Thyroid Cancer 101: Excessive, Aggressive Thyroid Surgery and Radioiodine Treatments are Dangerous without Benefits.
Do Lower-Risk Thyroid Cancer Patients Who Live in Regions with More Aggressive Treatments Have Better Outcomes?
The Answer is NO!
Stephen F. Hall et al
Thyroid. October 2017, 27(10): 1246-1257.
1. The management of differentiated thyroid cancer has traditionally consisted of total thyroidectomy with or without adjuvant radioactive iodine. However, in the last two decades, this approach has been challenged, with the consideration of more conservative approaches such as less radical surgery and deferring adjuvant treatment, especially in lower-risk patients.
2. 2444 patients with differentiated thyroid cancer ≤4 cm between 1990 and 2001 from Ontario, Canada.
3. No benefit from excessive and aggressive therapy.
4. These findings support the trend toward more conservative management approaches in the treatment of thyroid cancer.
Comments: The patient must take control and go slowly when a diagnosis of thyroid cancer is made. The tendency is to be scared and rush to surgery. This is wrong.Thyroid cancer is usually slow growing and you have time to seek more opinions away from the pressure of your primary physician rushing you into the OR with his buddy surgeon at his hospital instead of insisting you get another opinion or two. At this time unfortunately your physician may not be acting in your best interests even if they think they are doing the best for you. Alternative therapies include no radiation, just a lobe removal instead of a total, active surveillance, and ablation therapy of the small cancer inside the thyroid gland by ethanol PEI or radiofrequency ablation RFA.
Ethanol ablation PEI
Radiofreqiency ablation RFA
Call Matt at 310-393-78860 or [email protected] for an opinion on the right treatment for your thyroid cancer.
Richard Guttler MD,FACE, ECNU