- ATA Guidelines in Anaplastic Thyroid Carcinoma:
- Work-up:
- Immediate diagnosis is essential
- The biopsy should undergo molecular evaluation:
- Airway assessment is paramount
- Staging including anatomic imaging (head to toe)
- Role of surgery:
- Only 10% of patients present with local disease that is resectable
- Local disease:
- Compete resection is standard
- Neoadjuvant therapy (targeted therapy) followed by surgery when feasible:
- Local regional disease that is borderline resectable or un-resectable with actionable mutations:
- BRAF V600E mutation, ALK fusions, TRK fusion
- CHEK point inhibitors
- Palliative resection (rare indication)
- Open biopsy for diagnosis:
- When FNA or core needle biopsy is undetermined
- Advance local disease:
- Indication for tracheostomy:
- First we must have an educated discussion with the patient:
- Discuss prognosis
- Concerns
- Airway signs and symptoms
- Wishes
#Arrangoiz #ThyroidSurgeon #ThyroidExpert #ThyroidCancer #AnaplasticThyroidCancer #EndocrineSurgery #HeadandNeckSurgery #CancerSurgeon #SurgicalOncology
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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 