Operative Standards for Cancer Surgery Series: Papillary Thyroid Cancer

Behind The Knife: The Surgery Podcast

Education, Science, Health & Fitness, Medicine

4.8 • 1.4K Ratings

🗓️ 26 January 2026

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

This new mini-series on Behind the Knife will delve into the technical aspects of the Operative Standards for Cancer Surgery, developed through the American College of Surgeons Cancer Research Program. This second episode highlights the thyroid cancer operative standard.

Hosts:

Tracy Wang, MD, MPH, FACS is a Professor of Surgery and Vice-Chair of Strategic and Professional Development at the Medical College of Wisconsin with a clinical focus on endocrine surgical oncology.

Vladmir Neychev, MD, PhD is a Professor of Surgery at the University of Central Florida College of Medicine with a clinical focus on endocrine surgical oncology.

Jack Sample, MD (@JackWSample) is a General Surgery Resident at Mayo Clinic Rochester.

Guests:

Elizabeth Grubbs, MD (@EGrubbsMD) is a Professor of Surgical Oncology at MD Anderson where she specializes in endocrine tumors, with expertise in cancer of the thyroid.

David Hughes, MD is a Clinical Associate Professor of Surgery at University of Michigan, where he focuses on surgical diseases of the endocrine system, including a particular focus on the diagnosis and management of papillary thyroid cancer.

Learning Objectives: Understand key preoperative and intraoperative aspects of the evaluation and treatment of patients with biopsy-proven papillary thyroid carcinoma (PTC) greater than or equal to 1 cm. Define factors that guide decision making regarding the extent of surgical resection (lobectomy versus total thyroidectomy) for PTC.

Links to Papers Referenced in this Episode

Operative Standards for Cancer Surgery, Volume 2: Thyroid, Gastric, Rectum, Esophagus, Melanoma
https://www.facs.org/quality-programs/cancer-programs/cancer-surgery-standards-program/operative-standards-for-cancer-surgery/purchase/

Kindle edition:
Amazon.com: Operative Standards for Cancer Surgery: Volume 2, Section 1: Thyroid eBook : Program, American College of Surgeons Clinical Research, Katz, Matthew HG: Kindle Store

Impact of Extent of Surgery on Survival for Papillary Thyroid Cancer Patients Younger Than 45 years.
https://pubmed.ncbi.nlm.nih.gov/25337927/

Extent of Surgery Affects Survival for Papillary Thyroid Cancer.
https://pubmed.ncbi.nlm.nih.gov/17717441/

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Transcript

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0:00.0	Behind the Knife, the Surgery Podcast.
0:09.1	Relevant and engaging content designed to help you dominate the day.
0:29.3	Behind the Knife wants you. Yes, you. We are officially looking for our next class of BTK fellows.
0:35.9	We need creative residents heading into their researchers who are ready to build the next generation of surgical education content.
0:39.1	You'll get mentorship, access to great resources,
0:45.2	and a global platform to display your work. Applications open in early spring with more information to follow. Dominate the day. Hello and welcome to the new Behind the Knife mini-series
0:51.4	on the operative standards for cancer surgery manuals developed through the American College of Surgeons Cancer Research Programs.
0:57.9	Operative Standards for Cancer Surgery, volumes 1, 2, and 3, offer concrete, evidence-based
1:03.5	recommendations on cancer surgery techniques critical to achieving optimal outcomes.
1:08.7	These standards cover 15 distinct disease sites with standards
1:12.6	for traditional disease sites currently in progress, and select recommendations have been
1:16.4	incorporated into the operative standards or incorporated into the 2020 Commission on Cancer
1:21.2	Accreditation Standards. My name is Jack Sample and I'm a surgical resident at Mayo Clinic
1:26.5	Rochester and a member of the Education Committee for the Cancer Surgery Standards Programs.
1:31.3	And I'm joined by Dr. Tracy Wang and Dr. Vlad Nietzschev and along with other members of our committee, we are launching this new mini-series to help spread the word about the operative standards and to discuss each of the requirements and rationale.
1:47.9	Today, we're going to be discussing one of the operative standards for thyroid cancer.
1:56.9	To help with this discussion, today we're lucky enough to be joined by experts in the field of endocrine surgery, Dr. Elizabeth Grubbs, and Dr. David Hughes.
2:02.1	Dr. Grubbs is a professor of surgical oncology at MD Anderson, where she specializes in thyroid, parathyroid, and adrenal gland cancer. And Dr. Hughes is a clinical associate professor
2:08.5	at the University of Michigan and a board-certified endocrine surgeon specializing in the
2:12.7	management of thyroid, parathyroid, and adrenal gland disorders. Dr. Grubbs and Dr. Hughes, thank you so much for joining us.
2:21.3	The operative standards for thyroid cancer were published in the second volume of the operative
2:25.2	standards for cancer surgery.
	...

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