| The phenomenon of dedifferentiation: Understanding its effect on the post-operative management of papillary thyroid carcinomas
Sandeep Babu Bhaskaran Pillai
July-December 2020, 26(2):131-134
DOI:10.4103/ksj.ksj_21_20
Well-differentiated thyroid cancers are usually managed by total thyroidectomy with or without neck dissection. High-risk patients are followed up using serial thyroglobulin estimation and radioiodine scans. The phenomenon of dedifferentiation is essential to understand the events during post-operative follow-up of these tumours. This article describes the cascade of sequential dedifferentiation, its genetic undercurrents and its impact on the detection and treatment of post-surgical recurrences. New targeted agents aimed at redifferentiation are also discussed.
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