The Age of No Surgery is HERE Even for Thyroid Cancer: Active Surveillance AS.
- Except for small previously called Follicular variant of papillary cancer, that is now called NIFT-P now downgraded to benign, but still needs removal by simple lobectomy to confirm it is non-invasive and truly benign. 1.5 classic papillary thyroid cancers in idea locations in the thyroid lobes away from the capsule and recurrent nerve and isthmus are candidates for AS. Yes this cancer rarely grows or kills you. 50 year registry follow up with ultrasound yearly size evaluation is needed instead of total thyroid ectomy and radiation therapy. If there is 3 mm growth anytime during follow up, a rescue surgery can be done as safely an original surgery done years before.
- Classic non-invasive follicular tumor with papillary cells ( NIFT-P)
- AS centers include Cedar Sinai in Los Angeles under Allen HO MD, MD Anderson, Mayo Clinic, and UCLA. A private center is Santa Monica Thyroid Center AS program directed by Dr.Richard Guttler. Private center with no long waits in university waiting rooms to get the yearly ultrasound evaluations.
- Surgery is safer now than in the 14 th century, but if you can use AS instead you are ahead of the game and may never need surgery or in a few cases only need rescue surgery years later if it grows even 3 mm!.