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Jerome J. DeCosse, MD; William H. Beierwaltes, MD; John R. Brooks, MD; Colin G. Thomas, Jr., MD; Lewis B. Woolner, MD

Arch Surg. 1975;110(7):783-789.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DR. DECOSSE: During the past ten to 20 years, there has been a notable evolution in the diagnosis and management of the more differentiated forms of carcinoma of the thyroid. No single contribution stands out as having redirected the course of therapy of patients with these tumors, but, from many different studies, gradual trends have emerged.

It now seems accepted by all that patients with papillary and follicular carcinoma of the thyroid may indeed die of cancer if they are observed long enough. Therefore, prompt and aggressive management is worthwhile. Patients may ultimately die of residual or recurrent papillary carcinoma, and, in some instances, these more favorable tumors will undergo metaplasia to lethal spindle cell and anaplastic carcinoma.

Despite unanimity about the risks of these more differentiated forms of thyroid cancer, there is considerable lack of uniformity regarding diagnosis and management. It is the purpose of this panel to establish . . . [Full Text PDF of this Article]

Footnotes
Accepted for publication Jan 14, 1975.

Members of the panel: Jerome J. DeCosse, MD, Professor, Chairman of Surgery, Medical College of Wisconsin, Milwaukee; William H. Beierwaltes, MD, Professor of Medicine, Physician-in-Charge, Division of Nuclear Medicine, University of Michigan, Ann Arbor; John R. Brooks, MD, Professor of Surgery, Harvard Medical School, Peter Bent Brigham Hospital, Boston; Colin G. Thomas, Jr., MD, Professor, Chairman of Surgery, University of North Carolina, Chapel Hill; Lewis B. Woolner, MD, Professor of Pathology, Mayo Foundation Graduate School, Rochester, Minn.

For this Panel by Correspondence the ARCHIVES asked Dr. DeCosse to solicit the help of four other experts to prepare ten questions and to answer them independently. We are grateful to him for acting as moderator and to all of the panelists for their effort.

Reprint requests to Division of Surgery, Medical College of Wisconsin, 8700 Wisconsin Ave, Milwaukee, WI 53226 (Dr. DeCosse).

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