Dear Editor, We write in reference to the recently conducted article, ‘Multifocal Papillary Thyroid Microcarcinomas: is the Total Tumor Diameter Associated with Tumor Behavior? A Retrospective Cohort Study,” by Nardi et al.() While the authors’ efforts are commendable, we feel it is necessary to critically assess some of their findings and limitations. The primary conclusion of the study suggests that total tumor diameter (TTD)—defined as the sum of the largest diameters of all tumor foci—shows no significant association with initial ...
Sengul et al. (2026) studied this question.