Initial Thyroid Surgery for Thyroid Cancer

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Surgery is the initial treatment for most thyroid cancers and is often curative for those with low-risk disease
  • Historically, the majority of cancers measuring greater than 1 cm were recommended for total thyroidectomy:
    • To facilitate surveillance, allow for radioiodine therapy, and reduce the likelihood of recurrence
  • Newer data, however, has cast doubt on the necessity of removal of the entire gland:
    • The recent trend to the use of less radioiodine therapy has obviated the need to perform total thyroidectomy in many patients with low-risk thyroid cancer
    • Further strengthening the argument for less extensive surgery is the recognition that the risk of complications with total thyroidectomy is double that seen in lobectomy, regardless of the surgeon’s experience level
    • Most importantly, multiple retrospective studies have revealed that outcomes are equivalent in patients with low-risk disease treated with lobectomy compared with total thyroidectomy when controlled for tumor size and extent of disease
  • Those tumors measuring 4 cm or with preoperative evidence of nodal involvement or ETE, regardless of size:
    • Should proceed with total thyroidectomy
#Arrangoiz #ThyroidSurgeon #HeadandNeckSurgeon #CancerSurgeon #SurgicalOncologist #MountSiniaMedicalCenter #MSMC #Miami #Mexico
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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.

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