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T*
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[(Recommendation)-336(32)]TJ
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(&)Tj
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[(Recommendation)-336(33)]TJ
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(&)Tj
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T*
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(&)Tj
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[(Recommendation)-336(37)]TJ
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(1122)Tj
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(&)Tj
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[(Recommendation)-336(39)]TJ
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21.5042 0 TD
(1122)Tj
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[(Parenteral)-337.8(nutrition)-335.8(in)-335.7(perioperative)]TJ
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[(Recommendation)-336(40)]TJ
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21.5042 0 TD
(1122)Tj
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[(Growth)-336.5(factor)-338.3(support)-338.1(during)]TJ
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22.6676 1.1128 TD
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(&)Tj
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[(Recommendation)-336(41)]TJ
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(1122)Tj
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59.754 720.85 490.167 .22681 re
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BT
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[(ANAPLASTIC)-340.9(THYROID)-334.7(CANCER)-340.8(GUIDELINES)-30152.9(1105)]TJ
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[(Unlike)-262.8(DTC,)-266.7(which)-264.1(is)-264.1(derived)-263.7(from)-267.1(follicular)-264.8(thyroid)-264.9(cells,)]TJ
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[(and)-372.6(medullary)-367.6(thyroid)-372.4(cancer)-375.1(\()-82.7(MTC\),)-372.1(which)-371.6(are)-373.2(frequently)]TJ
T*
[(cured)-402.6(or)-408.1(associated)-402.6(with)-407.4(prolonged)-407.5(survival,)-400(ATC)-402.9(patients)]TJ
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[(have)-199.5(a)-201.8(median)-202.9(survival)-201.1(of)-199.2(5)-201.8(months)-198.6(and)-201.9(a)-201.8(20%)-196.7(1-year)-200.5(survival)]TJ
27.9978 12.2222 TD
[(rate)-519.1(\(1\).)-515.5(All)-514.3(patients)-515.8(are)-512.3(classied)-520.2(by)-508.3(the)-515.9(American)-517.4(Joint)]TJ
0 -1.2203 TD
[(Committee)-267.9(on)-265.4(Cancer)-262.2(\(AJCC\))-268.7(TNM)-261(system)-264.2(as)-260.1(stage)-264.9(IV)-264.2(\(A,)-264(B,)]TJ
T*
[(or)-553.6(C\))-550.7(at)-550.1(presentation,)-557.1(and)-549.7(counseling)-560.3(and)-549.7(establishing)-553.5(a)]TJ
0 -1.2266 TD
[(management)-378.7(plan)-374.5(must)-373.8(be)-377.4(accomplished)-374.8(quickly.)-371.6(While)-376.1(all)]TJ
0 -1.2203 TD
[(thyroid)-423(cancer)-419.4(patients)-420.9(require)-421.5(a)-416.8(multidisciplinary)-425.6(team)-414.8(of)]TJ
T*
[(specialists)-539.9(for)-528.7(optimal)-527.2(care,)-533.4(the)-528.6(coordinating)-538.9(physician)-531.9(is)]TJ
T*
[(frequently)-461.2(an)-458.1(endocrinologist)-458.4(who)-456.7(has)-459.5(established)-456.6(a)-454.8(long-)]TJ
0 -1.2266 TD
[(standing)-253(relationship)-257.3(with)-249.3(the)-256.7(patient)-248.9(who)-254.4(has)-250.8(DTC)-251.2(or)-250.1(MTC.)]TJ
0 -1.2203 TD
[(In)-391.2(contrast,)-390.2(the)-389.5(sudden)-385(onset)-393.5(and)-385.3(explosive)-388.3(course)-391(of)-388.9(ATC)]TJ
T*
[(necessitates)-427.6(immediate)-422.3(involvement)-426.9(by)-419.8(surgeons,)-422.7(radiation)]TJ
0 -1.2266 TD
[(and)-284.1(medical)-278.2(oncologists,)-287.7(and)-284.1(palliative)-281.2(care)-277.6(teams.)]TJ
1.1128 -1.2203 TD
[(The)-290.8(American)-283.5(Thyroid)-286.4(Association)-291.2(\(ATA\))-291.3(has)-282.4(a)-284(history)-288.5(of)]TJ
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[(supporting)-298.9(the)-294.6(development)-297.1(of)-294.1(guidelines)-289.4(for)-294.8(the)-294.6(care)-290.2(of)-294.1(pa-)]TJ
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[(tients)-306.2(with)-299.9(thyroid)-302.8(disease.*)-296.6(This)-302.1(includes)-299.8(several)-302.8(guidelines)]TJ
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[(with)-533.8(ATC.)-526(The)-524.8(Latin)-528.4(American)-530.1(Thyroid)-533(Society)-527.3(has)-529(also)]TJ
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[(published)-249.4(recommendations)-255.3(for)-244.2(DTC)-251.2(management)-245.9(\(8\).)-250(Other)]TJ
T*
[(organizations)-265.1(have)-262.8(made)-252.9(recommendations)-268(for)-256.9(patients)-262.9(with)]TJ
T*
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T*
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T*
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T*
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T*
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[(Recommendation)-336(43)]TJ
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(&)Tj
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[(Recommendation)-336(44)]TJ
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(&)Tj
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[(Recommendation)-336(45)]TJ
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