- 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 Oct 08; :10507256261493011. [Online ahead of print]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. [Journal Article]Thyroid. 2026 Oct 07; :10507256261495636. [Online ahead of print]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 Oct 07; :10507256261494909. [Online ahead of print]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 Oct 07; :10507256261493762. [Online ahead of print]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 Oct 07; :10507256261493805. [Online ahead of print]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 Oct 07; :10507256261494916. [Online ahead of print]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. [Journal Article]Thyroid. 2026 Oct 01; :10507256261493665. [Online ahead of print]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 Sep 30; :10507256261493769. [Online ahead of print]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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- Functional Characterization of a Novel Variant of the Thyroid Hormone Receptor Alpha in a Child with Developmental Delay and Abnormal Thyroid Function. [Journal Article]Thyroid. 2026 Sep 20; :10507256261490862. [Online ahead of print]T
- CONCLUSIONS: These findings expand the spectrum of pathogenic THRA variants and provide new insight into transcriptional repression in RTHα.
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- Genetic Heterogeneity in Susceptibility to Familial Thyroid Nodular Disease. [Journal Article]Thyroid. 2026 Sep 11; :10507256261485457. [Online ahead of print]T
- CONCLUSIONS: This study highlights the substantial genetic heterogeneity underlying familial TFND. While most kindreds lacked clear monogenic causes, DICER1 explained familial disease in one pedigree, whereas the SLC26A4 findings supported a likely somatic second-hit mechanism in a single affected member of another pedigree without accounting for the familial aggregation. The findings support a multifactorial etiology and suggest that TFND represents a phenotypic manifestation within broader hereditary syndromes. Integrating family-based sequencing with functional validation will be critical to fully delineate pathogenic mechanisms and broaden the spectrum of genes implicated in thyroid nodular disease.
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- TSH-Lowering Levothyroxine Therapy Is Associated with Higher rT3 and Stable fT3 Levels in Euthyroid Patients with Papillary Thyroid Microcarcinoma During Active Surveillance. [Journal Article]Thyroid. 2026 Aug 31; :10507256261484710. [Online ahead of print]T
- CONCLUSIONS: In euthyroid patients with PTMC undergoing AS, LT4 therapy aimed at maintaining TSH within the lower half of the reference range or within the mildly subnormal range was associated with higher rT3 and stable fT3 levels. These findings raise the possibility of a compensatory buffering mechanism in thyroid hormone metabolism.
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- Afirma Xpression Atlas Alteration Status Is Associated with Malignancy Risk in Indeterminate Thyroid Nodules. [Journal Article]Thyroid. 2026 Aug 28; :10507256261484715. [Online ahead of print]T
- CONCLUSIONS: Alteration detection by Afirma XA offers incremental malignancy risk stratification beyond GSC-suspicious classification alone in indeterminate thyroid nodules. The substantial malignancy rate in GSC-suspicious alteration-negative nodules, with histopathologic features similar to those of alteration-positive nodules, supports continued consideration of surgical resection in such cases.
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- Suppressed cGAS-STING DNA Sensing Drives Immune Evasion in Anaplastic Thyroid Cancer. [Journal Article]Thyroid. 2026 Oct; 36(10):1074-1084.T
- CONCLUSIONS: Impaired DNA sensing via suppression of the cGAS-STING-IFNβ1 axis promotes immune evasion in ATC. Therapeutic strategies aimed at restoring this pathway may enhance antitumor immunity and represent a promising approach for treating this aggressive disease.
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