Differentiated Thyroid Cancer
8
43. The parathyroid glands and their blood supply should be preserved
during thyroid surgery. (SR-HM)
44. Patients should have their voice assessed in the post-operative
period. Formal laryngeal exam should be performed if the voice is
abnormal. (SR-M)
45. Important intraoperative findings and details of post-operative care
should be communicated by the surgeon to the patient and other
physicians who are important in the patient's post-operative care.
(SR-L)
46. A) In addition to the basic tumor features required for AJCC/
UICC thyroid cancer staging including status of resection margins,
pathology reports should include additional information helpful for
risk assessment including the presence of vascular invasion and
the number of invaded vessels, number of lymph nodes examined
and involved with tumor, size of the largest metastatic focus to the
lymph node, and presence or absence of extranodal extension of the
metastatic tumor. (SR-M)
B) Histopathologic variants of thyroid carcinoma associated with
more unfavorable (e.g. tall cell, columnar cell, and hobnail variants
of PTC; widely invasive FTC; poorly differentiated carcinoma) or
more favorable (e.g., encapsulated follicular variant of PTC without
invasion, minimally-invasive FTC) outcome should be identified
during histopathologic examination and reported. (SR-L)
C) Histopathologic variants associated with familial syndromes
(cribriform-morular variant of papillary carcinoma often associated
with familial adenomatous polyposis, PTEN-hamartoma tumor
syndrome associated follicular or papillary carcinoma) should be
identified during histopathologic examination and reported. (WR-L)
