Brendan C. Stack, Jr., MD, FACS, FACE
85 posts
Brendan C. Stack, Jr., MD, FACS, FACE
@bstack53183322
Parathyroid and Thyroid Surgeon
Springfield, IL Katılım Ocak 2016
12 Takip Edilen49 Takipçiler
English
@AHNSEndo Indeed. And the learning curve is more advanced in Korea, Italy, and Brazil. The US is lagging behind currently. There are always exceptions, though.
English
Sounds like there is a learning curve for these technologies! #AHNSchat
Brendan C. Stack, Jr., MD, FACS, FACE@bstack53183322
#AHNSchat A.6. Only seek ablative treatments from a person with strong ultrasound skills and ablative training and experience. Don’t be afraid to ask!
English
#AHNSchat
A.6. Only seek ablative treatments from a person with strong ultrasound skills and ablative training and experience. Don’t be afraid to ask!
English
#AHNSchat. A.5. Ablation methods (ethanol, energy) have their limits. Most have to due with size and location in the neck (nerves, arteries)
English
@ThyCaInc I think we are seeing the front edge of an increase which will likely settle down as one of several options for treating small malignant tumors and recurrences.
English
Radio frequency ablation seems to be getting more popular - any thoughts on that from our Doctor guests? #AHNSchat
English
@ThyCaInc It is the type of a radioactive molecule or compound given. With thyroid cancer it’s iodine (I). It comes as I131, I125, and as other isotopes.
English
#AHNSchat certainly surgery is preferred for larger and multiple neck nodes, but I think the future looks promising for ablative technologies to treat small, single, lateralized nodes.
English
English
#AHNSchat The vast majority of recurrences happen in the thyroid bed or adjacent central neck. Distant recurrences are NOT but are metastases.
English
Surveillance is the key following surgery. The longer you go without a recurrence, the lower the subsequent risk.
English
A.2 #AHNSchat. The risk of recurrence is reported over a wide range. There are many variables and risk factors for recurrence. For DTC (papillary and follicular) the risk of recurrence is generally low, way less than 10%.
English
Q1. #AHNSchat. Total thyroidectomy is not always required. For smaller tumors without positive lymph nodes can be managed with a hemithyroidectomy (lobectomy). If your disease does not require RAI, then total is not necessary.
English
@AHNSEndo Be patient and perhaps add lifestyle and diet changes to you prescriptive regime.
English
thanks for sharing emily! hope the surgery itself went well! #ahnschat
English
#AHNSchat. Great discussion. Thanks to ThyCa, AHNS and all participants and organizers!
English
@AHNSEndo Highly variable, possible to do, successfully done in most cases, frequent focus of frustration in a small group of patients.
English
A deep, individualized question - there may not be a straight answer to this one! #ahnschat
ThyCa Inc.@ThyCaInc
Q6: Docs, we often hear about the need to take medication for the rest of our lives. How do we get adjusted properly to thyroid replacement hormone? #AHNSchat
English
#AHNSchat. A5. Ongoing surveillance is really important. It might be done by the surgeon or endocrinologist. It is based on blood tests and ultrasounds of the neck. Time between office visits may increase over time with good test results and may end after 5 years clear….
English