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Tag: Cancer: Thyroid

Implementation of the 2015 American Thyroid Association guidelines on surgery for well-differentiated thyroid carcinoma was associated with a significant decrease in the rates of both up-front total thyroidectomy and completion thyroidectomy

Thyroidectomy Rates Lower After Guideline Implementation

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Up-front total, completion thyroidectomy rates fell after guidelines on thyroid CA surgery implemented
Lymph node density can help predict outcomes in patients with papillary thyroid cancer

Lymph Node Density Predicts Thyroid Cancer Outcomes

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Papillary thyroid cancer patients with LND >0.19 have worse disease-specific, overall survival
Imaging studies

Ultrasonography Not Necessary for Evaluation of Hypothyroidism

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Detection of incidental nodules can lead to further testing, anxiety and may detract from true complaint
Filipinos die of thyroid cancer at higher rates than non-Filipino Asian and non-Hispanic white individuals of similar ages

U.S. Filipinos Have Higher Thyroid Cancer Mortality

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Age-adjusted mortality rates higher than in non-Filipino Asians, non-Hispanic whites
Only about one-third of patients with medullary thyroid carcinoma undergo initial central neck dissection

Central Neck Dissection Underused in Some Thyroid CA

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Risk of reoperation up with lymph node metastasis; reduced with central, lateral neck dissection
Among patients with low-risk papillary thyroid cancer

Low Tumor Growth Rates During Active Surveillance of Thyroid CA

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Younger age at diagnosis, initial risk category linked to papillary thyroid cancer tumor growth
Radioiodine therapy for thyroid cancer is not associated with increased risk of stroke

Radioiodine Therapy for Thyroid Cancer Doesn’t Up Stroke Risk

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I-131 therapy group showed no significantly higher risk of ischemic or hemorrhagic stroke
Patients with primary hypothyroidism who are regular thyroxine users have increased risk of thyroid cancer

Thyroid Cancer Tied to Regular Thyroxine Use in Hypothyroidism

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No significant cancer link for hypothyroidism patients who were irregular thyroxine users
Clinicians should not routinely screen adults for thyroid cancer if they have no symptoms or warning signs of the disease

USPSTF Does Not Recommend Routine Thyroid Cancer Screening

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U.S. Preventive Services Task Force reaffirms guidelines it issued in 1996 and 2016
Implementation of the 2006 Massachusetts health reform

Thyroidectomy for Thyroid CA Up Post 2006 Mass. Health Reform

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Health reform linked to significantly increased rates of thyroidectomy and neck dissection