- Provides practical, case-based, and evidence-guided recommendations
- Features a diverse group of authors with expertise spanning the entire spectrum of thyroid care
- Explores the most significant controversies in the diagnosis and treatment of thyroid nodules and DTC
This book provides a practical, evidence-based approach to controversies in the management of thyroid nodules and differentiated thyroid cancer (DTC).
Thyroid nodules are a commonly encountered clinical entity, identified in 2-6% of the population by palpation, and 20-35% by ultrasound. DTC is the solid organ cancer with the most rapidly increasing incidence (>50,000 new cases in the U.S. annually). Despite extensive research and multiple published comprehensive practice guidelines, numerous controversies remain within this field covering a wide range of issues, including incidence and epidemiology, radiographic evaluation, criteria for needle biopsy, cytopathologic and molecular diagnostics, active surveillance vs. operation for low-risk tumors, extent of surgery, indications for radioactive iodine treatment and external beam radiation, and optimal protocols for follow-up.
The book takes a case-based approach: each chapter will begin with a patient presentation highlighting a particular controversial subject in thyroid nodules and DTC. The remainder of the chapter discusses the controversy within the context of current scientific understanding and clinical practice, using the latest evidence-based practice guidelines. Chapters conclude with a final review and discussion of the opening case, with options and recommendations for next steps provided.
The recommendations are evidence-based and practical, intended to help guide practitioners in their ongoing care of patients with thyroid nodules and DTC. Each chapter was written by a recognized expert in the area of controversy, including endocrine surgeons, endocrinologists, radiologists, medical oncologists, and nuclear medicine specialists.
Controversies in Thyroid Nodules and Differentiated Thyroid Cancer: A Case-Based Approach is an excellent guide for oncologists, endocrinologists, otorhinolaryngologists, surgeons, and practitioners of all types that care for patients with thyroid nodules and DTC.
Table of Contents- Incidence and Epidemiology of Differentiated Thyroid Cancer: Is thyroid cancer incidence truly increasing, or is it simply a finder effect?
- Criteria for Fine-Needle Aspiration Biopsy in Thyroid Nodules
- Preoperative Molecular Testing for Indeterminate Thyroid Nodules
- Active Surveillance of Low-Risk Differentiated Thyroid Cancer
- Preoperative Laryngoscopy in Thyroid Surgery Patients
- Radiofrequency Ablation for Thyroid Nodules
- Management of low-risk papillary thyroid cancer in a patient with familial non-medullary thyroid cancer
- Intraoperative Nerve Monitoring in Thyroid Operations
- Extent of Surgery for Low-Risk Papillary Thyroid Cancer
- Surgical Management of Locally Advanced Thyroid Cancer with Tracheal Invasion
- Management of Central Neck Nodes in Papillary Thyroid Cancer
- Impact of Surgeon Volume in Thyroid Operations
- Intraoperative/Postoperative Calcium Management in Thyroidectomy
- Indications for Radioactive Iodine Therapy in Thyroid Cancer Patients
- Recurrent Nodal Metastases of Papillary Thyroid Cancer
- Management of Non-Invasive Follicular Thyroid Neoplasm with Papillary-Like Features (NIFT-P)
- Timing of long-term post-operative surveillance for low-risk differentiated thyroid cancer
- External-Beam Radiation for Patients with Differentiated Thyroid Cancer - Is There a Role?
