title: [Thyroid microcarcinoma: our experience].
abstract: Differentiated thyroid cancer had an excellent prognosis; the diagnosis of sub-centimetric differentiated cancer (microcarcinoma) is more and more frequently. Clinical evolution of microcarcinoma could be various: microcarcinoma can represent an autoptic finding or can evolve with locoregional lymph node involvement or metastasis. Various clinical and genetic factors have been considered to predict the aggressiveness of this neoplasm. From 2001 to 2004, 74 patients with diagnosis of thyroid microcarcinoma underwent surgical treatment. By a retrospective survey we evaluated risk factors and the choice of surgical treatment. The aggressiveness appear to be related mainly to multifocality and size. Our therapeutic strategy is to perform total thyroidectomy for benign pathologies, total thyroidectomy with lymphadenectomy in cases with preoperative diagnosis of microcarcinoma.
authors.affiliation: Azienda Ospedaliera "Santa Maria", Terni.
authors.forename: M
authors.initials: M
authors.lastname: Monacelli
authors.forename: P
authors.initials: P
authors.lastname: Sperlongano
authors.forename: M
authors.initials: M
authors.lastname: D'Ajello
authors.forename: F
authors.initials: F
authors.lastname: Calzolari
authors.forename: A
authors.initials: A
authors.lastname: Piatto
authors.forename: R
authors.initials: R
authors.lastname: Lucchini
authors.forename: C
authors.initials: C
authors.lastname: Misso
authors.forename: D
authors.initials: D
authors.lastname: Parmeggiani
authors.forename: D
authors.initials: D
authors.lastname: Pisaniello
authors.forename: I
authors.initials: I
authors.lastname: Sordelli
authors.forename: R
authors.initials: R
authors.lastname: Sperlongano
authors.forename: N
authors.initials: N
authors.lastname: Avenia
mesh_terms: D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000601:surgery*