Akira Miyauchi, MD, PhD, Yasuhiro Ito, MD, PhD

Slides:

Advertisements

Similar presentations

Ms Kusnur Karim 45/F, case of Papillary thyroid cancer with Tracheal invasion and hemoptysis Bronchoscopy: growth protruding below the vocal cords Underwent.

Advertisements

Papillary Thyroid Cancer Treated at the Mayo Clinic, 1946 Through 1970: Initial Manifestations, Pathologic Findings, Therapy, and Outcome WILLIAM M.

Recurrent Laryngeal Nerve Paralysis by Compression From a Tracheal Diverticulum Laurens J. Ceulemans, MD, Philip Lerut, MD, Stefan De Moor, MD, Rob Schildermans,

Pediatric Endocrinology

BRCA1 Gene Mutation in Thymic Malignant Melanoma

Cavitary Lung Disease with Skin Lesions

Woo Sung Jang, MD, PhD, Woong-Han Kim, MD, PhD, Sungkyu Cho, MD

Cornelis G. Vos, MD, Koen J. Hartemink, MD, Tim U

Sublobar Resection for Pulmonary Aspergilloma: A Safe Alternative to Lobectomy Ping Yuan, MD, Jin-Lin Cao, MD, Sha Huang, MD, Chong Zhang, MD, Fei-Chao.

Preoperative Localization of Lung Nodules With Fiducial Markers: Feasibility and Technical Considerations Amita Sharma, MD, Shaunagh McDermott, MD, Douglas.

A Pain in the Neck: Thyroid Abscess

Suppurative Salmonella thyroiditis coexistence with invasive thymoma

Progressive Acute Abdominal Aortic Syndrome

Cervical ectopic thymoma

Applications of Dual-Energy Computed Tomography for the Evaluation of Head and Neck Squamous Cell Carcinoma Reza Forghani, MD, PhD, Hillary R. Kelly,

Positron Emission Tomography in Lung Cancer

Naotaka Uchida, Manabu Yoshida, Yasuki Matsui, Takeshi Notsu

Resolution of transient, marked eosinophilia, hyperimmunoglobulinemia E, and refractory eczematous dermatitis after the treatment of pancreatic pseudocysts

Papillary Thyroid Cancer Treated at the Mayo Clinic, 1946 Through 1970: Initial Manifestations, Pathologic Findings, Therapy, and Outcome WILLIAM M.

Andranik Petrosyan, MD, Patrice Bergeron, MD

Anthracotic Intrapulmonal Lymph Nodes Mimicking Lung Metastases

Long-Term Survival With Chest Wall Resection and Pulmonary Metastasectomy for Hepatocellular Carcinoma Shinya Ito, MD, PhD, Takashi Yoshimura, MD, PhD,

Stefano Schena, MD, PhD, Alexander S. Krupnick, MD

Atypical Cause of Axillary Pain

Serum β-hCG as an Indicator of Recurrence After the Complete Resection of a Malignant Solitary Fibrous Tumor of the Pleura Hiroshi Yabuki, MD, Akira.

A. Skiada, L. Vrana, H. Polychronopoulou, P. Prodromou, A. Chantzis, P

George Ladas, MD, Peter H Rhys-Evans, Peter Goldstraw

Primary Non-Hodgkin's Lymphoma of the Trachea

Successful thoracoscopic resection of large symptomatic mediastinal lymphatic malformations: Report of 3 cases Amy W. Cheng, MD, Donald B. Shaul, MD,

Complete Resection is Mandatory for Tubercular Cold Abscess of the Chest Wall Young Tae Kim, MD, PhD, Kook Nam Han, MD, Chang Hyun Kang, MD, PhD, Sook.

Arthroscopic Resection of Intra-Articular Osteochondromas of the Hip

Marleen J. ter Avest, BSc, Romane M. Schook, MD, Pieter E

Nikolaas De Maeyer, MD, Walter De Wever, MD, PhD, Christophe M

Multiple Pulmonary Chondromas in a Young Female Patient: A Component of Carney Triad Gui-Bin Qiao, MD, PhD, Wei-Sheng Zeng, MD, Li-Jun Peng, MD, Wen-Zhao.

Thyroid lung metastasis diagnosed 47 years after thyroidectomy1

Thyroid Cancer With a Cystic Mediastinal Tumor Invading the Right Main Bronchus Ryuichi Suemitsu, MD, PhD, Sadanori Takeo, MD, PhD, Motoharu Hamatake,

Multiple Pulmonary Chondroid Hamartoma

Woo Sung Jang, MD, PhD, Woong-Han Kim, MD, PhD, Sungkyu Cho, MD

Bilobectomy for Lung Cancer: Analysis of Indications, Postoperative Results, and Long- Term Outcomes Domenico Galetta, MD, PhD, Piergiorgio Solli, MD,

Salvage Operation in Case of Oligometastatic Disease

Foreword Endocrinology and Metabolism Clinics

Unilateral Absence of the Left Pulmonary Artery Accompanied by Right Lung Cancer Masaoki Ito, MD, Yoshinori Yamashita, MD, PhD, Hiroaki Harada, MD, Ken-ichi.

Complete Resection of Oligorecurrence of Stage I Lung Adenocarcinoma 19 Years After Operation Dai Sonoda, MD, Masashi Mikubo, MD, Kazu Shiomi, MD, PhD,

Multifocal Thoracic Tuberculosis

Salvage Operation for Late Recurrence After Stereotactic Body Radiotherapy for Lung Cancer: Two Patients With No Viable Cancer Cells Naohiro Taira, MD,

The Role of Surgery in the Management of Primary Thymic Mucosa-associated Lymphoid Tissue (MALT) Lymphoma Kimihiro Shimizu, MD, PhD, Izumi Takeyoshi,

Zachary S. Pallister, MD, Miguel Montero-Baker, MD, Joseph L

En Bloc Upper and Lower Lobe Trisegmentectomy Facilitated by Displaced Segmental Airway Akifumi Nakamura, MD, Shun-ichi Watanabe, MD, Yukio Watanabe,

Salvage Lung Resection for Non-small Cell Lung Cancer After Stereotactic Body Radiotherapy in Initially Operable Patients Fengshi Chen, MD, PhD, Yukinori.

Nicholas W. Choong, MD, Robert S. Hellman, MD

Extensive Invasion of the Left Atrium by Lung Cancer

Vitamin D: Mechanisms of Action and Clinical Applications

Pulmonary Valve Intimal Sarcoma

Extended Resections for Thymic Malignancies

Lung Cancer Surgery in Partial Anomalous Pulmonary Venous Connection Patients Nobuyasu Kurihara, MD, Hajime Saito, MD, PhD, Shuetsu Usami, MD, PhD, Kazuhiro.

Presentation of Garcin Syndrome due to Lung Cancer

Giant pseudoaneurysm of the left ventricle

Andreas Rimner, MD, Kenneth E. Rosenzweig, MD

Philip A. Linden, MD, Jon O. Wee, MD, Michael T

Synchronous primary lung carcinoma and lung metastasis from extrathoracic carcinoma Shinji Kanemitsu, MD, Motoshi Takao, MD, PhD, Akira Shimamoto, MD,

Todd J. Carpenter, MD, Kenneth E. Rosenzweig, MD

Biology of nasal polyposis

Endotracheal and Endobronchial Metastases in a Patient With Stage I Lung Adenocarcinoma Zhirong Zhang, MD, Yousheng Mao, MD, Huang Chen, MD, Jingsi Dong,

Peripheral Tissue Examination for Malignant Lesions of the Skin

Preface Endocrinology and Metabolism Clinics

Sequential Mediastinal Lymphadenectomy of an Unknown Primary Tumor

Surgical Management of Invasive Pulmonary Aspergillosis in Neutropenic Patients Alain Bernard, MD, Denis Caillot, MD, Jean François Couaillier, MD, Olivier.

Menopause and Perimenopause

Resection of primary brachial plexus tumor using a modified Dartevelle anterior approach Andrew Morton, Mark J Krasna, MD, Charles S White, MD, Joseph.

Recurrent Laryngeal Nerve Paralysis by Compression From a Tracheal Diverticulum Laurens J. Ceulemans, MD, Philip Lerut, MD, Stefan De Moor, MD, Rob Schildermans,

Presentation transcript:

Conservative Surveillance Management of Low-Risk Papillary Thyroid Microcarcinoma Akira Miyauchi, MD, PhD, Yasuhiro Ito, MD, PhD Endocrinology and Metabolism Clinics Volume 48, Issue 1, Pages 215-226 (March 2019) DOI: 10.1016/j.ecl.2018.10.007 Copyright © 2018 The Author(s) Terms and Conditions

Fig. 1 The types of angles formed between the tumor surface and tracheal cartilage are related to the risk of tracheal invasion: (A) obtuse angle, (B) near-right angle, and (C) acute angle. Endocrinology and Metabolism Clinics 2019 48, 215-226DOI: (10.1016/j.ecl.2018.10.007) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 2 (A) Upper two; A typical example of PTMC forming an obtuse angle (right, ultrasonography; left, computed tomography scan). This case required resection of the tracheal cartilage. (B) Lower two; A typical example of a PTMC forming an acute angle. (Ultrasonography; right, sagittal scan. Head to the left; left, transverse scan). This tumor was excised according to the patients’ wishes. There was no tracheal invasion. Endocrinology and Metabolism Clinics 2019 48, 215-226DOI: (10.1016/j.ecl.2018.10.007) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 3 The presence (A) or absence (B) of a normal tissue rim in the direction of the recurrent laryngeal nerve is related to the risk of invasion to the nerve. Endocrinology and Metabolism Clinics 2019 48, 215-226DOI: (10.1016/j.ecl.2018.10.007) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 4 (A) Ultrasonography showing a hypoechoic mass lesion extending from the dorsal surface of the left thyroid lobe in a patient presenting with left vocal cord paralysis. (B) A computed tomography scan of the same patient revealing a low-density mass without a normal tissue rim in the direction of the left recurrent laryngeal nerve. Arrows indicate a tumor extending from the dorsal surface of the thyroid lobe. Endocrinology and Metabolism Clinics 2019 48, 215-226DOI: (10.1016/j.ecl.2018.10.007) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 5 (A) Tumor located within a thyroid lobe is an ideal tumor for active surveillance. Tumors located at the anterior (B) and lateral (C) capsules of the thyroid lobe, with possible minimal extrathyroid extension, are not ideal for active surveillance but are nevertheless included in such surveillance. Endocrinology and Metabolism Clinics 2019 48, 215-226DOI: (10.1016/j.ecl.2018.10.007) Copyright © 2018 The Author(s) Terms and Conditions