Thyroid Cancer 101: Third World Thyroid Cancer Congress

Thyroid Cancer 101: Third World Thyroid Cancer Congress

Thyroid Cancer 101: Third World Thyroid Cancer Congress

Thyroid Cancer 101: Third World Thyroid Cancer Congress: What did We learn?

  1. Thyroid cancer genetic makeup is the least complex of the cancers.
  2. 95% of all the thyroid cancers “driver mutations” have been identified.
  3. Genetic landscape is now divided into RAS like tumors and BRAF v600E like tumors.
  4. Tumors act differently with either RAS or BRAF mutations.
  5. The best way to control the use of biopsies and surgery is to avoid a biopsy in the first place.
  6. Never have an ultrasound of the thyroid unless you have an indication.  No screening for thyroid cancer.
  7. If the nodule is <1 cm or there are US features of a benign nodule do not have a biopsy.
  8. Once you have the biopsy it is a slippery slope toward surgery as 20 % will be called indeterminate and could lead you to an unnecessary surgery.
  9. Never have surgery after an indeterminate biopsy result without consultation and molecular studies.
  10. Most have a 94-97% predictable rule out cancer and can prevent you form surgery.
  11. Increase in finding small cancers by imaging has to stop.
  12. Less ultrasounds without a reason, less biopsies on small nodules and less surgery on indeterminate results without molecular marker testing can decrease the number of thyroid surgeries and the number of new cases.
  13. Call for an evaluation before you even allow an ultrasound,biopsy or surgery. 310-393-8860 or email to thyroid.manager@protonmail.com.
  14. Dr.G.
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