How would you manage a papillary thyroid carcinoma incidentally found on planning CT for T1 glottic cancer?
How do you prioritize treatment? Would you move forward with radiation to the larynx, and if so, any modification to your treatment plan?
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How would you manage a papillary thyroid carcinoma incidentally found on planning CT for T1 glottic cancer?
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2 Answers
Mednet MemberInvited Expert
Radiation Oncology · University of Florida
Answered on
Treat the glottis with RT 63 Gy/28 fractions and then operate the thyroid.
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Mednet Member
Radiation Oncology · West Virginia University
Answered on
Interesting case. There's a small surgical series from Hopkins (Farrag et al., PMID 17043249) reviewing their experience with sub-TL for laryngeal Ca and they reported a 12% incidence of concurrent thyroid lesions, 6% overall of which were papillary thyroid cancer and they concluded that all patient...
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