PTMC, covering US assessment methods when
considering AS as a management option and conducting follow-up imaging tests during AS. This
guideline aims to provide optimal scientific evidence and expert opinion consensus regarding a standardized
US-based assessment protocol for low-risk PTMC. |
| format | Article |
| id | doaj-art-f6a05d33106d4744a456cdb75efd1d6a |
| institution | Kabale University |
| issn | 2951-0805 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj-art-f6a05d33106d4744a456cdb75efd1d6a2024-11-28T14:09:31ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052024-11-0185610601082https://doi.org/10.3348/jksr.2024.0132Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus StatementJi Ye LeeMin Kyoung LeeHyun Kyung LimChang Yoon LeeJin Yong SungJung Hyun YoonSoo Yeon HahnJung Hee ShinJi-hoon KimSo Lyung JungSae Rom ChungJung Hwan BaekDong Gyu NaActive surveillance (AS) has been widely adopted as an alternative to immediate surgery owing to the indolent nature and favorable outcomes of papillary thyroid microcarcinoma (PTMC). AS is generally recommended for tumors measuring ≤1 cm without aggressive cytological subtypes, risk of gross extrathyroidal extension (ETE), lymph node metastasis (LNM), or distant metastasis. AS requires careful patient selection based on various patient and tumor characteristics, and ultrasound (US) findings. Moreover, during AS, regular US is performed to monitor any signs of tumor progression, including tumor growth, new US features of potential gross ETE, and LNM. Therefore, appropriate imaging-based assessment plays a crucial role in determining whether AS or surgery should be pursued. However, detailed recommendations concerning US evaluation are currently insufficient, necessitating the formulation of this guideline. The Korean Society of Thyroid Radiology has developed a consensus statement for low-risk PTMC, covering US assessment methods when considering AS as a management option and conducting follow-up imaging tests during AS. This guideline aims to provide optimal scientific evidence and expert opinion consensus regarding a standardized US-based assessment protocol for low-risk PTMC.https://doi.org/10.3348/jksr.2024.0132active surveillanceconsensuspapillary thyroid cancerpractice guidelinerecommendationthyroid neoplasmswatchful waiting |
| spellingShingle | Ji Ye Lee Min Kyoung Lee Hyun Kyung Lim Chang Yoon Lee Jin Yong Sung Jung Hyun Yoon Soo Yeon Hahn Jung Hee Shin Ji-hoon Kim So Lyung Jung Sae Rom Chung Jung Hwan Baek Dong Gyu Na Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus Statement Journal of the Korean Society of Radiology active surveillance consensus papillary thyroid cancer practice guideline recommendation thyroid neoplasms watchful waiting |
| title | Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus Statement |
| title_full | Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus Statement |
| title_fullStr | Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus Statement |
| title_full_unstemmed | Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus Statement |
| title_short | Standardized Ultrasound Evaluation for Active Surveillance of Low-Risk Thyroid Microcarcinoma in Adults: 2024 Korean Society of Thyroid Radiology Consensus Statement |
| title_sort | standardized ultrasound evaluation for active surveillance of low risk thyroid microcarcinoma in adults 2024 korean society of thyroid radiology consensus statement |
| topic | active surveillance consensus papillary thyroid cancer practice guideline recommendation thyroid neoplasms watchful waiting |
| url | https://doi.org/10.3348/jksr.2024.0132 |
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