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surgery endocrinology oncology

Thyroid Cancer Risk Stratification (ATA)

Stratifies differentiated thyroid cancer recurrence risk using ATA 2015 guidelines. Guides extent of surgery, radioiodine (RAI), and surveillance intensity.

Used in: Thyroid Disorders

Score interpretation

ATA Low risk recurrence (<5%)

→ Thyroid lobectomy may suffice for T1-T2 low-risk; no RAI for low-risk; TSH 0.5-2 mU/L suppression target; annual Tg + USS for 5 years

ATA Intermediate risk (5-20%)

→ Total thyroidectomy; RAI 30-100 mCi if nodal disease or extrathyroidal extension; TSH 0.1-0.5 mU/L; 6-monthly Tg + USS; endocrine surgery MDT

ATA High risk (>20% recurrence)

→ Total thyroidectomy + therapeutic neck dissection; high-dose RAI (100-200 mCi); TSH <0.1 mU/L suppression; whole body RAI scan; 3-monthly surveillance; clinical trial for poorly differentiated/anaplastic

Interpretation bands for the Thyroid Cancer ATA Risk. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.