Evidence map›Paper›PMID 27480110›Full record

ReviewThyroid : official journal of the American Thyroid Association2016

Management of Invasive Differentiated Thyroid Cancer.

Iain J Nixon, Ricard Simo, Kate Newbold, Alessandra Rinaldo, Carlos Suarez, Luiz P Kowalski, Carl Silver, Jatin P Shah, Alfio Ferlito

Open access · greenAbstract readReview
In one paragraph

Review in Thyroid : official journal of the American Thyroid Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  19. Prognostic factors in patients with persistent/recurrent differentiated thyroid carcinoma after comprehensive treatmentZhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2021
    Article
  20. Advancements in the treatment of differentiated thyroid cancer.Therapeutic advances in endocrinology and metabolism · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 4 countries.

Iain J Nixon1 NHS Lothian/Edinburgh University , Edinburgh, United Kingdom .
Ricard Simo2 Head and Neck Cancer Unit, Guy's and St Thomas' Hospital , NHS Foundation Trust, London, United Kingdom .
Kate Newbold3 NIHR Royal Marsden Hospital and Institute of Cancer Research BRC , London, United Kingdom .
Alessandra Rinaldo4 University of Udine School of Medicine , Udine, Italy .
Carlos Suarez5 Department of Surgery, Universidad de Oviedo , Oviedo, Spain .
Luiz P Kowalski6 Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center , São Paulo, Brazil .
Carl Silver7 Departments of Surgery and Otolaryngology - Head and Neck Surgery, Albert Einstein College of Medicine, Montefiore Medical Center , Bronx, New York.
Jatin P Shah8 Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center , New York, New York.
Alfio Ferlito9 Former Director of the Department of Surgical Sciences and Chairman of the ENT Clinic at the University of Udine School of Medicine , Udine, Italy .
AC Camargo Hospital · BRAlbert Einstein College of Medicine · USMemorial Sloan Kettering Cancer Center · USUniversidad de Oviedo · ESUniversity of Udine · IT

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundInvasive disease is a poor prognostic factor for patients with differentiated thyroid cancer (DTC). Uncontrolled central neck disease is a common cause of distressing death for patients presenting in this manner. Advances in assessment and management of such cases have led to significant improvements in outcome for this patient group. This article reviews the patterns of invasion and a contemporary approach to investigation and treatment of patients with invasive DTC. SUMMARY: Aerodigestive tract invasion is reported in around 10% of case series of DTC. Assessment should include not only clinical history and physical examination with endoscopy as indicated, but ultrasound and contrast-enhanced cross-sectional imaging. Further studies including positron emission tomography should be considered, particularly in recurrent cases that are radioactive iodine (RAI) resistant. Both the patient and the extent of disease should be carefully assessed prior to embarking on surgery. The aim of surgery is to resect all gross disease. When minimal visceral invasion is encountered early, "shave" procedures are recommended. In the setting of transmural invasion of the airway or esophagus, however, full thickness excision is required. For intermediate cases in which invasion of the viscera has penetrated the superficial layers but is not evident in the submucosa, opinion is divided. Early reports recommended an aggressive approach. More recently authors have tended to recommend less aggressive resections with postoperative adjuvant therapies. The role of external beam radiotherapy continues to evolve in DTC with support for its use in patients considered to have RAI-resistant tumors.

conclusionsPatients with invasive DTC require a multidisciplinary approach to investigation and treatment. With detailed assessment, appropriate surgery, and adjuvant therapy when indicated, this patient group can expect durable control of central neck disease, despite the aggressive nature of their primary tumors.

Indexed as

Radiotherapy, AdjuvantThyroidectomyHumansPrognosisThyroid Neoplasms

Identifiers

PMID27480110
PMCPMC5118958
OpenAlexW2516209658

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.