甲状腺微小乳头状癌规范化诊疗的进展与争议

Progress and controversy on the standardized diagnosis and treatment of papillary thyroid microcarcinoma

摘要:

国内外针对发病率持续增加的甲状腺微小乳头状癌（PTMC）制定了多个指南与专家共识，内容涵盖PTMC的诊断、治疗等多方面。然而由于PTMC相对惰性的肿瘤生物学特性和良好的预后，其疾病管理策略的选择相对多样，围绕该疾病的规范化诊疗，特别是治疗的争议也与日俱增。本文就PTMC规范化诊疗的进展和争议作一述评。

Abstract:

Various guidelines and consensus statements regarding the diagnosis and treatment of papillary thyroid microcarcinoma (PTMC) with continued increasing incidence have been published. Due to the relatively indolent tumor behaviors and favorable prognosis, the management strategies of PTMC are varied. Controversies also arise regarding to the standardized diagnosis and treatment, especially the latter. This review aims to discuss the progress and controversies about the management of PTMC.