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