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MicroPTC (≤20 mm) #thyroidcancer pts often have pos lymph nodes & may have recurrence & even death. Having 5+ pos lateral LN mets at diagnosis strongest predictor in microPTC. bit.ly/3NNeKSy

6cm Hürthle cell variant #thyroidcancer, with minimal invasion, recurred 24 years post-op. Lung met was by then RAI-R. bit.ly/3B3s2CK

Being told your #thyroidcancer tumour is NIFTP instead of EFVPTC, can cause confusion, anxiety, mistrust and more worry instead of less about the diagnosis. bit.ly/44qK3aI

Active surveillance because of "biochemical incomplete” or “structural incomplete” or “indeterminate response” (in 4-30% #thyroidcancer pts) can lead to pt anxiety. bit.ly/46vO1kd

DECT & SpCT scans “light up” chemical elements such as iodine. Thus, can image thyroid tissue & #thyroidcancer mets. bit.ly/3M7Kel9

Radiotheranostics, using radiopharmaceuticals means a medication can be delivered to tumours via the contrast in a PET scan, for example. ie. re: MTC tumours. #thyroidcancer bit.ly/3LJwOKx

"Thermal ablation is considered an intermediate action between reoperation and active surveillance, without the disadvantages of both”. #thyroidcancer bit.ly/3nyKJez

Reduction of #thyroidcancer surgeries during the pandemic = significant increases in the size of tumours, more lymph node mets, more aggressive features, more PDTC & ATC. bit.ly/3VLBgNn and bit.ly/3M9T4i0

Vaccination can cause lymphadenopathies including in neck lymph nodes and cause release of Tg. bit.ly/3HOMfQz

Just as I thinking of quitting X (can't believe it's called X), you give me a reason to stay. Thanks for this. Free access & well written. #thyroidcancer

Severe COVID-19 induces mild transient thyroid dysfunction (eg. thyroiditis) corresponding with disease severity. However, at one-year post-illness, measures normalized and long-term consequences seem unlikely. bit.ly/42zWFvi

Rate of PT #thyroidcancer surgeries (vs TT) has significantly increased for low-volume surgeons but they still have significantly higher rates of negative outcomes, eg. patients’ readmissions, re-operations, complications & emergency room visits. bit.ly/3LPXtVX

Voice issues after TT surgery for #thyroidcancer = 23% at 2 wks post-op, 18% at 6 wks, 13% at 3 mos, 11% at 6 mos & 7% at 12 mos. Pts also report swallowing issues. All of the patients in this study had their surgery with high-volume surgeons. bit.ly/42mCn8I

Scanning #thyroidcancer pts with elevated Tg (>0.39ng/mL) with 123I-Dx-WBS-SPECT/CT successfully reveals persistent or recurrent structural disease, (usually in neck lymph nodes). bit.ly/42FkzFD

#thyroidcancer pts who have elevated TgAb before thyroidectomy are more likely to have positive lymph nodes at initial surgery, to be assigned to a higher AJCC Stage & to have significantly higher incidence of persistent/recurrent disease. bit.ly/42BZiwE

Detectable TgAb & pos TPOAb common in pts w/ lymphocytic thyroiditis. But thyroid autoimmunity per se does not influence the prognosis of PTC #thyroidcancer. Decreasing TgAb trend over time is a good sign & does go with a tendency towards remission. bit.ly/3NVTnP0

14% of #thyroidcancer pts with metastatic TC also had Graves disease (GD). In this study there was no difference in the treatment, outcome or survival of patients with GD in comparison to those without GD. bit.ly/41wnC1V

Less common after-effect of RAI treatment for #thyroidcancer is blockage of tear duct of eye (nasolacrimal duct). 2.2%-18% pts esp in women >55 yrs; in those w/ multiple treatments & w/ higher doses of RAI (>5.55 GBq, 150mCi). bit.ly/42QiLtG

Now that X has taken away our ability to use TweetDeck, I can no longer use X to communicate with my 1900+ followers (mainly MDs). I can't follow hashtags easily, and I can't schedule posts. That was the last nail in the coffin. 🔨⚰ 😥

Read our new review on the use of routine TSH and #thyroid hormone assays globally. Considers disease prevalence, geography, clinic/lab practice. ow.ly/A2f250PHb5j Association for Diagnostics & Laboratory Medicine Medscape Endo MedPage Today CAPathologists CDC APHL European Society of Endocrinology (ESE) Medscape