Initial results from a prospective cohort study of 5583 cases of thyroid carcinoma treated in the United States during 1996
Scott A. Hundahl, Blake Cady(Providence College), Myles P. Cunningham(NorthShore University HealthSystem), Ernest L. Mazzaferri(University of Florida), Rosemary F. McKee(Methodist Hospital), Juan Rosaí(Memorial Sloan Kettering Cancer Center), Jatin P. Shah(Memorial Sloan Kettering Cancer Center), Amy M. Fremgen(American College of Surgeons), Andrew K. Stewart(American College of Surgeons), Simon H�lzer(University of Giessen), for the U.S. and German Thyroid Cancer Study Group
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Abstract
In addition to offering information concerning risk factors and symptoms, the current PCE study compliments the survival information from previous NCDB reports and offers a surveillance snapshot of current management of thyroid carcinoma in the U.S. Identified opportunities for improvement of care include 1) more frequent use of fine-needle aspiration cytology in making a diagnosis; 2) more frequent use of laryngoscopy in evaluating patients preoperatively, especially those with voice change; and 3) improved lymph node resection and analysis to improve staging and, in some situations, outcomes.
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