Surgical approaches for papillary microcarcinomas: Turkey’s perspective

Objectives: The incidence of papillary microcarcinomas, which are defined as thyroid cancers of

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Published in:Turkish journal of surgery 2018-06, Vol.34 (2), p.89-93
Main Authors: Makay, Ozer, Ozdemir, Murat, Giles Senyurek, Yasemin, Tunca, Fatih, Duren, Mete, Uludag, Mehmet, Haciyanli, Mehmet, Icoz, Gokhan, Isgor, Adnan, Ozbas, Serdar, Ozcan, Zehra, Tezelman, Serdar
Format: Article
Language:English
Subjects:
Biopsy
Endocrinology
Hospitals
Iodine
Lymphatic system
Mutation
Nuclear medicine
Original
Pathology
Patients
Questionnaires
Surgeons
Surgery
Thyroid cancer
Ultrasonic imaging
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container_issue 2
container_start_page 89
container_title Turkish journal of surgery
container_volume 34
creator Makay, Ozer
Ozdemir, Murat
Giles Senyurek, Yasemin
Tunca, Fatih
Duren, Mete
Uludag, Mehmet
Haciyanli, Mehmet
Icoz, Gokhan
Isgor, Adnan
Ozbas, Serdar
Ozcan, Zehra
Tezelman, Serdar
description Objectives: The incidence of papillary microcarcinomas, which are defined as thyroid cancers of
doi_str_mv 10.5152/turkjsurg.2018.3596
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Herein, we present internet-based questionnaire results performed by the Turkish Association of Endocrine Surgery with the aim to evaluate the perspective of the management of papillary microcarcinomas in Turkey. Material and Methods: The user-friendly questionnaire consisted of 13 questions in total. These questions mainly addressed the surgical management of nodules and cancer of &lt;1 cm in size. Patient management before, during, and after surgical intervention was also included; additionally, the “active surveillance approach” was questioned.&gt; Results: There were 420 responders in total who were of multidisciplinary origin (endocrinologists, surgeons, nuclear medicine specialists, pathologists, and oncologists). Total thyroidectomy was the predominant treatment approach (65%) for the classical type of microcarcinoma limited in one lobe, whereas in cases of microcarcinomas incidentally diagnosed during hemithyroidectomy, complementary surgery approach was advised by 40% of the responders. The responders found capsule invasion (86%) and patient based management (94%) of high importance. The percentage of the responders who recommended radioactive iodine ablation in incidental cancers having no aggressive criteria was 51%. The survey participants that were against routine central dissection in these cases accounted for 73% of the responders. The recommendation of active surveillance (follow-up without any interventional therapy) was limited with 9% responders. Conclusion: The results of the questionnaire demonstrated that there have been various choices in Turkey for the surgical treatment of the papillary microcarcinomas.</description><identifier>ISSN: 2564-6850</identifier><identifier>EISSN: 2564-7032</identifier><identifier>DOI: 10.5152/turkjsurg.2018.3596</identifier><identifier>PMID: 30023969</identifier><language>eng</language><publisher>Ankara: Turkish Surgical Association</publisher><subject>Biopsy ; Endocrinology ; Hospitals ; Iodine ; Lymphatic system ; Mutation ; Nuclear medicine ; Original ; Pathology ; Patients ; Questionnaires ; Surgeons ; Surgery ; Thyroid cancer ; Ultrasonic imaging</subject><ispartof>Turkish journal of surgery, 2018-06, Vol.34 (2), p.89-93</ispartof><rights>2018. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2018 by the Turkish Surgical Association 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-9599d0f809b07436e8173e09c52b9569e0dc3a4dc1d9ca0720c7507679ceef5a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2285033468/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2285033468?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,25783,27957,27958,37047,44625,53827,53829,75483</link.rule.ids></links><search><creatorcontrib>Makay, Ozer</creatorcontrib><creatorcontrib>Ozdemir, Murat</creatorcontrib><creatorcontrib>Giles Senyurek, Yasemin</creatorcontrib><creatorcontrib>Tunca, Fatih</creatorcontrib><creatorcontrib>Duren, Mete</creatorcontrib><creatorcontrib>Uludag, Mehmet</creatorcontrib><creatorcontrib>Haciyanli, Mehmet</creatorcontrib><creatorcontrib>Icoz, Gokhan</creatorcontrib><creatorcontrib>Isgor, Adnan</creatorcontrib><creatorcontrib>Ozbas, Serdar</creatorcontrib><creatorcontrib>Ozcan, Zehra</creatorcontrib><creatorcontrib>Tezelman, Serdar</creatorcontrib><creatorcontrib>Department of General Surgey Sisli Etfal Training and Research Hospital, Istanbul, Turkey</creatorcontrib><creatorcontrib>Departments of General Surgey Istanbul University Istanbul School of Medicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Departments of General Surgey Ege University School of Medicine, Izmir, Turkey</creatorcontrib><creatorcontrib>Department of General Surgery Istanbul University Cerrahpasa School of Meidicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of General Surgery Guven Hospital, Ankara, Turkey</creatorcontrib><creatorcontrib>Department of General Surgery Bahcesehir University School of Medicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of General Surgery, Koc University School of Medicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of General Surgery Izmir Katip Celebi University, Ataturk Tranining and Research Hospital</creatorcontrib><creatorcontrib>Departments of General Surgey and Nuclear Medicine, Ege University School of Medicine, Izmir, Turkey</creatorcontrib><title>Surgical approaches for papillary microcarcinomas: Turkey’s perspective</title><title>Turkish journal of surgery</title><description>Objectives: The incidence of papillary microcarcinomas, which are defined as thyroid cancers of &lt;10mm in size, has been increasing in the last decade. Herein, we present internet-based questionnaire results performed by the Turkish Association of Endocrine Surgery with the aim to evaluate the perspective of the management of papillary microcarcinomas in Turkey. Material and Methods: The user-friendly questionnaire consisted of 13 questions in total. These questions mainly addressed the surgical management of nodules and cancer of &lt;1 cm in size. Patient management before, during, and after surgical intervention was also included; additionally, the “active surveillance approach” was questioned.&gt; Results: There were 420 responders in total who were of multidisciplinary origin (endocrinologists, surgeons, nuclear medicine specialists, pathologists, and oncologists). Total thyroidectomy was the predominant treatment approach (65%) for the classical type of microcarcinoma limited in one lobe, whereas in cases of microcarcinomas incidentally diagnosed during hemithyroidectomy, complementary surgery approach was advised by 40% of the responders. The responders found capsule invasion (86%) and patient based management (94%) of high importance. The percentage of the responders who recommended radioactive iodine ablation in incidental cancers having no aggressive criteria was 51%. The survey participants that were against routine central dissection in these cases accounted for 73% of the responders. The recommendation of active surveillance (follow-up without any interventional therapy) was limited with 9% responders. 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Herein, we present internet-based questionnaire results performed by the Turkish Association of Endocrine Surgery with the aim to evaluate the perspective of the management of papillary microcarcinomas in Turkey. Material and Methods: The user-friendly questionnaire consisted of 13 questions in total. These questions mainly addressed the surgical management of nodules and cancer of &lt;1 cm in size. Patient management before, during, and after surgical intervention was also included; additionally, the “active surveillance approach” was questioned.&gt; Results: There were 420 responders in total who were of multidisciplinary origin (endocrinologists, surgeons, nuclear medicine specialists, pathologists, and oncologists). Total thyroidectomy was the predominant treatment approach (65%) for the classical type of microcarcinoma limited in one lobe, whereas in cases of microcarcinomas incidentally diagnosed during hemithyroidectomy, complementary surgery approach was advised by 40% of the responders. The responders found capsule invasion (86%) and patient based management (94%) of high importance. The percentage of the responders who recommended radioactive iodine ablation in incidental cancers having no aggressive criteria was 51%. The survey participants that were against routine central dissection in these cases accounted for 73% of the responders. The recommendation of active surveillance (follow-up without any interventional therapy) was limited with 9% responders. Conclusion: The results of the questionnaire demonstrated that there have been various choices in Turkey for the surgical treatment of the papillary microcarcinomas.</abstract><cop>Ankara</cop><pub>Turkish Surgical Association</pub><pmid>30023969</pmid><doi>10.5152/turkjsurg.2018.3596</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Biopsy
Endocrinology
Hospitals
Iodine
Lymphatic system
Mutation
Nuclear medicine
Original
Pathology
Patients
Questionnaires
Surgeons
Surgery
Thyroid cancer
Ultrasonic imaging
title Surgical approaches for papillary microcarcinomas: Turkey’s perspective
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