@bstack53183322

Parathyroid and Thyroid Surgeon

 Springfield, IL
Joined January 2016
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#AHNSchat. Thanks for everyone’s participation tonight on behalf of @AHNSEndo
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#AHNSchat A.6. Only seek ablative treatments from a person with strong ultrasound skills and ablative training and experience. Don’t be afraid to ask!
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#AHNSchat. A.5. Ablation methods (ethanol, energy) have their limits. Most have to due with size and location in the neck (nerves, arteries)
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#AHNSchat certainly surgery is preferred for larger and multiple neck nodes, but I think the future looks promising for ablative technologies to treat small, single, lateralized nodes.
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#AHNSchat The vast majority of recurrences happen in the thyroid bed or adjacent central neck. Distant recurrences are NOT but are metastases.
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A.2 #AHNSchat. The risk of recurrence is reported over a wide range. There are many variables and risk factors for recurrence. For DTC (papillary and follicular) the risk of recurrence is generally low, way less than 10%.
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Surveillance is the key following surgery. The longer you go without a recurrence, the lower the subsequent risk.
Q1. #AHNSchat. Total thyroidectomy is not always required. For smaller tumors without positive lymph nodes can be managed with a hemithyroidectomy (lobectomy). If your disease does not require RAI, then total is not necessary.
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Hello to all!@ #AHNSchat
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#AHNSchat coming in 40 minutes!
#AHNSchat. Great discussion. Thanks to ThyCa, AHNS and all participants and organizers!
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#AHNSchat. A5. Ongoing surveillance is really important. It might be done by the surgeon or endocrinologist. It is based on blood tests and ultrasounds of the neck. Time between office visits may increase over time with good test results and may end after 5 years clear….
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#AHNSchat. A3. We are doing less RAI in dose size and doses given than 30 yrs.ago. This is good because of side effects and low but measurable risk of secondary malignancy. Cases which warrant RAI are LARGE tumors, LARGE numbers of lymph nodes involved, and invasion…
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#AHNSchat. A2. Differentiated thyroid cancer (DTC) includes papillary and follicular thyroid cancers. Hurthle cell is a type of follicular thyroid cancer.
#AHNSchat. Q2. Hemithyroidectomy for small papillary cancers generally between 1.0 and 4.0 cm. Surgeon judgement regarding extra thyroidal extension, lymph node involvement, and multiple nodules need to be considered.
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#AHNSchat. Chair of the Endocrine Surgical Section AHNS.
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#AHNSchat. Papillary is most common followed distantly by follicular, medullary, and anaplastic.
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#AHNSchat. Welcome to all patients, interested parties, and colleagues from the Endocrine Surgical Section of the American Head and Neck Society. Thanks to Dr. Allen Ho for spearheading tonight’s event.
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Oops. A better link to Experscape for my ranking.
Expertscape: Your Source For Medical Experts@Daily_Experts13 Sep 2021
During Thyroid Cancer Awareness Month (September 2021), we congratulate Dr. Brendan C Stack Jr [bstack53183322] of Southern Illinois University -- Recognized as an Expertscape Expert in Neck Dissection.expertscape.com/ex/neck+diss…
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I was just cited for my work in Expertscape! urldefense.proofpoint.com/v2…
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