- Paternally Inherited DIO3 Loss and Infantile-Onset Central Hypothyroidism: Human Evidence for a Novel Mechanism of Hypothalamic-Pituitary-Thyroid Axis Dysregulation. [Journal Article]Thyroid. 2026 Oct 24; :10507256261500920. [Online ahead of print]T
- CONCLUSIONS: This case provides the first human evidence linking paternal DIO3 loss to delayed-onset central hypothyroidism, supporting a novel developmental mechanism that may alter hypothalamic-pituitary-thyroid axis programming.
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- PDE8B rs4704397 Modifies the Association Between Iodine Status and Serum TSH in Pregnant Women. [Journal Article]Thyroid. 2026 Oct 24; :10507256261500925. [Online ahead of print]T
- CONCLUSIONS: Higher iodine status was associated with higher TSH levels and an increased risk of SCH only among pregnant women with the PDE8B rs4704397 AA genotype, suggesting that the effect of iodine on thyroid function is modified by genotype.
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- Factors Associated with Adverse Effects of Postoperative TSH-Directed Levothyroxine Therapy in Adults with Differentiated Thyroid Cancer: A Scoping Review. [Review]Thyroid. 2026 Oct 22; :10507256261499041. [Online ahead of print]T
- CONCLUSIONS: Evidence on adverse effects associated with TSH-directed levothyroxine therapy in DTC is most consistent for skeletal outcomes and predominantly derives from studies evaluating subnormal TSH exposure. The available literature provides limited evidence for clinically applicable prediction of toxicity or cumulative treatment burden. Future longitudinal studies should better characterize the intensity and persistence of biochemical exposure and develop outcome-specific prediction models integrating baseline susceptibility, organ vulnerability, and longitudinal treatment exposure to support individualized TSH management.
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- Precision Thyroid Oncology Using Genetic-Based Therapies: A Narrative Review. [Journal Article]Thyroid. 2026 Oct 20; :10507256261497620. [Online ahead of print]T
- CONCLUSIONS: Precision oncology is increasingly being integrated into the management of advanced thyroid cancer. However, its impact varies widely across different tumor settings, and its real-world use is strongly influenced by country-specific drug regulations.
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- Letter: The Iatrogenic Delay Paradox: A Call for Contextual Adaptation of the 2026 ATA Guidelines. [Letter]Thyroid. 2026 Oct 15; :10507256261499156. [Online ahead of print]T
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- Radiofrequency Ablation of Calcified Papillary Thyroid Microcarcinoma: Long-Term Imaging Evolution and Clinical Outcomes. [Journal Article]Thyroid. 2026 Oct 09; :10507256261494905. [Online ahead of print]T
- CONCLUSIONS: In this retrospective cohort, RFA achieved complete resolution of the viable soft-tissue component with a low complication rate in low-risk PTMC, both with and without intratumoral calcification. Technical success was achieved in 100% of tumors regardless of calcification status, and no significant difference in outcomes was observed between the calcified and noncalcified groups. These findings suggest that intratumoral calcification does not preclude effective ablation.
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- Locoregional Control and Toxicity of Neck Radiation with Field Reduction in Advanced Differentiated Thyroid Carcinoma: A Retrospective Cohort Study. [Journal Article]Thyroid. 2026 Nov; 36(11):1178-1189.T
- CONCLUSIONS: Progressive RT field reduction in appropriately selected DTC patients was associated with significantly lower rates of acute and late toxicities without compromising LRC. These findings support individualized field selection and highlight the potential role of RT field de-escalation in this population. Prospective multicenter studies are needed to confirm these findings.
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- Changes in Multisystem Morbidity in Thyroid Cancer after the 2015 ATA Guideline: A Nationwide Population-Based Retrospective Cohort Study. [Journal Article]Thyroid. 2026 Oct 07; :10507256261495805. [Online ahead of print]T
- CONCLUSIONS: During the post-2015 ATA guideline period, there was a lower burden of non-cancer-specific multisystem morbidity among patients undergoing total thyroidectomy for thyroid cancer. These findings support the relevance of guideline-recommended, risk-adapted de-intensification strategies for improving long-term survivorship outcomes in DTC.
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- Smartphone-Based Deep Learning Exophthalmometry in Thyroid Eye Disease: A Multicenter, Multiethnic Validation Study. [Multicenter Study]Thyroid. 2026 Nov; 36(11):1247-1257.T
- CONCLUSIONS: An artificial intelligence model fine-tuned for nonstudio facial photographs achieved Hertel-level agreement and reliable severity discrimination across 2 ethnicities and 12 smartphones, both for patient self-acquired smartphone selfies and for clinician-acquired routine clinic photographs, providing a scalable approach for patient-facing and clinic-based monitoring of TED severity, pending further longitudinal validation.
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- Longitudinal Ultrasonographic Analysis of Involutional Changes after Radiofrequency Ablation of Papillary Thyroid Microcarcinoma. [Journal Article]Thyroid. 2026 Nov; 36(11):1226-1238.T
- CONCLUSIONS: RFA of low-risk PTMC achieves an excellent final complete disappearance rate while frequently inducing characteristic US features, including capsular retraction, postablational strands, and postablational parenchymal hypoechogenicity. Recognition of these US involutional changes is crucial for accurate posttreatment monitoring and for avoiding misinterpretation of benign healing changes as pathological findings, and may inform imaging-based post-RFA surveillance.
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- RET Variant Reclassification across Demographic Sub-Groups in a Large-Scale Clinical Population. [Journal Article]Thyroid. 2026 Nov; 36(11):1258-1266.T
- CONCLUSIONS: The expansion of RET germline testing coincided with substantial reclassification of VUSs, highlighting the importance of periodic laboratory reassessment. Most reclassifications were benign, which is cautiously reassuring for clinical counseling of patients. Both further characterization of RET variants and society guidance on clinical management of VUS test results are needed as genetic testing continues to expand.
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- Zingiberen Newsaponin Enhances Antitumor Immunity in Anaplastic Thyroid Carcinoma Via Induction of Autophagy-Dependent Pyroptosis. [Journal Article]Thyroid. 2026 Nov; 36(11):1212-1225.T
- CONCLUSIONS: Our study identifies ZN as a novel inducer of autophagy-mediated GSDME pyroptosis in ATC. By triggering ICD and recruiting CD8[+] T cells, ZN sensitizes ATC to PD-1 blockade, offering a promising therapeutic strategy for this lethal disease.
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- Comparative Performance of the 2015 and 2025 American Thyroid Association Initial Recurrence Risk Stratification Systems in Differentiated Thyroid Cancer. [Journal Article]Thyroid. 2026 Nov; 36(11):1169-1177.T
- CONCLUSIONS: The 2025 ATA initial risk stratification system significantly improves prognostic discrimination compared with the 2015 system. However, the enhanced sensitivity comes with a specificity trade-off, leading to substantial upward risk reclassification for recurrence-free patients. These real-world findings provide critical insights for clinicians to balance intensified surveillance against the potential for overtreatment under the new guidelines.
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- Exceptional and Durable Response to Selpercatinib in a Patient with Apparently RET-Negative, HRAS-, and NF1-Mutated Metastatic Medullary Thyroid Carcinoma. [Case Reports]Thyroid. 2026 Nov; 36(11):1275-1280.T
- CONCLUSIONS: This remarkable response to selpercatinib in apparently RET-negative MTC is hypothesis generating and requires confirmation. HRAS/NF1 co-alteration supports RAS/MAPK activation but does not explain sensitivity to selective RET inhibition.
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- What Happens after an Incidental Thyroid Nodule? Patterns of Thyroid Ultrasound Use and Downstream Evaluation. [Journal Article]Thyroid. 2026 Nov; 36(11):1239-1246.T
- CONCLUSIONS: One in five patients with ITNs underwent TUS, representing a critical gateway to downstream diagnostic procedures and thyroid cancer detection. Factors associated with TUS utilization highlight opportunities to better define appropriateness of ultrasound after incidental nodule detection and to reduce unnecessary testing and treatment.
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