Author: Rodrigo Arrangoiz MS, MD, FACS, FSSO

👉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

Hay diferentes tipos de cáncer de tiroides.

El cáncer de tiroides se presenta en una de las siguientes dos formas:

Los tumores bien diferenciados (cáncer de tiroides papilar y cáncer de tiroides folicular) se pueden tratar y, por lo general, curar.

Los tumores pobremente diferenciados e indiferenciados (cáncer de tiroides anaplásico) son menos comunes. Estos tumores crecen y se diseminan rápido y la probabilidad de recuperación es menor. Los pacientes de cáncer de tiroides anaplásico se deben someter a pruebas moleculares para detectar una mutación en el gen BRAF. 

El cáncer de tiroides medular es un tumor neuroendocrino que se forma en las células Cde la tiroides. Las células C producen una hormona (calcitonina) que ayuda a mantener una concentración saludable de calcio en la sangre.

• 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 incidence of thyroid cancer has increased significantly over the last four decades, and it is now the 6th leading cause of cancer in females.

👉Papillary thyroid cancer accounts for most of this increase, and the prognosis for most patients is excellent.

#THYCAM2019 #CheckYourThyroid

👉Find more info a http://www.cirugiatiroides.com

#thyroid #surgeon #medicine #oncology #cancer #thyroidexpert #sociedadquirurgica #thyroidnodules #cirugiaoncologica #cirugiadetumoresdecabdzaycuello #nodulostiroideos #headandnecksurgery #expertentiroides #surgicaloncology #bocio #headandnecksurgeon #goiter #thyroidsurgeon #endocrinesurgery #cirugiadetiroides #arrangoiz #CheckYourThyroid

👉September is Thyroid Cancer Awareness month!

👉Join @TheAAES in the #CheckYourThyroid challenge.

👉Share this post, and post a picture of you or your thyroid tumor board in action.

👉Help raise awareness. #THYCAM2019

👉Find more info a http://www.cirugiatiroides.com

#thyroid #surgeon #medicine #oncology #cancer #thyroidexpert #sociedadquirurgica #thyroidnodules #cirugiaoncologica #cirugiadetumoresdecabdzaycuello #nodulostiroideos #headandnecksurgery #expertentiroides #surgicaloncology #bocio #headandnecksurgeon #goiter #thyroidsurgeon #endocrinesurgery #cirugiadetiroides #arrangoiz #CheckYourThyroid

• What is Head and Neck Surgery?:
  • It is a surgical sub-specialty that deals mainly with benign and malignant tumors of the head and neck region, including:
    • The scalp, facial region, eyes, ears, nose, nasal fossae, paranasal sinuses, oral cavity, pharynx (nasopharynx, oropharynx, hypopharynx), larynx (supraglotic larynx, glottis larynx, subglotic larynx), thyroid gland, parathyroid gland, salivary glands (parotid glands, submandibular glands, sublingual glands, minor salivary glands), soft tissues of the neck, skin of the head and neck region.
      • The head and neck surgeon’s work area:
        • Does not cover tumors or diseases of the brain and other areas of the central nervous system or those of the cervical spine:
          • This is the neurosurgeon field.
  • Among the diagnostic procedures performed by the head and neck surgeon,  are the following:
    • Nasopharyngolaryngoscopy:
      • Performed to examine, evaluate and, possibly perform a biopsy, of oral cavity, pharyngeal and laryngeal lesions.
  • The surgeries most commonly performed by the head and neck surgeon are:
    • Total or near total thyroidectomies
    • Hemithryoidectomies (lobectomies)
    • Comprehensive neck dissections
    • Selective neck dissections
    • Maxillectomies:
      • Total maxillectomy
      • Subtotal maxillectomy
      • Infrastructure maxillectomy
      • Suprastructure maxillectomy
      • Medial maxillectomy
    • Mandibulectomy:
      • Segmental
      • Marginal
    • Tracheostomy
    • Salivary gland surgeries:
      • Parotid gland operations:
        • Limited superficial parotidectomy with identification and preservation of the facial nerve
        • Superficial parotidectomy with identification and preservation of the facial nerve
        • Near total parotidectomy with identification and preservation of the facial nerve
        • Total parotidectomy
      • Submandibular gland resection
      • Sublingual gland resection
    • Resection of tumors of the oral cavity:
      • Glossectomy
      • Resection of the floor of the mouth tumors
    • Resection of tumors of the pharynx
    • Resection of tumors of the larynx
    • Split-thickness skin grafts
    • Full-thickness skin grafts
    • Sentinel lymph node mapping and sentinel lymph node biopsy
    • Resection of malignant skin tumors (BCC, SCC, melanoma) of the head and neck region
• The formation of the head and neck surgeon includes mastering the following subjects:
  • Surgical Anatomy
  • History and Basic Principles of Head and Neck Surgery
  • Epidemiology, Etiology, and Pathology of Head and Neck Diseases
  • Diagnostic Radiology of the Head and Neck Region
  • Tumors of the Scalp, Skin and Melanoma
  • Eyelids and Orbit
  • Nasal Cavity and Paranasal Sinuses
  • Skull Base and Temporal Bone
  • Lips and Oral Cavity
  • Pharynx and Esophagus
  • Larynx and Trachea
  • Cervical Lymph Nodes
  • Thyroid and Parathyroid Glands
  • Salivary Glands
  • Neurogenic Tumors and Paragangliomas
  • Soft Tissue Tumors
  • Bone Tumors and Odontogenic Lesions
  • Reconstructive Surgery
  • Oncologic Dentistry and Maxillofacial Prosthetics
  • Principles of Radiation Oncology
  • Principles of Chemotherapy
  • Molecular Oncology, Genomics and Immunology
  • Nutrition
  • Biostatistic

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

#Arrangoiz

#Teacher

#Surgeon

#Cirujano

#ThyroidExpert

#ThyroidSurgeon

#CirujanodeTiroides

#ExpertoenTiroides

#ExpertoenParatiroides

#Paratiroides

#Hiperparatiroidismo

#CancerdeTiroides

#ThyroidCancer

#PapillaryThyroidCancer

#SurgicalOncologist

#CirujanoOncologo

#CancerSurgeon

#CirujanodeCancer

#HeadandNeckSurgeon

#CirugiaEndocrina

#CirujanodeTumoresdeCabezayCuello

#OralCavityCancer

#Melanoma

• El  cáncer de tiroides NO es un cáncer “bueno”:
  • Cuando se diagnóstica de manera temprana:
    • El cáncer de tiroides generalmente es muy tratable.
      • Sin embargo:
        • Algunos cánceres de tiroides son agresivos y difíciles de tratar.
        • Incluso cuando es tratable:
          • El cáncer de tiroides puede ser mortal, costoso y estresante para nosotros y nuestros seres queridos.
    • También requiere que tomemos medicamentos diarios para el reemplazo de la hormona tiroidea por el resto de nuestras vidas.
    • Por estas y muchas otras razones, el cáncer de tiroides no es un cáncer “bueno”:
      • No hay cáncer bueno. 

• 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

• Estimated new cases of thyroid cancer in 2019:52, 070 cases3% of all new cancer cases reported in the United States
• Estimated deaths from thyroid cancer in 2019:2,170 deaths0.4% of all cancer deaths in the United States 
• Number of New Cases and Deaths per 100,000 individual:The number of new cases of thyroid cancer:Was 15.8 per 100,000 men and women per yearThe number of deaths:Was 0.5 per 100,000 men and women per year:These rates are age-adjusted and based on 2012 to 2016 cases and deaths.
• Lifetime Risk of Developing Thyroid Cancer: Approximately 1.3% of men and women will be diagnosed with thyroid cancer at some point during their lifetime:Based on 2014 to 2016 data.
• Prevalence of Thyroid Cancer: In 2016:There were an estimated 822,242 people living with thyroid cancer in the United States.

• How Many People Survive Five-Years Or More after Being Diagnosed with Thyroid Cancer?98.2% of patients diagnosed with thyroid cancer will be alive at 5-years:Relative survival statistics:Compare the survival of patients diagnosed with cancer with the survival of people in the general population who are the same age, race, and gender and who have not been diagnosed with cancer.
  • • • Because survival statistics are based on large groups of people, they cannot be used to predict exactly what will happen to an individual patient:No two patients are entirely alike, and treatment and responses to treatment can vary greatly.

• Survival by Stage:
  • Cancer stage at diagnosis:
    • Which refers to extent of a cancer in the body:Determines treatment options and has a strong influence on the length of survival.
      • In general, if the cancer is found only in the part of the body where it started it is:
        • Localized (sometimes referred to as stage 1).
      • If it has spread to a different part of the body:
        • The stage is regional or distant.
    • The earlier thyroid cancer is caught:
      • The better chance a person has of surviving five years after being diagnosed:
        • For thyroid cancer:
          • 67.0% are diagnosed at the local stage:The 5-year survival for localized thyroid cancer is:
            • • 99.9%
          • 27% are diagnosed with regional lymph node metastasis:
            • The 5-year survival for thyroid cancer with regional metastasis is:
              • 98.2%
          • 4% are diagnosed with distant metastasis:
            • The 5-year survival for metastatic thyroid cancer is:
              • 58.2%

• 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

👉El cáncer de tiroides puede causar cualquiera de los siguientes signos o síntomas: 

-Un bulto en el cuello, que a veces crece rápidamente.

-Hinchazón en el cuello.

-Dolor en la parte delantera del cuello, que a veces llega hasta las orejas.

-Ronquera u otros cambios de voz que no desaparecen.

-Dificultad al tragar.

-Dificultad para respirar.

👉Para más información www.cirugiadetiroides.com

#thyroid #surgeon #medicine #oncology #cancer #thyroidexpert #sociedadquirurgica #thyroidnodules #cirugiaoncologica #cirugiadetumoresdecabdzaycuello #nodulostiroideos #headandnecksurgery #expertentiroides #surgicaloncology #bocio #headandnecksurgeon #goiter #thyroidsurgeon #endocrinesurgery #cirugiadetiroides #arrangoiz

#thyroid #surgeon #medicine #oncology #cancer #thyroidexpert #sociedadquirurgica #thyroidnodules #cirugiaoncologica #cirugiadetumoresdecabdzaycuello #nodulostiroideos #headandnecksurgery #expertentiroides #surgicaloncology #bocio #headandnecksurgeon #goiter #thyroidsurgeon #endocrinesurgery #cirugiadetiroides #arrangoiz

👉For more information http://www.cirugiadetiroides.com

👉La combinación de ultrasonido y gammagrafía de paratiroides proporciona la mayor sensibilidad de localización preoperatoria, lo que lleva a una alta tasa de éxito de paratiroidectomía mínimamente invasiva.

👉https://www.ncbi.nlm.nih.gov/pubmed/30286659/

👉Rodrigo ARRANGOIZ MS, MD, FACS miembro de Sociedad Quirúrgica SC y pionero en MEXICO de la paratiroidectomia mínimamente invasiva radioguiada

👉For more information: http://www.hiperparatiroidismo.info

#Arrangoiz #ParathyroidExpert #ParathyroidSurgeon #Hiperparatiroidism #Hipercalcemia #HeadandNeckSurgeon #SociedadQuirurgica #Hiperparatiroidismo #ExpertoenParatiroides