31 yo male with a history of testicular seminoma (January 2018) that underwent a PET/CT for follow up and identified a focal area of increase uptake (SUV 10) on the right thyroid lobe.
Ultrasound confirmed that the focal area increase uptake correlated to a thryoid nodule (ultrasonographic pattern with intermediate suspicion of malignancy). FNAB reveal a papillary thyroid carcinoma (PTC) (Bethesda IV).
Clinical staging: cT2, cN0, cM0 (Stage 1)
A total thyroidectomy with ipsilateral prophylatic central compartment neck dissection.
Pathologic staging: pT2(s), pN1a, cM0 (stage I)
Tumor Size 2.3 cm X 1.7 cm
PTC Hobnail variant (15% of cells had the Hobnail characteristics)
No extrathryoidal extension
Vascular invasion (4 foci)
No perineural invasion
Margens negative
Ipsilateral central compartment dissection
Total 9 lymph nodes were harvested
5 lymph nodes positive for PTC (largest metastatic foci 3 mm)
MACIS (7 high risk) – 3.73
AGES (≤4 low risk; >4 high risk) – 3.42
AMES – Low risk
ATA classification – Intermediate risk of recurrence (risk of recurrance above 20%)
Case performed by a member of Sociedad Quirúrgica S.C.:
Rodrigo Arrangoiz MS, MD, FACS expert in the management of thyroid diseases.
Training:
• General surgery:
• Michigan State University:
• 2004 al 2010
• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:
• Fox Chase Cancer Center (Filadelfia):
• 2010 al 2012
• Masters in Science (Clinical research for health professionals):
• Drexel University (Filadelfia):
• 2010 al 2012
• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:
• IFHNOS / Memorial Sloan Kettering Cancer Center:
• 2014 al 2016
Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO
My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida.
I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016.
Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida.
Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.
View all posts by Rodrigo Arrangoiz MS, MD, FACS, FSSO
Rodrigo Arrangoiz MS, MD, FACS, FSSO 