ASAP Live - Thyroid Disorders-Slides

Slides

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In the ASAP LIVE 2022 session on Thyroid Disorders, various topics were discussed. In the first case, a 62-year-old woman with subclinical hyperthyroidism and multiple areas of focal increased and suppressed uptake on a radioactive iodine scan was presented. The best next step in management was determined to be observation, as the patient had no indications for treatment at that time.<br /><br />The second case involved a 24-year-old pregnant woman who had abnormal thyroid function tests. She was diagnosed with gestational transient thyrotoxicosis, which is a self-limited condition that does not require intervention.<br /><br />In the third case, a 34-year-old woman had a nontoxic solitary nodule and multinodular goiter. A radioiodine uptake and scan was recommended to determine if a biopsy was necessary.<br /><br />The fourth case focused on fine-needle aspiration/cytology and genetic test interpretation for a patient with a suspicious thyroid nodule. The importance of molecular testing for thyroid nodules that have indeterminate cytologic findings was highlighted.<br /><br />In the fifth case, a patient with thyroid cancer who had undergone total thyroidectomy and central neck dissection was discussed. The patient had RAI-refractory disease, and the most appropriate next step was to continue active surveillance.<br /><br />The sixth case involved a patient with medullary thyroid carcinoma and a positive RET codon A883F mutation. The presence of mucosal neuromas was likely to be found on further evaluation.<br /><br />The seventh and final case presented a patient with thyroid storm. The appropriate treatment options included a β-blocker, propylthiouracil, and corticosteroids. However, aspirin should be avoided in the treatment of thyroid storm.<br /><br />Overall, the session covered a range of thyroid disorders and provided insights into their management and treatment options.

Keywords

ASAP LIVE 2022

Thyroid Disorders

subclinical hyperthyroidism

observation

gestational transient thyrotoxicosis

nontoxic solitary nodule

fine-needle aspiration/cytology

molecular testing

thyroid cancer

thyroid storm