关键词: 甲状腺微小癌, 过度诊断, 规范化治疗

Abstract:

Focal points and controversies of the diagnosis and treatment for thyroid microcarcinoma        WU Yi. Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center; Thyroid Tumor Diagnosis and Treatment Research Center, Fudan University，Shanghai 200032，China
Abstract    Thyroid microcarcinoma (TMC) is defined as a thyroid cancer measuring ≤1 cm in greatest diameter. Since more and more thyroid microcarcinomas have been detected frequently, it needs to explore the standard diagnosis and treatment of TMC. For the TMCs diagnosed definitively, standardized treatment of thyroid carcinoma should be adopted. Strict indications of non-operative-management should be grasped for TMC. Careful analysis of the history, strict operation indications and non-neoplasm touch technology are required when treating TMC by endoscopy. Furthermore, domestic surgeons should also learn the advanced experience from foreign colleagues in order to enhance the ability of diagnosing and treating TMC in China.

Key words: thyroid microcarcinoma；over-diagnosis, standardized therapy