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Abstract
Background  Subtotal thyroidectomy or lobectomy without radioactive iodide (131I) treatment is sufficient for postoperative treatment of incidental papillary thyroid microcarcinoma (PTMC). Aggressive surgical
treatment with 131I therapy is indicated for nonincidental PTMC.

Methods  This is a retrospective analysis of 335 PTMC patients who received primary thyroid surgical treatment and long-term follow-up
in a single medical center. All PTMC patients were categorized as incidental (group I) or nonincidental (group II). Group

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