Thyroid No More Surgery: How to Avoid Another Thyroid Cancer Neck Dissection for Recurrent Lymph Node Disease Background: Thyroid papillary cancer is the most common type.It has as a common feature early spread to neck lymph nodes. It is common...
More infoHyperthyroidism, Thyrotoxicosis What is New?
Hyperthyroidism, Thyrotoxicosis 1. Diagnosis: Clinical presentation and initial biochemical evaluation should make the diagnosis in most cases.However, a case of a patient with no goiter and no apparent eye disease may need more testing.The...
More infoAfter 10 years of Treatment for Thyroid Cancer Patient Requested a Review to See if it was Benign
After 10 years of Treatment for Thyroid Cancer Patient Requested a Review to See if it was Benign Backround: 50 Y/O patient was diagnosed 10 years ago with papillary thyroid cancer after an evaluation for goiter. He was mildly hypothyroid and had...
More infoThyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid Cancer now a benign tumor: NIFT-P
Thyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid Cancer now a benign tumor: NIFT-P Thyroid No Surgery #5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid...
More infoThyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts
Thyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts You have known there was a nodule and it was mostly full of fluid for years. You have had your physicians biopsy it and even drain the fluid multiple times. Your local surgeon...
More infoThyroid No Surgery: Do not have a thyroid ultrasound without an Indication
USPSTF Still Recommending Against Routine Thyroid Cancer Screening The U.S. Preventive Services Task Force USPSTF is against routine screening for thyroid cancer. HealthDay News — Clinicians should not screen for thyroid cancer in patients...
More infoThyroid No Surgery #4 The art of Refusing a Surgery for a Large Symptomatic Solid Thyroid Nodule
Thyroid No Surgery #4 The art of Refusing a Surgery for a Large Symptomatic Solid Thyroid Nodule. You have a thyroid problem you have known for years. It is an enlarging thyroid nodule or multiple nodular goiter. Recently it is giving you neck...
More infoThyroid No Surgery 1 : The Art of Refusing a Screening Thyroid Ultrasound
Background: Since the 1990’s ultrasound imaging has become so easy, and inexpensive that every primary care physician sees a source of extra income adding a thyroid ultrasound to the yearly physical examination. Thyroid ultrasound is not...
More infoHypothyroidism: Replacement therapy Guide
Resolve symptoms, and return TSH to normal. Grade A Lthyroxine LT4 is the first choice of treatment for all hypothyroid patients. Grade A Treatment TSH target range is 1-3 not the reference range of 0.5-5.0. Elderly over-treatment and with...
More infoChildren with Distant Metastatic Papillary Thyroid Cancer Have Abnormally High TG and TG/TSH Ratios
8 /35 children with PTC had 10 fold elevation in stimulated thyroglobulin TG post surgery and ablation ( TG 95 vs 1040 p< 0040.) Also the Stimulated TG/TSH ratio was 12 fold higher (0.7 vs 13 p 0068) compared to the 27 with no distant spread...
More infoThyroid Cancer Molecular Markers in a Blood Sample
Future of “Liquid Biopsy” for Thyroid Cancer In future prospects of thyroid cancer, markers can be used to detect circulating tumor cells or cell-free plasma DNA to identify early relapse and/or residual disease. Previous studies...
More infoRefuse Routine Screening Thyroid Ultrasounds without a Medical Indication
No Benefit From Routine Thyroid Cancer Screening? Doctors should not screen for thyroid cancer in patients who have no symptoms of the disease, according to a U.S. Preventive Services Task Force draft recommendation. Thyroid cancer is rare in...
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