Joseph C Sniezek

Viewing Page 1 of 1 | Showing Results 1 - 3 of 3

Thyroid Nodules: Deciding when to observe and when to intervene

March 04, 2015

The majority of thyroid nodules are benign (non-cancerous) and if they aren’t causing symptoms, such as pressure or swallowing difficulties, they can be left alone and monitored on a regular basis by ultrasound examinations. However, thyroid nodules can convert from a benign to a malignant state. If a patient elects observation of his/her thyroid nodule, a repeat follow-up and ultrasound examination should be performed. Six to 12 months is generally accepted as a reasonable period of time before repeating physical and ultrasound examinations. An ultrasound-guided biopsy, known as a fine needle aspiration (FNA) should be repeated if the nodule grows in size or any new concerning features appear in the ultrasound imaging. This biopsy is done with local anesthetic (similar to dental procedures). In our clinic, we eliminate the need for multiple visits by performing the biopsy during the same office visi...

Detecting thyroid cancer using ultrasound

August 18, 2014

The incidence of thyroid cancer is steadily increasing in the U.S. while the reasons for this increase are still unclear. Regardless of the cause of this recent uptick in thyroid cancer, there is no doubt that ultrasound has fundamentally changed the way in which thyroid lesions and cancers are evaluated and followed.

Human Papillomavirus (HPV) in Head and Neck Cancer

July 25, 2014
Cancer of the oropharynx (throat) has undergone a drastic and dramatic change over the last decade.  In the past, most throat cancers were linked with prolonged cigarette smoking and alcohol use.  Now, the occurrence of throat cancer is rising and 80-90% is likely caused by an infection with Human Papillomavirus (HPV).  Many high-profile personalities, including actor Michael Douglas, have recently revealed that they have experienced HPV-related throat cancer.

What causes HPV-related Oropharynx cancer?

Infection with the Human Papillomavirus (HPV) is known to cause genital warts and lead to various genital cancers, but now it appears to also cause the majority of throat cancers.  The types of HPV that lead to throat cancer are generally sexually transmitted, though some researchers believe that even kissing may result in HPV transmission.   The time period from HPV exposure to the development of a throat cancer is often decades. Alth...