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ESO Masterclass in Clinical Oncology Dubrovnik 2011 THYROID CANCER Dr Aleksandar CELEBIC, MD, PhD - Clinical Center of Montenegro, Podgorica, Montenegro - Institute Gustave Roussy, Villejuif, France
INTRODUCTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification & Incidence of Thyroid cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Papillary Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Follicular Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hurthle Cell Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anaplastic Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medullary Thyroid Carcinoma ,[object Object],[object Object],[object Object],[object Object]
Medullary Thyroid Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FACTEURS PRONOSTIQUES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Guidelines and consensus reports ,[object Object]
[object Object],[object Object]
ACTIONS - European Thyroid Association ,[object Object],[object Object]
pre-surgical evaluation of thyroid nodules;  surgical treatment;  tumor-node-metastasis (TNM) and other prognostic systems;  postsurgical administration of radioiodine;  follow-up: role of diagnostic whole body scan (WBS),  role of thyroglobulin (Tg), anti-Tg antibodies (AbTg) and neck US;  protocols for early and long-term follow-up;  treatment of local and regional recurrences and of distant metastases
Thyroid nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright ©2010 European Society of Endocrinology Eur J Endocrinol. 2006 Jun;154(6):787-803 Figure 1 Flow chart for the diagnostic evaluation of thyroid nodule(s) ‏
Thyroid nodules ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thyroid nodules ,[object Object],[object Object],[object Object],[object Object]
Thyroid nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thyroid nodules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thyroid nodules ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differentiated thyroid cancer   ,[object Object],[object Object],[object Object]
Surgical treatment ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Post-operative radioiodine administration  (thyroid remnant ablation) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Post-operative radioiodine administration  (thyroid remnant ablation) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathological and clinical staging after initial treatment   ,[object Object],[object Object]
TNM classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Les stades ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Thyrotropin-suppressive therapy ,[object Object],[object Object],[object Object]
Thyrotropin-suppressive therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations for follow-up 6-12 months after thyroid ablation ,[object Object],[object Object]
Copyright ©2010 European Society of Endocrinology Eur J Endocrinol. 2006 Jun;154(6):787-803 Figure 2 Flow chart for the follow-up after initial treatment (surgery and radioiodine ablation)‏
Recommendations for follow-up 6-12 months after thyroid ablation ,[object Object],[object Object],[object Object]
Long-term follow-up ,[object Object],[object Object],[object Object]
Management of patients with recurrent or metastatic disease ,[object Object],[object Object],[object Object]
Distant metastases ,[object Object],[object Object]
Role of external beam radiotherapy ,[object Object],[object Object],[object Object],[object Object]
Role of chemotherapy and experimental therapies ,[object Object],[object Object],[object Object],[object Object]
[object Object]

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Thyroid Cancer Treatment Guidelines

  • 1. ESO Masterclass in Clinical Oncology Dubrovnik 2011 THYROID CANCER Dr Aleksandar CELEBIC, MD, PhD - Clinical Center of Montenegro, Podgorica, Montenegro - Institute Gustave Roussy, Villejuif, France
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  • 14. pre-surgical evaluation of thyroid nodules; surgical treatment; tumor-node-metastasis (TNM) and other prognostic systems; postsurgical administration of radioiodine; follow-up: role of diagnostic whole body scan (WBS), role of thyroglobulin (Tg), anti-Tg antibodies (AbTg) and neck US; protocols for early and long-term follow-up; treatment of local and regional recurrences and of distant metastases
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  • 16. Copyright ©2010 European Society of Endocrinology Eur J Endocrinol. 2006 Jun;154(6):787-803 Figure 1 Flow chart for the diagnostic evaluation of thyroid nodule(s) ‏
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  • 36. Copyright ©2010 European Society of Endocrinology Eur J Endocrinol. 2006 Jun;154(6):787-803 Figure 2 Flow chart for the follow-up after initial treatment (surgery and radioiodine ablation)‏
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Notes de l'éditeur

  1. In this sense, the ETA…
  2. Evaluation starts with clinical history and physical examination of the thyroid and neck.After that e perform US and Laboratory tests. Depending on findings, we can proceed to follow up , Thyroid scan, FNAC and than again to: follow-up or to surgery…