Old and New Insights in the Treatment of Thyroid Carcinoma

Table 3

AMES classification system.

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Low Risk

Young patients (men “41 years old, women” 51 years old)

without distant metastasis

Older patients (intrathyroidal papillary thyroid cancer,

minor capsular invasion for follicular lesion)

Primary cancers $<$5 cm in diameter

No distant metastasis

High Risk

All patients with distant metastasis

Extrathyroidal papillary

Major capsular invasion for follicular

All older patients with extrathyroidal spread

All older patients with primary cancer $>$5 cm in diameter

(men $>$ 40, women $>$ 50)

Survival by AMES score

Low risk = 99%

High risk = 61%

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