Less Urgent – Consider Postpone > 30 Days
We identified low-risk PTC without metastasis and low-grade salivary
cancers as less urgent with consideration of postponement for greater
than 30 days. There is strong evidence to support the surveillance of
small, low-risk PTC with low risk for tumor growth and
metastasis.35,36 Furthermore, patients with delay in
diagnosis37 and delay in
surgery38,39 of well-differentiated thyroid carcinomas
may still have excellent outcomes. Finally, the delay of thyroid surgery
is often safely delayed until after delivery in pregnant patients
without compromising oncologic outcomes.40 Among
salivary cancer (all histologies and grades), a national retrospective
review found that TTI had no impact on 5-year overall
survival.41