Dynamic risk stratification in patients with follicular thyroid carcinoma treated with lobectomy
Authors' conclusion
Long-term follow-up may be needed in FTC patients treated with lobectomy alone even though they had an excellent response to initial thyroid surgery, especially in patients with a higher risk of recurrence.
Study context
- Population
- Patients with follicular thyroid carcinoma (FTC) diagnosed January 2005–December 2014 who underwent lobectomy alone
- Participants
- 161 patients
- Exposure
- Excellent response vs structural-incomplete response by dynamic risk stratification (DRS)
- Excellent responsen = 159reference
- Structural-incomplete responsen = 2
- Outcome
- DFS by DRS category
- Follow-up
- 10 years
Main finding
As reported in the abstract
DFS
P < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | Excellent response | Structural-incomplete response | P value |
|---|---|---|---|
| DFS, subgroup VI ≥ 2 (n = 54) · 10 years | 83.2% · n = 53 | 0% · n = 1 | P < 0.001 |
- Disease-free survival (DFS), subgroup VI ≥ 2 (n = 54) — Recurrence among 53 excellent responders
- 10 patients
- DFS, subgroup VI ≥ 2 (n = 54) — Time from surgery to recurrence 2-5 years
- 1
- DFS, subgroup VI ≥ 2 (n = 54) — Time from surgery to recurrence 5-8 years
- 2
- DFS, subgroup VI ≥ 2 (n = 54) — Time from surgery to recurrence 8-10 years
- 4
- DFS, subgroup VI ≥ 2 (n = 54) — Time from surgery to recurrence 10 years or more
- 3
Original publication
Dynamic risk stratification in patients with follicular thyroid carcinoma treated with lobectomy. Eur Thyroid J. Published 5 November 2025. doi:10.
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