Novel Technologies and Treatment Strategies in Thyroid Cancer Surgery.

With tumor molecular discoveries, novel therapeutics, and innovative intraoperative technologies, there has been rapid change and progress in thyroid oncology. Molecular genetic testing of thyroid neoplasms, parathyroid autofluorescence, recurrent laryngeal nerve monitoring, thermal ablative techniques, remote access surgery, and neoadjuvant targeted therapy treatment strategies represent opportunities for enhanced surgical outcomes and improved patient quality of life. Trends in de-escalation of thyroid surgery and postoperative adjuvant therapies for many thyroid cancers further allow personalization of treatment strategies to align with patient goals of care. Surgeons are challenged to pursue scientific discovery and evidence-based application of these new technologies to patient care.