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Comment & Response
April 2016

Ethical Considerations When Counseling Patients With Thyroid Cancer About Surgery vs Observation

Author Affiliations
  • 1Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York
  • 2Endocrinology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
JAMA Otolaryngol Head Neck Surg. 2016;142(4):406-407. doi:10.1001/jamaoto.2016.0038

To the Editor In a recent Viewpoint, Stack and Angelos1 remind physicians about ethical obligations to outline risks, benefits, and alternatives of all treatment options to patients. Discussing the option of observation for papillary microcarcinoma (PMC), the authors assert that “this approach is not the standard of care in the United States,”1(p957) and, if considered, should only be offered under an institutional review board–approved research protocol or if patients sign a “surveillance contract.”

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