An Observational Trial for Papillary Thyroid Microcarcinoma in Japanese Patients
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Cites background from "An Observational Trial for Papillar..."
...Unfortunately, no clinical features (145-151) can reliably differentiate the relatively small number of PTMC patients destined to develop clinically significant progression from the larger population of people that harbor indolent PTMCs that will not cause significant disease....
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...management approach to papillary microcarcinoma is a safe and an effective alternative to immediate surgical resection in properly selected patients (143;149)....
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Cites background from "An Observational Trial for Papillar..."
...However, because some thyroid specialists advocate active surveillance, ablation, or lobectomy for papillary microcarcinomas, biopsy of 5- to 9-mm TR5 nodules may be appropriate under certain circumstances [24,55-57]....
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References
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...2% [7–9]....
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"An Observational Trial for Papillar..." refers background or methods or result in this paper
...We previously demonstrated that PMC patients having clinically apparent lateral node metastasis (N1b) were more likely to show recurrence [20, 21]....
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...Lymph node dissection was performed for 815 patients [central node dissection only for 525 and prophylactic modified neck dissection (MND) for 290]....
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...Unilateral MND 402a (38.1...
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...Of 290 patients who underwent MND, 4 showed recurrence to a lateral compartment (3 on the contralateral side and 1 in the ipsilateral compartment)....
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...In our previous study, we showed that in a subset of PMC patients without clinically apparent node metastasis, recurrence rate to the lymph node in patients who underwent central node dissection only did not differ from that in patients who underwent prophylactic MND [20, 21]....
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