CA-thyroid-slides-070120

CA-thyroid-slides-070120 - Surgical Treatment of Medullary...

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Surgical Treatment of Medullary Carcinoma of the Thyroid Jacques Peltier MD Francis B. Quinn, MD University of Texas Medical Branch in Galveston Grand Rounds Presentation Janurary 20, 2007
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Surgical Indications Palpable thyroid nodule Family history of medullary carcinoma FNA suspicious or diagnostic Suspicious lymph nodes Ret proto-oncogene positive
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Surgical Treatment Aggressive disease. Poorly responsive to Chemotherapy and Radiotherapy Surgical resection only cure Total Thyroidectomy Neck dissection Resection of all involved structures including trachea, esophagus, recurrent nerves, possibly carotid artery as necessary
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Surgical Treatment Preoperative flexible laryngoscopy helpful CT with contrast helpful Identification and preservation of recurrent laryngeal nerves, parathyroid glands, superior laryngeal nerves Reimplantation of devascularized parathyroid glands
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Total Thyroidectomy
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This note was uploaded on 12/28/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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CA-thyroid-slides-070120 - Surgical Treatment of Medullary...

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