Author: Rodrigo Arrangoiz MS, MD, FACS, FSSO

👉Thyroid cancer is typically found as a lump in the thyroid.

👉Sometimes found by yourself, your doctor, or by imaging.

👉Most patients have no symptoms.

👉Some may have trouble swallowing or breathing, voice changes, or discomfort.

👉Nodules are common, but most of the time NOT cancer.

👉Rodrigo Arrangoiz MS, MD, FACS a head and neck surgeon / endocrine surgeon / surgical oncologist and is a member of Sociedad Quirúrgica S.C at the America British Cowdray Medical Center in Mexico City:

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

For more information visit: http://www.cirugiatiroides.com

#Arrangoiz

#Teacher

#Surgeon

#Cirujano

#ThyroidExpert

#ThyroidSurgeon

#CirujanodeTiroides

#ExpertoenTiroides

#ExpertoenParatiroides

#Paratiroides

#Hiperparatiroidismo

#CancerdeTiroides

#ThyroidCancer

#PapillaryThyroidCancer

#SurgicalOncologist

#CirujanoOncologo

#CancerSurgeon

#CirujanodeCancer

#HeadandNeckSurgeon

#CirugiaEndocrina

#CirujanodeTumoresdeCabezayCuello

#OralCavityCancer

#Melanoma

👉Thyroid cancer affects women more often than men and usually occurs in people aged 25 to 65 years.

👉The incidence has been increasing over the last decade.

👉Thyroid cancer commonly presents as a so-called cold nodule.

👉The overall incidence of cancer in a cold nodule is 12% to 15%.

Rodrigo Arrangoiz MS, MD, FACS a head and neck surgeon / endocrine surgeon / surgical oncologist and is a member of Sociedad Quirúrgica S.C at the America British Cowdray Medical Center in Mexico City:

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

👉For more information visit: http://www.cirugiatiroides.com

#Arrangoiz

#Teacher

#Surgeon

#Cirujano

#ThyroidExpert

#ThyroidSurgeon

#CirujanodeTiroides

#ExpertoenTiroides

#ExpertoenParatiroides

#Paratiroides

#Hiperparatiroidismo

#CancerdeTiroides

#ThyroidCancer

#PapillaryThyroidCancer

#SurgicalOncologist

#CirujanoOncologo

#CancerSurgeon

#CirujanodeCancer

#HeadandNeckSurgeon

#CirugiaEndocrina

#CirujanodeTumoresdeCabezayCuello

#OralCavityCancer

#Melanoma

👉 Existen muchas formas de extraer la tiroides, que incluyen:

– Manera Convencional abierta

– Mínimamente invasivo a través de una pequeña incisión (2 a 3 cm)

– Abordajes endoscópicos

– Paciente que se le realizó una tiroidectomia total por con carcinoma papilar de tiroides realizada por una incisión de 2.5 cm.

👉El método más apropiado dependerá del paciente, la enfermedad subyacente y la experiencia del cirujano.

👉”No dude en preguntarle a Rodrigo ARRANGOIZ, miembro de la Sociedad Quirúrgica SC, cirujano de tiroides”.

• Es pionero en México de la:
  • Cirugia tiroidea minimamente invasiva
  • La cirugia minimamente invasiva radio-guiada de paratiroides

•  Su entrenamiento es el siguiente:
  • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

• Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center

👉There are many ways to take out the thyroid, including:

– Conventional open

– Minimally invasive through a small incision (2 to 3 cm)

– Endoscopic approaches

👉The most appropriate method will depend on the patient, the underlying disease and the surgeon’s expertise.

👉Don’t hesitate to ask Rodrigo ARRANGOIZ member of Sociedad Quirúrgica SC, thyroid surgeon.

👉September is Thyroid Cancer Awareness Month.

• Es pionero en México de la:
  • Cirugia tiroidea minimamente invasiva
  • La cirugia minimamente invasiva radio-guiada de paratiroides

•  Su entrenamiento es el siguiente:
  • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

• Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center

👉Diagnosis and management of indeterminate thyroid nodules. Sadowski SM, Triponez F. Gland Surg. 2019 Aug;8(Suppl 2):S60-S61. PMID: 31475092 https://www.ncbi.nlm.nih.gov/pubmed/31475092

👉Transoral robotic thyroidectomy on two human cadavers using the Intuitive da Vinci single port robotic surgical system and CO2 insufflation: Preclinical feasibility study. Park D, Shaear M, Chen YH, Russell JO, Kim HY, Tufano RP. Head Neck. 2019 Aug 30. PMID: 31469475 https://www.ncbi.nlm.nih.gov/pubmed/31469475

👉Mts1 Up-regulation is Associated With Aggressive Pathological Features in Thyroid Cancer. Cheon MG, Son YW, Lee JH, Jang HH, Chung YS. Cancer Genomics Proteomics. 2019 Sep-Oct;16(5):369-376. PMID: 31467231 https://www.ncbi.nlm.nih.gov/pubmed/31467231

👉Analysis of activity uptake, effective half-life and time-integrated activity for low- and high-risk papillary thyroid cancer patients treated with 1.11 GBq and 3.7 GBq of 131I-NaI respectively.

Mínguez P, Rodeño E, Genollá J, Domínguez M, Expósito A, Sjögreen Gleisner K. Phys Med. 2019 Aug 28;65:143-149. PMID: 31473501 https://www.ncbi.nlm.nih.gov/pubmed/31473501

👉September is Thyroid Cancer Awareness Month.

• Es pionero en México de la:
  • Cirugia tiroidea minimamente invasiva
  • La cirugia minimamente invasiva radio-guiada de paratiroides

•  Su entrenamiento es el siguiente:
  • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

• Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center

👉One of the most common incidental findings on imaging is a thyroid nodule.

👉Fortunately, most thyroid nodules are benign so there is no reason to panic!

#THYCAM2019 #CheckYourThyroid

👉September is Thyroid Cancer Awareness Month.

• Es pionero en México de la:
  • Cirugia tiroidea minimamente invasiva
  • La cirugia minimamente invasiva radio-guiada de paratiroides

•  Su entrenamiento es el siguiente:
  • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

• Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center

👉La lobectomía tiroidea (hemitiroidectomia) sola puede ser un tratamiento suficiente para los cánceres papilares y foliculares de tiroides de bajo riesgo.

👉Para pacientes con cáncer de tiroides de menos de 4 cm de tamaño y sin extensión extratiroidea o ganglios linfáticos o metástasis a distancia, la lobectomía tiroidea o la tiroidectomía tienen una supervivencia equivalente.

👉September is Thyroid Cancer Awareness Month.

• Es pionero en México de la:
  • Cirugia tiroidea minimamente invasiva
  • La cirugia minimamente invasiva radio-guiada de paratiroides

•  Su entrenamiento es el siguiente:
  • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

• Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center

👉Thyroid lobectomy alone may be sufficient treatment for low-risk papillary and follicular cancers.

👉For patients with thyroid cancer less than 4 cm in size and without extrathyroidal extension or lymph node or distant metastases, either thyroid lobectomy or thyroidectomy have equivalent survival.

#THYCAM2019 #CheckYourThyroid

👉September is Thyroid Cancer Awareness Month.

• Es pionero en México de la:
  • Cirugia tiroidea minimamente invasiva
  • La cirugia minimamente invasiva radio-guiada de paratiroides

•  Su entrenamiento es el siguiente:
  • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

• Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center

👉The thyroid is a butterfly-shaped gland at the base of the throat.

👉The gland uses iodine, a mineral found in some foods and in iodized salt, to help make several hormones that control heart rate, body temperature, metabolism, and the amount of calcium in the blood.

👉According to the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) database, 52,070 people living in the United States will be diagnosed with thyroid cancerand 2,170 will die of the disease in 2019.

👉The five-year survival rate for this type of cancer is 98%.

👉There are four main types of thyroid cancer: papillary thyroid cancer, follicular thyroid cancer, medullary thyroid cancer, and anaplastic thyroid cancer. 

👉Papillary thyroid cancer is the most common type of thyroid cancer, accounting for roughly 85% of all diagnoses, according to the National Cancer Institute. If diagnosed early, the cure rates for this type of thyroid cancer are high.

👉Follicular thyroid cancer is the second most commonly diagnosed type of thyroid cancer, accounting for approximately 10% of diagnoses. It begins in follicular cells and usually grows slowly. This type of cancer is also highly treatable if diagnosed early enough.

👉Medullary thyroid cancer develops in the thyroid’s C cells, which make a hormone called calcitonin that helps maintain calcium levels in the blood. This rare cancer occurs in nearly everyone with a certain gene mutation. Blood testing can usually detect the presence of this altered gene. 

👉Anaplastic thyroid cancer is a very rare and aggressive type of thyroid cancer that usually affects those over age 60. This type of cancer grows and spreads quickly, and is difficult to treat.

👉Exposure to radiation and a family history of thyroid issues are risk factors for thyroid cancer.

👉Women are diagnosed with thyroid cancer significantly more than men.

👉September is Thyroid Cancer Awareness Month.

• Es pionero en México de la:
  • Cirugia tiroidea minimamente invasiva
  • La cirugia minimamente invasiva radio-guiada de paratiroides

•  Su entrenamiento es el siguiente:
  • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

• Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center

👉Papillary thyroid cancer frequently spreads to lymph nodes (about 50%).

👉All patients should have a full neck ultrasound to evaluate for abnormal nodes prior to surgery.

👉Suspicious features include increased size or blood flow, hypoechoic, calcifications or cystic appearance.

• Es pionero en México de la:
  • Cirugia tiroidea minimamente invasiva
  • La cirugia minimamente invasiva radio-guiada de paratiroides

•  Su entrenamiento es el siguiente:
  • Tumores de Cabeza y Cuello / Cirugía Endocrina – Fox Chase Cancer Center

• Tumores de Cabeza y Cuello / Cirugía Endocrina – IFHNOS / Memorial Sloan Kettering Cancer Center