UAB Division of Breast & Endocrine Surgery Assistant Professor Andrea Gillis, M.D., MSPH, Associate Professor Sophie Dream, M.D., MPH, and Advanced Practice Provider Kelly Lovell, CRNP, were recently featured on UAB's MedCast Podcast.
During the episode, they discuss the frequency of thyroid nodules in the general population, the best imaging studies for diagnosis, treatment strategies, and genetic variants associated with thyroid nodules.
About the UAB Endocrine Surgery treatment options
Throughout the episode, Gillis, Lovell, and Dream discuss thyroid nodules as a common pathology that affects one-third to one-half of the general population, with only 5-6% of those nodules being malignant. They explain that, as providers, it is important to avoid unnecessary imaging studies and procedures in patients with no complaints and a negative family history.
Dream and Lovell also explain that thyroid ultrasounds are an effective method for assessing thyroid nodules and identifying if they have concerning features. However, in some cases, a thyroid biopsy may be necessary for further examination and steps in the treatment process.
“Endocrine surgery providers often practice shared decision making with their patients, as there are no absolute certainties in the specialty. We aim to provide patients with information about their nodules, explain the risks and benefits of each treatment option, and then help them make an informed decision that aligns with their goals and values, with the ultimate aim of improving our patients’ lives,” says Gillis.
What makes UAB Endocrine Surgery unique
Dream and Gillis highlight UAB's radiofrequency ablation program, which uses a minimally invasive technique to treat benign nodules smaller than four centimeters and can potentially avoid the need for surgery in suitable candidates. They also mention that they plan to introduce a new method, microwave ablation. As one of the major benefits of ablation methods, Dream mentions the lower risk for hypothyroidism.
In addition to modern techniques, UAB offers multidisciplinary care, including experienced radiologists conducting imaging exams, endocrinologists managing follow-up care for specific conditions, advanced practice providers closely monitoring patients after surgery, and high-volume endocrine surgeons.
To listen to the full episode, visit the UAB MedCast website.