Management of invasive well-differentiated thyroid cancer: an American Head and Neck Society consensus statement. AHNS consensus statement.
BACKGROUND
Invasive differentiated thyroid cancer (DTC) is relatively frequent, yet there is a paucity of specific guidelines devoted to its management. The Endocrine Committee of the American Head and Neck Society (AHNS) convened a panel to provide clinical consensus statements based on review of the literature, synthesized with the expert opinion of the group.


METHODS
An expert panel, selected from membership of the AHNS, constructed the manuscript and recommendations for management of DTC with invasion of recurrent laryngeal nerve, trachea, esophagus, larynx, and major vessels based on current best evidence. A Modified Delphi survey was then constructed by another expert panelist utilizing 9 anchor points, 1 = strongly disagree to 9 = strongly agree. Results of the survey were utilized to determine which statements achieved consensus, near-consensus, or non-consensus.


RESULTS
After endorsement by the AHNS Endocrine Committee and Quality of Care Committee, it received final approval from the AHNS Council.
Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon.
Maisie L
ML
Shindo
Salvatore M
SM
Caruana
Emad
E
Kandil
Judith C
JC
McCaffrey
Lisa A
LA
Orloff
John R
JR
Porterfield
Ashok
A
Shaha
Jennifer
J
Shin
David
D
Terris
Gregory
G
Randolph
D000465:Algorithms; D002277:Carcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002291:Carcinoma, Papillary; D002454:Cell Differentiation; D003697:Delphi Technique; D016629:Esophagectomy; D004947:Esophagus / Q000473:pathology; D006801:Humans; D007825:Laryngectomy; D007830:Larynx / Q000473:pathology; D016343:Monitoring, Intraoperative; D009361:Neoplasm Invasiveness; D011859:Radiography; D012009:Recurrent Laryngeal Nerve / Q000473:pathology / Q000503:physiopathology; D012955:Societies, Medical; D000077273:Thyroid Cancer, Papillary; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery*; D014132:Trachea / Q000473:pathology; D014140:Tracheotomy; D014463:Ultrasonography; D014481:United States
invasive thyroid cancer; locally aggressive thyroid cancer; recurrent laryngeal nerve invasion; tracheal invasion; vascular invasion