Thyroid Cancer 101: Why you need a complete neck evaluation before the cancer surgery to prevent persistent disease post surgery.

Thyroid Cancer 101: Why you need a complete neck evaluation before the cancer surgery to prevent persistent disease post surgery.

Thyroid Cancer 101: Why you need a complete neck evaluation before the cancer surgery to prevent persistent disease post surgery.

Thyroid Cancer 101: Why you need a complete neck evaluation before the cancer surgery to prevent persistent disease post surgery.

 

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Dr.Guttler’s comments:

  1. 20 % of thyroid cancer patients have disease events after the original treatment.
  2. These are either persistent disease left behind after the initial therapy.
  3. Persistent disease could be due to inadequate initial evaluation with missed cancer lymph nodes or due to a more aggressive cancer
  4. Recurrent disease is found later.
  5. To prevent cancer left in lymph nodes after the surgery a detailed endocrine neck ultrasound with level II-VII neck areas should be done before the surgery. 30% will harbor cancer lymph nodes that could be treated with the first surgery by adding a neck dissection to the thyroidectomy.
  6. lymph-node-levels-of-the-neck-as-first-defined-and-applied-by-the-memorial-hospital-head
  7. Endocrine neck Ultrasound of the neck areas listed.
  8. Relapse after being 12 months disease free is a different problem. This has a better prognosis than persistent disease.
  9. Endocrine evaluation at one year can usually find persistent disease.
  10. Call me for an evaluation before the surgery
  11. 310393-8860 or thyroid.manager@protonmail.com
  12. DR.G.
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