What Happens When You Don’t Get Expert Opinions On Indeterminate Thyroid Biopsies? Unnecessary Surgery or a Total vs A Lobectomy?

What Happens When You Don’t Get Expert Opinions On Indeterminate Thyroid Biopsies? Unnecessary Surgery or a Total vs A Lobectomy?

What Happens When You Don’t Get Expert Opinions On Indeterminate Thyroid Biopsies? Unnecessary Surgery or a Total vs A Lobectomy?

What Happens When You Don’t Get Expert Opinions On Indeterminate Thyroid Biopsies?

Unnecessary Surgery or a Total vs A Simple Lobectomy?

DF Schneider et al Endo Practice 23(4) 2017

  1. The wrong surgery can cause problems.
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  4. Some cancers in a lobectomy case triggers a completion thyroidectomy.
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  6. Over-use of a total thyroidectomy in benign cases results in life time the hormone therapy.
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  8. What can make the initial evaluation more likely to prevent too much surgery, not enough , or even no surgery.
  9. 20-40% or more in this study were treated incorrectly and had the wrong initial surgery. New guidelines would increase the excessive use of totals in low risk cancer by high volume surgeons.
  10. Before you sign up for surgery see a thyroid specialist not a surgeon and have your slides from the biopsy examined by micro-dissection for nucleic acid mutations and classifier.( Interpace Labs does both on slides) THY Gen X and ThyMIR
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  13. If the original biopsy was done by liquid prep, or the slides were of poor quality for mutation study have a repeat to collect markers DIRECT from the nodule.
  14. Don’t let a high volume surgeon talk you into a total because they can do it safely, when it is excessive and cost you a lifetime of thyroid treatment if benign.
  15. Finally there are small classic papillary thyroid cancers <1.5 cm that don’t need surgery but can be followed by Active Surveillance.img_0127
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  17. And some thyroid cancers NIFT-P have been downgraded to benign and only need a lobe removal to confirm the benign non-invasive nature and not a Total.
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  19. Call Matt 310-393-8860 for an evaluation BEFORE the surgery.
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