What to do when a patient who just had an IV contrast study needs RAI therapy? Based on the #ATA2015 guidelines, administer RAI 4-8 weeks following IV contrast (disappearance of iodine contamination has occurred in most patients) #endocrinology #thyroidcancer #mustknow #thyroid

Different TSH targets after surgery and RAI (if done) depending on the response to treatment if the patient based on #ATA2015 #endocrinology #thyroid #thyroidcancer #mustknow

✂️Cutoff TSH to start RAI treatment✂️ Williams 14th edition: 25-30mU/L ATA 2015: 30mU/L 🖐But remember to hold Levothyroxine 3-4wks prior to the procedure! #endocrinology #thyroidnodule #thyroid #mustknow #ATA2015 #williams14thed

An adequate sample after fine-needle aspiration biopsy of a thyroid nodule is defined as: - the presence of 6 groups of well-visualized follicular cells - each group containing 10 well preserved epithelial cells #endocrinology #thyroid #thyroidnodule #mustknow #ATA2015

Learning during rounds with Dr. Rosales Radioactive iodine emits 2 important components: ☢️Gamma rays: used for imaging ☣️Beta particles: destroys thyroid tissue sciencedirect.com/topics/immunol… #endocrinology #thyroidnodule #thyroid #ATA2015 #nicetoknow

When to do prophylactic central compartment neck dissection in PTC - cNO + T3/T4 - cN1 - Extremes of age - Larger tumor size - Multifocal disease - Extrathyroidal extension - w/ lateral LN metastasis - info used to plan further steps in therapy #thyroid #ATA2015 #mustknow #endo

Surprised to see that the volume of surgeons in an area is associated with the complication rates of patients after thyroid surgery #endocrinology #thyroid #thyroidnodule #ATA2015 #nicetoknow

Did you know that after thyroid lobectomy: - 22% of patients develop biochemical hypothyroidism - 4% of patients develop clinical or overt hypothyroidism: 4% #endocrinology #thyroid #thyroidnodule #ATA2015 #nicetoknow

Sonographic finding risk classification of thyroid nodules and cut-off sizes for FNAB based on ATA 2015 High: >=1cm Intermediate: >=1cm Low: >=1.5cm Very low: >=2cm Benign: may do aspiration or ethanol ablation #endocrinology #thyroidnodule #thyroid #ATA2015 #mustknow

Did you know that the 7-gene panel for thyroid cancer includes the ff: 1. BRAF, 2. NRAS, 3. HRAS, 4. KRAS, 5. RET/PTC1, 6. RET/PTC3 and 7. PAX8/PPARgamma #endocrinology #genetics #thyroid #thyroidnodule #mustknow #ATA2015

Buzzwords for ONCOCYTIC/HURTHLE cell thyroid cancer: - abundant GRANULAR EOSINOPHILIC CYTOPLASM - INNUMERABLE MITOCHONDRIA #endocrinology #thyroid #thyroidnodule #mustknow #ATA2015

Did you know that each thyroid nodule >1cm carries an INDEPENDENT risk for malignancy 🗽 #mustknow #endocrinology #thyroid #thyroidnodule #ATA2015

Calcitonin: Not just your ordinary hormone that governs calcium homeostasis 🥛a level of >50-100pg/ml can suggest medullary thyroid ca! 🥛 a level of 20-100pg/ml can prompt you to check for the nodule's calcitonin level #endocrinology #thyroid #thyroidnodule #ATA2015 #mustknow

How to remember the risk factors for thyroid cancer (part 2) check the Phy-Ccal Findings Paralysis of vocal cords Cervical lymphadenopathy Fixed nodule to tissue #endocrinology #thyroid #thyroidnodule #ATA2015 #mustknow

How to remember the risk factors for thyroid cancer (part 1) check the HISTORy Head & neck radiation Ionizing radiation prior Syndromes/Familial thyroid ca history Transplant of bone marrow with prev radiation hOarse voice Rapid nodule growth #mustknow #thyroid #ATA2015 #endo

Did you know: Higher values (for thyroid nodules) does not always mean better ☝🏻HIGHER TSH ☝🏻HIGHER CHANCE OF MALIGNANCY ☝🏻HIGHER CHANCE OF MORE ADVANCED STAGE 🥴 #endocrinology #thyroid #thyroidnodule #mustknow #ATA2015

RADIONUCLINE SCAN RESULTS: 🔥HOT: hyperfunctioning: NOT malignant (no need for cytology) ☀️WARM: isofunctioning: DO cytology 🥶 COLD: hypofunctioning: DO cytology REMEMBER: HOT is NOT malignant #endocrinology #thyroid #thyroidnodule #mustknow #ATA2015

1st step in assessing a thyroid nodule: DO TSH. This helps you in deciding whether or not you should do a radionuclide scan. ELEVATED/NORMAL: NO SUBNORMAL/LOW: YES #endocrinology #thyroid #mustknow #ATA2015

Según la clasificación ATA2015, cuál es el riesgo de malignidad? @futuroscirascol @ascolcirugia @Cirbosque @Some4SurgeryIT1 @alvarosanabria #SoMe4Surgery #SoMe4Headneck #thyroid #ecografia #ATA2015

Head Neck Interest Group @neck_group

3 years ago

Según la clasificación ATA2015, cuál es el riesgo de malignidad? @futuroscirascol @ascolcirugia @Cirbosque @Some4SurgeryIT1 @alvarosanabria #SoMe4Surgery #SoMe4Headneck #thyroid #ecografia #ATA2015

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