Treatment
22
Neck Imaging w/Imaging-guided biopsy (FNA and Core)
Intended
time
line:
<1
week
of
presentation
Rapid Assessment for
Actionable Genetic
Tumor Mutations
Anatomical and
Functional Imaging
If suspicion of
ATC very high:
Figure 3. ATC Suspected Clinically
+
Esssential Immediate Triage: Assess patency of airway and secure
Refer Urgently to Tertiary Care Center Subspecialized Team
(if possible)
All of the below should occur in parallel
• Discuss prognosis and establish patient goals of care
• Establish consensus recommendations from multidisciplinary team
• Discuss therapeutic options - and potential positive and negative
outcomes
(esp. BRAF
V600E
mut)
#
FDG PET-CT (encourage) or/and
CT or MRI with contrast of:
neck/chest/abdomen/pelvis
AND brain
Established Goals of Care, Comprehensively Discuss Treatment
Options, Define Initial Care Plan
