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Thyroid surgery for thyroid cancer

Source: www.facs.org
Topic: Thyroid
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Sort Desciption: Thyroid surgery for thyroid cancer Why is lobectomy recommended for thyroid cancer ? 1. Some surgeries are for indeterminate thyroid nodules but the final diagnosis turns out to be ...

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The effect of extent of thyroid surgery ( on radioiodine treatment and follow-up ) for well-differentiated thyroid cancer I Ross McDougall Stanford University Medical Center Thyroid cancer : extent of surgery Differentiated thyroid cancer 1. Pathology 2. Treatment A. Surgery B. Thyroid hormone C. Radioiodine 3. Conclusion Thyroid cancer : extent of surgery 3 Starting with the conclusion Please do a total, or near total, thyroidectomy Impact on outcome Impact on I-131 therapy Impact on patients not treated with I-131 Thyroid surgery for thyroid cancer 1. Pathology Follicular cell Differentiated cancers Papillary Variants Follicular Variants Undifferentiated, anaplastic Parafollicular cell Medullary Connective tissues Sarcoma Lymphoma Metastases Thyroid surgery for thyroid cancer 1. Pathology Papillary cancer 80-90% of differentiated lesions Papillary cancers are often (30-40%) multifocal Papillary cancer has high prevalence of lymph node metastases Follicular cancer Approximately 10% Tends to spread to distant sites Thyroid surgery for thyroid cancer 2 Treatment If papillary cancer is multifocal Why not undertake a total thyroidectomy? If nodal metastases are common and I 131 therapy is to be administered Why not undertake a total thyroidectomy? Thyroid surgery for thyroid cancer 2 Treatment Why is lobectomy recommended for ...

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