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To the Editor “My Thyroid Story”1 raised the important question of what should be done in the case of a young person with a very low-grade malignant neoplasm. To forgo surgery or ablative radiation therapy, it would be necessary to be able to distinguish cancers that have the potential to cause mortality or morbidity over 50 years (or more) from those that do not. If we lack that ability, what choice is there but to proceed with definitive treatment? For an otherwise healthy 30-year-old patient with a “generally benign” type of cancer, is watchful waiting ever really an alternative?
Keller DL. Comments Regarding “My Thyroid Story”. JAMA Intern Med. 2014;174(6):1009. doi:10.1001/jamainternmed.2014.1430