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Table 45-4 AMES Classification of Thyroid Cancers

Low Mortality Risk A: Age M: Metastases E: Extent of primary tumor Men: <41 years of age Women: <51 years of age Absence of distant metastases

High Mortality Risk Men: >41 years of age Women: >51 years of age Presence of distant metastases

Intrathyroidal papillary Extrathyroidal papillary cancer cancer (confined to thyroid) Follicular cancer with Follicular cancer with major minor capsular involvement capsular involvement

S:

Size of tumor

Primary tumor <5 cm in diameter

Primary tumor >5 cm in diameter (regardless of extent of disease)

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