BACKGROUND Papillary thyroid microcarcinoma (PTMC) is a relatively common entity in the general population. AIM To present our experience with papillary thyroid microcarcinoma of the thyroid as an incidental finding in patients treated surgically for presumably benign thyroid disease. SETTINGS AND DESIGN Histology reports of patients treated surgically with a preoperative diagnosis of benig...

We appreciate the interest in, and the constructive criticism of our paper entitled: ‘‘Incidental versus non-incidental thyroid carcinoma: Clinical presentation, surgical management and prognosis’’. In their comments, our colleagues state that our series shows no differences in surgical complications. However, the results did reveal differences (overall hypoparathyroidism rate 9.9% vs 4.2%, and...

1. Lang W, Borrusch H, Bauer L. Occult carcinoma of the thyroid. Evaluation of 1,020 sequential autopsies. Am J Clin Pathol 1988;90:72-6. 2. Rosai J, LiVolsi VA, Sobrinho-Simoes M, Williams ED. Renaming papillary microcarcinoma of the thyroid gland: The Porto proposal. Int J Surg Pathol 2003;11:249-51. 3. Lin DJ, Huang BY, Chao TC, Hsueh C. Diagnosis of occult thyroid carcinoma by thyroid ultra...

Current management trends for patients with papillary thyroid microcarcinoma (PTMC) of\1 cm are based upon a predicted excellent outcome without radioiodine ablation. Guidelines suggest that post-surgical ablation is not necessary for such small tumors and rather that the patients may be followed by monitoring serum thyroglobulin and performing periodic neck ultrasonography [1]. In this issue o...

Background. The most appropriate therapy for papillary microcarcinoma (PMC) is controversial. Methods. We reviewed the therapy and outcome of 407 patients with PMC. Results. Three hundred-eighty patients underwent total thyroidectomy, and 349 patients received I-131 therapy. The median followup was 5.3 years. Forty patients developed recurrent disease. On univariate analysis, development of dis...

Clinical and pathological characteristics of incidental papillary thyroid microcancer cases, surgical, medical, and nuclear treatment methods, and patients' outcome were studied during follow-up period of 102 months. We studied 37 patients with incidental papillary thyroid microcancer (I-PTM). The surgical procedure was total thyroidectomy in 29 and hemithyroidectomy in 8 patients. Size, multif...