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Int'l Thyroid Tumor Board w/ Dr. Mike Tuttle (June 2023)

Dr. Valentina Tarasova from the Moffitt Cancer Center presents featured cases. Dr. Michael Tuttle moderates this International Thyroid Tumor Board. He is joined by our panelists, Drs. Carrie Cunningham-Lubitz, Richard Gauci, Margaret Brandwein-Weber, Erik Alexander, Azita Khorsandi and Kate Newbold. 0:00 Webinar 3:38 Case 1 5:51 Prioritizing Surgery Dr. Cunningham-Lubitz and Dr. Alexander explain why they would prioritize surgery for this patient given her age and family history of multi nodular goiter. 13:37 PTEN Mutation Dr. Tarasova discusses how PTEN genetic mutation raises concern for PTEN hamartoma tumor syndrome (PHTS), also known as Cowden Syndrome. 15:31 Pathology Dr. Brandwein highlights main findings from pathology slides and discusses how the appearance of multinodular goiter varies. 17:28 Cowden Syndrome Dr. Tarasova reviews the patient’s diagnosis of Cowden Syndrome and discusses typical presentations. 23:43 Case 2 25:46 Conflicting Biopsy & Pathology Dr. Gauci explains how additional molecular testing and detailed family history can help distinguish between benign follicular lesion and medullary thyroid cancer. 29:18 Imaging Modalities Dr. Khorsandi explains which imaging technique she would use for this case and highlights difficulties with identifying positive lymph nodes on imaging for medullary thyroid cancer. 43:22 Case 3 48:09 Radiation Treatment & the Patient Dr. Newbold discusses the importance of knowing what you are trying to achieve when administering radiation because of patient side effects. 56:45 Discussion with Q&A ** Check out our other programs! ** The THANC Guide https://thancguide.org/ TIRO: Thyroid Int'l Recommendations Online https://tiro.expert/ ** Follow us on Twitter! ** @thancfoundation - https://shorturl.at/puwS0 THANC on FB - https://shorturl.at/svNY4