Risk Stratification in Highly Suspicious Thyroid Nodules or Cytologically Confirmed Primary Papillary Thyroid Cancer

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Risk stratification begins:
    • Immediately upon identification of a suspicious thyroid nodule
  • In the absence of a validated peri-diagnostic risk-stratification system, I use a clinical framework that incorporates:
    • Tumor imaging characteristics, medical team characteristics, and patient preferences to risk stratify patients as:
      • Ideal
      • Appropriate
      • Inappropriate for minimalistic initial management options:
        • Such as active surveillance or thyroid lobectomy
        • This clinical framework address the key factors that differentiate actionable from non-actionable disease
Peri-diagnostic risk stratification considers medical team characteristics, imaging/clinical findings, and patient characteristics to classify patients as ideal, appropriate, or inappropriate for a minimalistic initial management approach.

#Arrangoiz #ThyroidSurgeon #ThyroidExpert #ThyroidCancer #DynamicRiskStartification #HeadandNeckSurgeon #CancerSurgeon #MountSinaiMedicalCenter #MSMC

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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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