2025 American Thyroid Association Management Guidelines for Adult Patients with Differentiated Thyroid Cancer – Part 4

In this episode, we break down recommendations 21 to 30 from the 2025 American Thyroid Association guidelines on differentiated thyroid cancer management. Key topics include:• Preoperative discussion of surgical risks, including nerve and parathyroid injury• Preoperative and postoperative voice assessment and laryngeal examination• Intraoperative nerve identification and monitoring strategies• Parathyroid preservation and autotransplantation, with calcium and vitamin D supplementation• Avoidance of routine thyroidectomy drains• Pathology reporting beyond AJCC staging, including vascular invasion, nodal status, and histologic subtypes• Updated 2025 risk stratification and ATA response criteria• Postoperative thyroglobulin measurement for guiding further management

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