Alternative treatment approaches for endocrine neoplasia for
whom surgical intervention is deferred due to COVID-19 pandemic:
- Most surgeries for thyroid nodules, thyroid goiters, differentiated
thyroid cancers, and medullary thyroid cancers and adrenal nodules can
be safely deferred without need for medical therapy
- Consider TSH suppression for differentiated thyroid cancers
- Anaplastic, poorly differentiated, or progressive/advanced
differentiated and medullary thyroid cancers with targetable mutations
may be candidates for targeted systemic therapy
- Optimize medical management of hyperfunctioning endocrine tumors
(thyroid, parathyroid, and adrenal)
- Coordination of care with other health-care providers/facilities
according to resource availability and travel restrictions