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Head & Neck | The Solitary Thyroid Nodule | Mr Ali Al-Lami

Mr Ali Al-Lami - Consultant ENT and Head & Neck Surgeon , East Kent Hospitals University Foundation Trust, Kent, UK Guy's And St Thomas Virtual Grand Rounds , 4th November 2020 Curriculum topics (UK Otolaryngology Higher Surgical Training 2017) 1. Head and Neck – Thyroid and parathyroid disease; Head and neck malignancies in the upper aerodigestive tract excluding the oral cavity 01:02 - Thyroid anatomy revision 02:02 - Epidemiology of thyroid malignancy 03:07 - Presentation 04:56 - Management steps 06:50 - Causes and risk factors 10:40 - Assessment: U-classification 11:30 - Thy classification 14:13 - Decision-making following USS 15:47 - What to discuss at MDT 17:13 - Hemi vs total thyroidectomy 18:46 - Complication rates from surgical intervention 19:40 - Classification of thyroid neoplasms 21:42 - Papillary carcinoma and microcarcinoma 24:11 - Follicular carcinoma 24:58 - Hurthle cell 25:49 - Central neck dissection in cN0 26:44 - Prognostic factors 28:15 - Post-op radioiodine 30:34 - Long-term treatment 31:17 - Thyroglobulin monitoring 32:13 - Thyroid hormone replacement 32:49 - Metastatic spread 33:13 - 10 year survival and prognosis by histology 36:30 - CASE EXAMPLE 44:26 - Summary 46:10 - Q&A session