We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Challenges in Otolaryngology |

Under Most Circumstances, Thyroid Lobectomy Is Appropriate for Low-Risk Patients With Papillary Cancer of the Thyroid

Frederic P. Ogren, MD
Arch Otolaryngol Head Neck Surg. 2001;127(4):461-462. doi:10.1001/archotol.127.4.461.
Text Size: A A A
Published online


There is no prospective randomized study with long-term follow-up to guide the surgeon when treating patients with well-differentiated thyroid cancer, and unless a tumor marker with predictive value is discovered, this conundrum will not be settled in the near future. In the absence of a definitive study, I believe that the most logical approach to this tumor is to use risk factor analysis models such as AMES1 or the classifications proposed by Shah et al2 and Shaha et al.3 It is very clear that well-differentiated thyroid cancer can act very differently depending on a patient's risk-factor classification. Low-risk patients tend to do very well regardless of the extent of thyroidectomy, and high-risk patients tend to do poorly even with aggressive treatment. Although papillary thyroid cancer is frequently multifocal, the significance of microscopic disease in the contralateral lobe is questionable. The patient presented in the clinical challenge falls into the low-risk category, and I would favor performing only a thyroid lobectomy under most circumstances. This decision goes hand in hand with the decision not to perform adjuvant radioactive iodine treatment.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption

Frederic P. Ogren, MD

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles