World Journal of Surgery · 2009 · 798 citations · 23 references
Papillary microcarcinomas that are not associated with unfavorable features can be candidates for observation regardless of patient background and clinical features. If there are subsequent signs of progression, such as tumor enlargement and novel nodal metastasis, it would not be too late to perform surgical treatment. Even though the primary tumor is small, careful surgical treatment including therapeutic modified neck dissection is necessary for N1b PMC patients.
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Lymph Node Metastasis From 259 Papillary Thyroid Microcarcinomas
Nobuyuki Wada, Quan‐Yang Duh, Kiminori Sugino et al. · Annals of Surgery · 2003 · 821 citations · Full text