A study in Mayo Clin.Proc. ( Nov 2021 96 2823-30 ) by Ian Hay et al, found 600 cases of thyroid cancer from 1935-2018. 89% were papillary and the median tumor size was 1.5 cm ( 0.9-2.5 cm )
The 8 decade study found the incidence of significant thyroid cancer had not changed.
The diagnosis of an indolent small thyroid cancer has the same emotional psychological and financial burden as a significant cancer.
These cancers <1.5 cm do not need surgery.
8 decades with over diagnosis of small papillary thyroid cancer should lead to change in our approach to these indolent cancers.
Don’t biopsy < 1 cm nodules.
Active surveillance leaves the cancer in the neck for years.
Radiofrequency ablation is a new treatment with the advantages of ablating the cancer in situ leaving the healthy thyroid intact and avoiding the lobectomy surgery with 80% chance you need thyroid hormone. Avoids the usual fear and anxiety for patients just doing Active surveillance.
Call me if you have a small papillary thyroid cancer and your surgeon want to take out your lobe or worse wants to do a total thyroidectomy.
310-393-8860 or email to firstname.lastname@example.org.