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AHNS Series: Do you know your guidelines? AHNS Endocrine Section Consensus Statement: State‐of‐the‐art thyroid surgical recommendations in the era of noninvasive follicular thyroid neoplasm with papillary‐like nuclear features
Author(s) -
Ferris Robert L.,
Nikiforov Yuri,
Terris Davis,
Seethala Raja R.,
Ridge J. Andrew,
Angelos Peter,
Duh QuanYang,
Wong Richard,
Sabra Mona M.,
Fagin James A.,
McIver Bryan,
Bernet Victor J.,
Harrell R. Mack,
Busaidy Naifa,
Cibas Edmund S.,
Faquin William C.,
Sadow Peter,
Baloch Zubair,
Shindo Maisie,
Orloff Lisa,
Davies Louise,
Randolph Gregory W.
Publication year - 2018
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25141
Subject(s) - medicine , thyroid , thyroid neoplasm , thyroidectomy , thyroid carcinoma , radiology , surgery , general surgery
The newly introduced pathologic diagnosis of noninvasive follicular thyroid neoplasm with papillary‐like nuclear features (NIFTP) will result in less bilateral thyroid surgery as well as deescalation in T4 suppressive and radioactive iodine treatment. Although, NIFTP is a nonmalignant lesion that has nuclear features of some papillary malignancies, the challenge for the surgeon is to identify a lesion as possibly NIFTP before the pathologic diagnosis. NIFTP, due to its reduction of overall rates of malignancy, will result in the initial surgical pendulum swinging toward lobectomy instead of initial total thyroidectomy. This American Head and Neck Society endocrine section consensus statement is intended to inform preoperative evaluation to attempt to identify those patients whose final pathology report may ultimately harbor NIFTP and can be offered a conservative surgical plan to assist in cost‐effective, optimal management of patients with NIFTP.