Let’s talk thyroid disease—Join general surgery resident Dr. Abby Chmiel for a discussion with expert endocrine surgeon Dr. Taylor Brown. This episode of the Washington Manual of Surgery Podcast will cover thyroid disease, and serves as an additional companion to Chapter 30 of the 9th edition of the bestselling Washington Manual of Surgery. 

In this episode of the Washington Manual of Surgery Podcast, Dr. Brown explores thyroid disease, including thyroid nodules. The discussion covers the role of diagnostic imaging tools, as well as disease classification and major types of thyroid cancers. They also discuss surgical decision-making and the risks and advantages of lobectomy versus total thyroidectomy, concluding with postoperative management, long-term surveillance, and an overview of Graves' disease.

Guest Host: 

Abby Chmiel, MD – General surgery resident at WashU Medicine. 

Guest: 

Taylor Brown, MD, MHS – Dr. Brown is an assistant professor of surgery in the Division of Surgical Oncology who specializes in endocrine surgery. 

Notes:

  • TI-RADS: "Thyroid Imaging Reporting and Data System", a standardized risk-stratification scoring system to evaluate thyroid nodules on ultrasound that assigns points based on ultrasound features to estimate cancer risk and guide biopsy decisions.
  • Bethesda System for Reporting Thyroid Cytopathology: Cibas ES, Ali SZ. The 2017 Bethesda system for reporting thyroid cytopathology. Thyroid. 2017;27(11):1341.
  • Molecular testing: Livhits MJ, Zhu CY, Kuo EJ, et al. Effectiveness of molecular testing techniques for diagnosis of indeterminate thyroid nodules: a randomized clinical trial. JAMA Oncol. 2021;7(1):70.
  • Positioning in the operating room: modified "beach chair" (e.g., semi-Fowler's) position elevating the patient's upper body to a 30-to-45-degree angle with a shoulder roll to extend the neck.
  • PTU: Propylthiouracil

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media. 

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