Active surveillance or surgical resection? A survey of treatment strategies for low-risk papillary thyroid microcarcinoma in adults - Takeaways - MDSpire

Active surveillance or surgical resection? A survey of treatment strategies for low-risk papillary thyroid microcarcinoma in adults

  • By

  • Xia Qin

  • Ming-tao Chang

  • Qiao-zhi Feng

  • Rui Feng

  • Jian-fa Chen

  • June 18, 2026

  • 0 min

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  • 1

    The study investigates treatment approaches for adult low-risk papillary thyroid microcarcinoma (PTMC) in southern China.

  • 2

    Active surveillance (AS) is recommended by 36.1% of institutions, while 16.7% recommend immediate surgery for low-risk PTMC.

  • 3

    Among 474 PTMC patients, 48.1% underwent immediate surgery, 36.9% chose AS, and 13.3% received ablation.

  • 4

    Significant variability exists in AS protocols across institutions, highlighting the need for standardized guidelines.

  • 5

    Educational efforts for clinicians and patients are essential to improve the adoption of AS for low-risk PTMC.

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