0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
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 ......
Invited Commentary |

Extent of Surgery for Papillary Thyroid Carcinoma: The Debate Continues Comment on “Surgery for Papillary Thyroid Carcinoma”

Ashok R. Shaha, MD
Arch Otolaryngol Head Neck Surg. 2010;136(11):1061-1063. doi:10.1001/archotol.136.11.1061.
Text Size: A A A
Published online

Extract

Mendelsohn and colleagues have written an interesting article. The subtitle “Is Lobectomy Enough?” is intriguing. The answer is simple. Yes, lobectomy is enough in a select group of low-risk patients with intrathyroidal well-differentiated thyroid cancer.

After the publication of the American Thyroid Association guidelines in 2006 and revised guidelines in 2009,1 the debate with regard to the extent of thyroid surgery for well-differentiated thyroid carcinoma seemed to have ended. There was a strong reference in the American Thyroid Association guidelines to a publication from Bilimoria and colleagues2 with regard to National Cancer Database (NCDB) data analysis. Several shortcomings of the article by Bilimoria et al were noted in an article by Shah.3 With the large number of patients for whom the NCDB showed data, the arguments by Bilimoria et al appeared to be convincing that total thyroidectomy would be the best choice of treatment for papillary thyroid carcinoma.

Sign in

Purchase Options

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

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
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.

Multimedia

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

86 Views
4 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
Jobs
JAMAevidence.com

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis

brightcove.createExperiences();