Comparative Analysis of Incidental and Non‐Incidental Papillary Thyroid Microcarcinoma Outcomes: Implications on Management Recommendations
Authors' conclusion
This comprehensive 10-year retrospective review found few differences in the presentation of incidental and non-incidental microcarcinoma, with low recurrence rates and excellent outcomes.
Study context
- Population
- Patients with papillary thyroid microcarcinomas (PTMC) (≤10 mm) and neck nodes ≤1 cm, St. James's University Hospital Head and Neck tumour board, 2013–2023identified
- Participants
- 152 patients
- Exposure
- Incidental vs non-incidental PTMC
- Incidentaln = 55
- Non-incidentaln = 47reference
- Outcome
- Outcomes (recurrence)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Recurrence
Incidental
0
events
Non-incidental
0
events
Observational data: associations, not effects.
Further findings
Size of largest tumour focus
- Significant difference between the two subgroups (values as printed; group order not stated)
- 7.8 mm vs. 3.9 mm, p < 0.001
Aggressive histologic variants
- Significant difference between the two subgroups (values as printed; group order not stated)
- 9.2% vs. 0.9%, p = 0.002
Neck dissections
- Significant difference between the two subgroups (values as printed; group order not stated)
- 8.8% vs. 0.0%, p < 0.001
Original publication
Comparative Analysis of Incidental and Non‐Incidental Papillary Thyroid Microcarcinoma Outcomes: Implications on Management Recommendations. Clin Endocrinol (Oxf). Published 23 March 2026. doi:10. 1111/ cen. 70127
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