Low-risk papillary thyroid microcarcinoma: Optimal management toward a more conservative approach

J Surg Oncol. 2020 May;121(6):958-963. doi: 10.1002/jso.25848. Epub 2020 Mar 18.


The incidence of papillary thyroid microcarcinoma (microPTC) has dramatically increased in the last decades. Most of these tumors remain small and clinically "silent", only small number progress. Although thyroid surgery used to be the only therapeutic approach, recent guidelines now consider active surveillance for low-risk microPTC. For this reason, more accurate risk stratification of microPTC is needed. The optimal management of low-risk microPTC through accurate risk stratification represents a major clinical issue.

Keywords: active surveillance; low risk; papillary thyroid microcarcinoma; thyroid cancer.

Publication types

  • Review

MeSH terms

  • Carcinoma, Papillary / diagnosis*
  • Carcinoma, Papillary / pathology
  • Carcinoma, Papillary / surgery
  • Carcinoma, Papillary / therapy*
  • Humans
  • Neoplasm Staging
  • Risk Factors
  • Thyroid Neoplasms / diagnosis*
  • Thyroid Neoplasms / pathology
  • Thyroid Neoplasms / surgery
  • Thyroid Neoplasms / therapy*
  • Thyroidectomy

Supplementary concepts

  • Papillary Thyroid Microcarcinoma