低危型甲状腺癌诊疗争议

Controversies in the management of low-risk thyroid carcinoma

摘要:

低危型甲状腺癌的管理是目前甲状腺恶性肿瘤的焦点问题。虽然国内外陆续更新低危型甲状腺癌治疗策略指导，但临床诊疗中仍存在若干争议问题。选择临床主动观察、手术干预还是微创治疗成为低危型甲状腺癌治疗的争议所在，而热消融技术在低危型甲状腺癌的指证选择也存较多争议。因此，需要更多的研究来进一步探讨低危型甲状腺癌的最佳诊疗策略。在符合综合规范治疗的原则下，低危型甲状腺癌的治疗需要医患双方充分沟通，根据肿瘤本身以及患者家庭及社会因素（性格、工作、经济）、心理承受能力等多方面因素实现真正的个体化治疗策略。

Abstract:

Management of low-risk thyroid carcinoma has been the hotspot in the field of thyroid malignancy. Although the management guidelines for the patients with low-risk thyroid carcinoma standardize the diagnosis and therapy, there still are some controversies. Because of the favorable prognosis of low-risk thyroid carcinoma, it's difficult to choose the optimal treatment from clinical follow-up, surgery in early stage or minimally invasive technology. However, radiofrequency ablation was controversial currently in the management of low-risk thyroid carcinoma more researches are necessary to guide the optimal treatment strategy for low-risk thyroid carcinoma. In line with the principle of comprehensive and standardized treatment, the treatment of low-risk thyroid cancer requires communication between doctors and patients, and a truly individualized treatment strategy based on the tumor, the patient's social psychological factors and other factors.