MICROCARCINOMA PAPILAR DE TIROIDES

Abstract

The incidence of papillary thyroid microcarcinoma has increased steadily in recent years, due to improvements in diagnostic techniques, both imaging and pathological studies, and the vast majority are diagnosed incidentally. About 50% of the new annual cases of papillary thyroid carcinoma are microcarcinomas.

They are slow-growing tumors with an excellent prognosis, with a survival of 97% at 20 years of follow-up, with a low risk of local recurrence or distant metastasis. At present, the management of thyroid microcarcinoma is not fully established, which is why it is subject to debate that includes a wide variety of behaviors, ranging from the active surveillance strategy to early surgical treatment. The extent of surgery is controversial, total thyroidectomy is indicated for some

and; extended lobectomy, for others. Postoperative ablative therapy has not been shown to be beneficial. We present the case of an asymptomatic patient with a family history of thyroid cancer, diagnosed incidentally in a screening ultrasound study.