Ghuzlan Abir A, Ramos Helton E, Schlumberger Martin
Institut Gustave Roussy, Villejuif, France.
Curr Opin Endocrinol Diabetes Obes. 2017 Oct;24(5):377-380. doi: 10.1097/MED.0000000000000358.
The purpose of this review is to present an overview regarding the renaming of encapsulated follicular variant of papillary thyroid cancer as 'noninvasive follicular thyroid neoplasm with papillary-like nuclear features'.
A recent retrospective study has shown the excellent clinical outcomes of noninvasive encapsulated follicular variant of papillary thyroid cancer, for which the diagnosis is based on a thorough examination of all tumor tissue and its capsule to exclude any vascular or capsular invasion. Given the extremely low malignant potential of this entity, the term cancer was eliminated from its name, as this tumor requires less aggressive follow-up and treatment.
The low-risk tumor was previously treated conservatively prior to its renaming. However, elimination of the term cancer from its name may decrease the psychological and social consequences of its diagnosis.
本综述旨在概述将甲状腺乳头状癌的包膜内滤泡亚型重新命名为“具有乳头状核特征的非侵袭性滤泡性甲状腺肿瘤”。
最近一项回顾性研究显示，甲状腺乳头状癌非侵袭性包膜内滤泡亚型具有良好的临床结局，其诊断基于对所有肿瘤组织及其包膜进行全面检查以排除任何血管或包膜侵犯。鉴于该实体的恶性潜能极低，其名称中不再使用“癌”一词，因为这种肿瘤所需的随访和治疗侵袭性较小。
该低风险肿瘤在重新命名之前就一直采取保守治疗。然而，从其名称中去掉“癌”一词可能会减轻其诊断带来的心理和社会影响。
