Dr Maria Papaleontiou 🔹 Older Thyroid Cancer Patients 🔹 Issues to Consider for Treatment

Find 100+ interviews with leading thyroid doctors at:
www.docthyroid.com

During this interview the following topics are discussed:
🔹 Thyroid cancer surgery is 5x greater than what is reported
🔹Clinical focus on thyroid cancer and how outcomes effect older adults…
🔹 Post operative complications for thyroid surgery: at-risk populations that are at more risk
🔹 28,000 thyroid surgeries, approximately 6.5% develop general complications. 12% develop complications due to thyroid surgery — up to 23%.
🔹 80% of thyroid surgeries do not happen by high-volume centers
🔹 What are the potential harms of thyroid cancer and over-diagnosis?
🔹 60% of all adults have thyroid nodules — about 70% are benign — 20% are indeterminate
🔹 Do we need to be biopsing all these nodules
🔹 200 million people in the U.S. have nodules
🔹 20 million people in the U.S. have thyroid cancer, but may be better off not knowing it
🔹 30% of autopsies reveal thyroid cancer, although the cause of death is not thyroid cancer
🔹 Older adults have higher risk of complications
🔹 RAI and TSH suppression therapy have dangers
🔹 Cardiovascular system and bone health is jeopardized due to TSH suppression
🔹 Anxiety and worry result from a cancer diagnosis
🔹 Molecular profiling of thyroid cancer
🔹 In older adults, the cancers that are identified are more often higher risk
🔹 Trevor Angell study: 1000 patients who are 70 and older, of those who went to surgery, 45% were unnecessary.
🔹 “Be Conservative With Thyroid Nodules in Over 70s, Avoid Surgery”
https://www.medscape.com/viewarticle/...
🔹 Identified DTC survival is 98%
🔹 Comorbidities in older adults diagnosed with thyroid cancer: concurrent chronic diseases.
🔹 Two or more comorbidities have higher risk during thyroid cancer
🔹 It is important to personalize treatment — shared decision making is important
🔹 Active surveillance
🔹RFA emergence in the U.S. up to 2cm nodules and PTC
🔹 Look at the whole patient, and weigh benefits and risks. INVOLVE the patient. Include patients values and shift patient management to individualized treatment

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Maria Papaleontiou, MD, is an Assistant Professor of Internal Medicine with an appointment in the Division of Metabolism, Endocrinology and Diabetes. She graduated medical school from the prestigious Charles University in the Czech Republic and subsequently spent several years conducting research at the Geriatrics Division at Weill Cornell Medical College. She then completed her internal medicine residency at Saint Peter's University Hospital in New Jersey and her endocrinology fellowship at the University of Michigan. She joined the faculty at the University of Michigan in 2013. She is a recipient of Fulbright and Howard Hughes Medical Institute scholarships.

Dr. Papaleontiou's practice focuses on thyroid disorders and thyroid cancer. She is especially interested in the treatment of endocrine disorders in older adults. She also conducts health services research in the field of thyroidology and aging.

https://www.uofmhealth.org/profile/31...

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About Philip James

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I shared my story with many of you on my podcast: Doctor Thyroid
www.docthyroid.com
In 2013, my laryngeal nerve was severed, shoulder nerve damaged, parathyroids ruined, and residual cancer left behind — all for a 1 cm thyroid nodule.Later, a vocal cord implant was inserted to help me speak.

The bad result of thyroid surgery dampened my quality of life → and left me wondering, what exactly happened → during what should be a low-risk surgery?
My attempts to follow up with UCLA and the surgeon were ignored.
So, I turned to other doctors for answers — this was the beginning of the podcast:
"Doctor Thyroid with Philip James"

100+ episodes later, the Doctor Thyroid podcast is popular amongst patients; allowing them access to information from top doctors, without being limited by geography or economics.

The word I use to describe my work as patient advocate is, ‘tonglen’.
Or, using my pain and hardship to help others.

When not producing podcast episodes or co-hosting live Q&As for patients with top doctors, I lead the creative team at Philip James Media — we are a marketing agency dedicated to digital communications — serving the sectors of healthcare, payments, and Greentech.

The Doctor Thyroid podcast is available in Spanish and English - and listened to in over 30 countries:

www.doctiroides.com (Spanish)
www.docthyroid.com (English)

Please email your requests to [email protected]
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