Clinic‐Based Decision Making for Head and Neck Endocrine Disease. (2nd September 2014)

• Record Type: Journal Article
• Authors: Smith, Russell B.; Tufano, Ralph P.; Steward, David L.; Shindo, Maisie L.; Caruana, Salvatore M.; Hunt, Jason P.
• Is Part Of: Otolaryngology--head and neck surgery. Volume 151(2014)Supplement 1
• Page Start: P15
• Page End: P16
• Publication Date: 2014-09-02
• Subjects: Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599814538403a36
• Languages: English
• ISSNs: 0194-5998

Abstract

Abstract : Program Description: Patients with thyroid and parathyroid disease are commonly encountered in a head and neck surgery practice. While the evaluation and management of many patients is relatively straightforward, others are significantly more complicated. The goal of this session is to discuss complex clinical scenarios encountered in the outpatient clinic. The cost‐effective use of diagnostic testing as well as the factors critical in treatment planning will be outlined. The entities reviewed will include fine‐needle aspiration for thyroid nodules, surveillance of patients with well‐differentiated thyroid cancer, and evaluation and decision for surgery in hyperparathyroidism. Educational Objectives: (1) Describe the appropriate use of fine‐needle aspiration biopsy with a focus on implementing the use of molecular markers into the diagnostic evaluation. (2) Explain the indications for adjuvant radioactive iodine therapy in patients with low‐, intermediate‐, and high‐risk well‐differentiated thyroid cancer. (3) Implement a cost‐effective approach to preoperative imaging in a patient with primary and recurrent hyperparathyroidism.