Outcomes for Minimally Invasive Follicular Thyroid Carcinoma in Relation to the Change in Age Stratification in the AJCC 8th Edition

Background Completion total thyroidectomy with radioactive iodine (RAI) therapy is not uniformly recommended for minimally invasive follicular thyroid carcinomas (MI-FTCs) without distant metastasis, but may be considered for cases with a risk factor of recurrence, such as age ≥ 45 years. Objective The present study aimed to investigate the outcomes for patients with MI-FTC using a stratification age of 55 years. Methods The records of 478 patients with MI-FTC confirmed by surgical specimens at Ito Hospital from January 2005 to December 2014 were retrospectively reviewed. Twenty patients had distant metastasis at diagnosis and were subsequently classified as M1. Results Among the 478 patients with MI-FTC, univariate analysis identified that age ≥ 55 years ( p = 0.002) and M1 ( p 40 mm ( p 40 mm ( p = 0.005) were independent prognostic factors for DFS. The 10-year DFS rates of patients aged