Publications by authors named "Jonathan Mark Fussey"

Article Synopsis
  • This study analyzes 21 years of germline RET testing data for patients with medullary thyroid carcinoma (MTC) and related conditions at a single center in the UK.
  • A total of 1,058 index patients and 551 unaffected family members were tested, revealing a 10.2% variant detection rate in index patients and a 29% rate in family members.
  • The findings indicate that while a significant number of patients with a family history showed higher variant detection rates, the overall detection in sporadic MTC cases was lower than expected, suggesting improvements in testing methods over time.
View Article and Find Full Text PDF

Background: The incidence of thyroid cancer is rising, and relatively little is known about modifiable risk factors for the condition. Observational studies have suggested a link between adiposity and thyroid cancer; however, these are subject to confounding and reverse causality. Here, we used data from the UK Biobank and Mendelian randomization approaches to investigate whether adiposity causes benign nodular thyroid disease and differentiated thyroid cancer.

View Article and Find Full Text PDF

Purpose Of Review: Medullary thyroid carcinoma (MTC) represents a wide spectrum of tumours with differing biology, behaviour and natural history. The only current available curative treatment is surgery in the form of thyroidectomy with or without ipsilateral or bilateral neck dissection. There is a lack of consensus in the available published guidelines on the optimum extent of initial surgery, and there is significant variation in clinical practice.

View Article and Find Full Text PDF

Background: The significant variation in the clinical behaviour of sporadic medullary thyroid carcinoma (sMTC) causes uncertainty when planning the management of these patients. Several tumour genetic and epigenetic markers have been described, but their clinical usefulness remains unclear. The aim of this review was to evaluate the evidence for the use of molecular genetic and epigenetic profiles in the risk stratification and management of sMTC.

View Article and Find Full Text PDF

Objective: Bone anchored hearing implants (BAHI) have been in use for over 30 years, and are commonly implanted in children for a range of indications. The Cochlear™ BIA300 system was launched in 2010 and used at The Birmingham Children's Hospital from 2011. Here we report the long-term outcomes of children implanted with the Cochlear™ BIA300 BAHI system in our centre.

View Article and Find Full Text PDF

Background: In the management of differentiated thyroid carcinoma, surgery with or without postoperative radioiodine, and thyroid-stimulating hormone (TSH) suppression is the standard of care in most patients. Levothyroxine is recommended for long-term TSH suppression. For some patients, this may be difficult to tolerate due to adverse effects, such as impaired cognitive function.

View Article and Find Full Text PDF