The Role of tHyroid cAncer Specific Patient Concerns iNventory (PCI-TC) in Enhancing Shared decisiOn Making

Prior treatment

• Patient with hyper- or hypothyroidism who is a candidate for surgery
• Patients who had previous thyroidectomy for reasons other than diagnostic hemithyroidectomy for their recent cancer diagnosis.

Other illness

• Patients who are diagnosed with tumour with adverse features this includes:
  • Tumour with poor differentiated cytology or variants with bad prognosis (tall cell, columnar cell, Hurthle cell, solid variant)
  • Tumour, which is multifocal, bilateral, with extrathyroidal extension, with perineural or lymphovascular invasion.
  • Tumour with clinically or radiologically involved nodes or distant metastases
  • Tumour which is of a familial disease
• Patient who is concurrently diagnosed with any medullary, anaplastic, lymphoma, or parathyroid disease
• Patients who are cognitively impaired or have a mental health condition and are therefore unable to give consent
• Consultant surgeons who diagnose and/or manage low-risk well-differentiated thyroid cancer for less than ten patients per year.

Other

• Patient who is either Pregnant or breast-feeding
• Patient who is not able to read write and speak English.

• Aged over 18
• Both genders
• Patients who are diagnosed of low-risk well-differentiated thyroid carcinoma (papillary thyroid carcinoma or follicular carcinoma) with size of 1-4cm. This is either:
  • Diagnosed pre-operatively by fine-needle aspiration cytology (FNAC) with Thy5 grade \[see appendix for the Thy classification\] or
  • Confirmed following diagnostic hemithyroidectomy
• Able to communicate in spoken and written English
• Consultant head and neck and thyroid surgeons who directly involve in the diagnosis and/or management of low-risk well-differentiated thyroid cancer (papillary thyroid carcinoma or follicular carcinoma) with size of 1-4cm for at least ten patients per year.
• Both genders
• Able to communicate in spoken and written English