Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P168
P168
Otolaryngology-Head and Neck Surgery 163(1S)
Presentation schedule is subject to change. The Official Program Abstracts supplement does not reflect changes made after August 10, 2020.
Results: LT was identified in 38 patients. Fifty-eight percent of patients were symptomatic and, of those, 59% had
obstructive symptoms. Surgery was performed on 77% of
these patients, all of whom had symptomatic resolution.
Nonsurgical candidates with obstructive symptoms received
a trial of suppressive therapy followed by RAI if symptoms
failed to improve. All 10 of these patients ultimately experienced symptomatic resolution. In those with nonobstructive
symptoms, 50% underwent treatment with thyroid suppression, with improvement in symptoms, while the remaining
50% underwent observation, with no change in symptoms.
Six patients had a history of thyroid carcinoma with LT
found on I-123 uptake scan. These patients were treated
with RAI and required no additional treatment. All asymptomatic patients underwent observation without requiring
treatment.
Conclusions: The treatment of LT is nuanced and individualized. Options include observation, thyroid suppression, RAI,
and surgery. Our management algorithm highlights the key
decision points, which include symptoms, concern for malignancy, and surgical candidacy.
Endocrine
Risk Factors Predictive of Papillary Thyroid
Carcinoma Nodal Recurrence
Rachel Elisa Weitzman, MS (Presenter); Natalie S. Justicz, MD;
Dipti Kamani, MD; Natalia Kyriazidis, MD; Ming-Hsu
Chen, MD; Gregory W. Randolph, MD
Objectives: Papillary thyroid carcinoma (PTC) accounts for
most thyroid malignancies; it has been demonstrated that risk
of PTC recurrence over a 30-year period is approximately
30%, of which 70% occur as nodal metastases. Certain clinical and histopathological factors have been speculated to
increase risk of disease recurrence overall, but most of these
studies do not consider risk factors for nodal recurrence. We
aim to determine variables predictive of nodal recurrence of
PTC to inform clinical decision making.
Methods: Retrospective chart review at a tertiary academic
medical institution identified 41 patients who experienced
nodal recurrence of PTC and 284 who did not experience
recurrence following thyroid surgery from 2000 to 2015.
Patients who recurred were compared with those without
nodal recurrence with regard to clinical history and tumor
characteristics.
Results: Results demonstrate that patients without nodal
recurrence had significantly more central neck dissection,
right lateral lymph node dissection, and left lateral lymph
node dissection performed, compared with those with nodal
recurrence (P = .004). Maximum tumor size (P = .001), extrathyroidal extension (P = .001), size of largest lymph node
focus (P = .029), lymph node ratio (P < .001), postoperative
thyroglobulin level (P = .038) and postoperative radioactive
iodine (P = .016) were significantly increased in the PTC
nodal recurrence group compared with the no nodal recurrence group.
Conclusions: This study demonstrates characteristics to help
identify patients' risk of nodal recurrence of PTC. Next steps
include developing a "recurrence calculator" to inform clinical decision making.
Surgery Plays an Important Role in
Management of Early-Stage Primary Thyroid
Lymphoma: The MSK Experience
Catherine Beverly Kappauf, MD (Presenter); Brandon
Imber, MD; Jisun Lee; Karen Chau; Joachim Yahalom, MD
Objectives: Primary thyroid lymphoma (PTL) accounts for
2% to 5% of all thyroid malignancies. We present data from
the largest US series of early-stage PTL patients since 2000
and discuss the role of surgery.
Methods: In a retrospective cohort of newly diagnosed
early-stage PTL patients (Ann Arbor stage IE or II), we compared treatment of diffuse large B-cell lymphoma (DLBCL)
and indolent lymphoma, defined as extranodal marginal zone
(MALT) or follicular lymphoma (FL).
Results: Seventy-two patients (67% female, median age at
diagnosis: 63 years) were treated from 1999 to 2018, most
(67%) for DLBCL, followed by MALT (18%) and FL (8%).
Patients were split between stage IE (51%) and II (49%).
DLBCL patients were treated with systemic (98%) and local
therapy (79%). Strategies for local control included radiotherapy (RT) alone (66%), surgery plus RT (18%), or surgery
alone (16%). Surgery was lobectomy (77%) or total thyroidectomy (23%) with limited or no regional lymph node dissection (92%). For indolent lymphoma, 95% of patients received
local therapy and only 16% systemic. Local therapy consisted
of RT alone (44%), surgery plus RT (28%), or surgery alone
(28%). Surgery included lobectomy (60%), total thyroidectomy (30%), or local excision (10%), typically without lymph
node dissection (90%). Overall, 33% of patients had surgical
management, usually with other treatment modalities. An
additional 18% of patients required excisional biopsy because
inconclusive needle and core biopsies. In total, 51% of patients
required surgical biopsy for pathologic diagnosis.
Conclusions: Surgical management contributed to the diagnosis or treatment of more than 50% of patients treated for
PTL at our institution, demonstrating an important role for
surgeons in the care of these patients.
Systemic Tuberculosis Presenting as Parotid
Abscess: Case Report and Review of the
Literature
Eliezer C. Kinberg, MD (Presenter); Brandon S. Gold; David
Lerner, MD; Fred Y. Lin, MD
Objectives: Head and neck tuberculosis (HNTB) accounts
for 10% of all tuberculosis (TB) cases. An uncommon manifestation of HNTB is TB parotitis, with only 100 cases reported.
We present the case of a Bangladeshi woman with a parotid
abscess that was drained and cultured, with no organisms
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Table of Contents for the Digital Edition of Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Contents
Accreditation Information
2020 President Duane J. Taylor, MD
2020 Annual Meeting Program Committee
2020 Star Reviewers
2020 Distinguished Service Award Recipients
2020 Honor Award Recipients
Honorary Guest Lecturers 2020
Panel Presentations
Oral Presentations
Poster Presentations
Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Intro
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A1
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Contents
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A5
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A6
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Accreditation Information
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 President Duane J. Taylor, MD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Annual Meeting Program Committee
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P4
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Star Reviewers
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Honor Award Recipients
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P7
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Honorary Guest Lecturers 2020
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P9
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Panel Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P275
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P277
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P278
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P279
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P281
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P282
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P283
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P284
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P285
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P286
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P287
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P288
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P289
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P290
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P291
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P292
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P293
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P294
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P295
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P296
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P297
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P298
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P299
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P300
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P301
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P302
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P303
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P304
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P305
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P306
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P307
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P308
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P309
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P310
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P311
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P312
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P316
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P317
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P318
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P319
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P320
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P321
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P322
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P323
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P324
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P325
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P326
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P327
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P328
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P329
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P330
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P331
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P332
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover4
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