New Therapies of Thyroid Diseases

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Endocrinology".

Deadline for manuscript submissions: closed (30 March 2022) | Viewed by 3237

Special Issue Editor


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Guest Editor
Maria Sklodowska-Curie Institute – Oncology Center, Warsaw, Poland
Interests: thyroid cancer; thyroid surgery; radioiodine treatment; targeted therapy

Special Issue Information

Dear Colleagues,

Classical treatment of thyroid cancers (TCs) based on surgery combined with radioiodine treatment in high-risk cases, is highly effective in differentiated TC (>98% of 10-years OS). Increasing evidence indicates that in spite of being effective in most of differentiated cancers, the current management is inadequate in approximately 50% of patients with medullary TC and radioiodine refractory advanced non-medullary TC, and in almost all patients with anaplastic TC. In recent years, the knowledge of molecular biology has improved which effected in new targeted drugs. In parallel, we observed development of diagnostic techniques including high quality, real time US, and FNA with molecular analysis profiling. Increasing evidence also indicates that a large part of the patients could be cured with de-escalated treatment’s intensity and even watchful waiting was proposed for microcarcinoma’s. Optimizing the intensity of the treatment requires data considering survival, preoperative diagnostics including preoperative molecular profile of the tumor, and adequate surgery and postoperative targeted treatment. Additionally, it should consider the individual values and preferences of the patients that need to be explored and communicated between patients to physicians to ensure adequate shared-decision making. The concept of such a precision therapy, changing classical paradigm of TC requires a multidisciplinary approach and a close collaboration with patients.

In the collection of articles entitled “Precision therapy of thyroid cancer” we would like to present original papers, reviews and minireviews on thyroid cancer biology, its liaison with diagnostics therapy (precision surgery and radioiodine treatment), targeted therapy (genotyping of the cancer) and shared-decision making.

Prof. Dr. Marek Dedecjus
Guest Editor

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Keywords

  • Thyroid cancer
  • precision therapy
  • genotyping
  • share-decision making

Published Papers (1 paper)

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Review

10 pages, 888 KiB  
Review
Optimization of Intraoperative Neural Monitoring of the Recurrent Laryngeal Nerve in Thyroid Surgery
by Chia-Yuan Hsieh, Hao Tan, Hui-Fang Huang, Tzu-Yen Huang, Che-Wei Wu, Pi-Ying Chang, David-Vi Lu and I-Cheng Lu
Medicina 2022, 58(4), 495; https://doi.org/10.3390/medicina58040495 - 30 Mar 2022
Cited by 4 | Viewed by 2948
Abstract
The application of intraoperative neural monitoring (IONM) has been widely accepted to improve surgical outcomes after thyroid surgery. The malfunction of an IONM system might interfere with surgical procedures. Thus, the development of anesthesia modalities aimed at ensuring functional neuromonitoring is essential. Two [...] Read more.
The application of intraoperative neural monitoring (IONM) has been widely accepted to improve surgical outcomes after thyroid surgery. The malfunction of an IONM system might interfere with surgical procedures. Thus, the development of anesthesia modalities aimed at ensuring functional neuromonitoring is essential. Two key issues should be taken into consideration for anesthetic management. Firstly, most patients undergo recurrent laryngeal nerve monitoring via surface electrodes embedded in an endotracheal tube. Thus, advanced video-assisted devices might optimize surface electrode positioning for improved neuromonitoring signaling accuracy. Secondly, neuromuscular blocking agents are routinely used during thyroid surgery. The ideal neuromuscular block should be deep enough for surgical relaxation at excision and recovered enough for an adequate signal f nerve stimulation. Proper neuromuscular block management could be achieved by titration doses of muscle relaxants and reversal agents. Full article
(This article belongs to the Special Issue New Therapies of Thyroid Diseases)
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