Kenichi T. Miyata, MD - General Surgeon

Kenichi T. Miyata, MD - General Surgeon General Surgeon

.Please follow and support my good friend’s new and innovative holistic surgical practice !!!Dr. Stevane and I trained ...
11/20/2025

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Please follow and support my good friend’s new and innovative holistic surgical practice !!!
Dr. Stevane and I trained together at so I know her well. She is changing the game with a unique approach to help patients get through the daunting prospect of having to go through and recover from all types of surgeries.
If you or a loved one is needing to have surgery and you want to optimize the chances for smooth and safe recovery, message for a consultation!
Website:
https://www.centerforholisticsurgery.com

10/15/2025

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The answer to the previous post is…a thyroglossal duct cyst! A TGDC is a congenital anomaly that forms due to incomplete involution of the thyroglossal duct. This patient presented later in life with this painless mass (usually this is diagnosed at younger ages). Surgery (by an ENT surgeon) is required to remove the cyst (the Sistrunk procedure - which requires removing the center of the hyoid bone).
Diagnosis requires a physical exam and usually an ultrasound to confirm it’s a TGDC and not a thyroid mass, lipoma, swollen lymph node, etc. I forgot to record him sticking out his tongue because a TGDC will move with protrusion of the tongue, whereas the other pathologies would not.
There are a lot of USMLE pearls in this post! There are frequently questions about a TGDC. The main things to remember are: TGDC is a congenital lesion caused by leftover embryonic tissue, it moves with sticking out the tongue, and treatment is the Sistrunk procedure with the key part being removing the center of the hyoid bone and the segment of the TGDC at the base of the tongue (which is why the cyst moves with tongue protrusion).

.What is your differential diagnoses?Healthy 40 year old male spontaneously developed this neck mass. It has gotten larg...
10/05/2025

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What is your differential diagnoses?
Healthy 40 year old male spontaneously developed this neck mass. It has gotten larger over the past four years. It has never been infected and has never been painful. No weight loss, no change in energy. On exam, it feels fixed and somewhat compressible.
What could it be?

.Last week marks the 6th anniversary of my stem cell recipient’s transplant and cure from acute myeloid leukemia! Not on...
10/03/2025

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Last week marks the 6th anniversary of my stem cell recipient’s transplant and cure from acute myeloid leukemia! Not only is she is full remission, but she went on to get her law degree and is now a practicing lawyer (the good kind that actually helps people).
This is, and will always be, the greatest accomplishment of my life. I can leave this world knowing I’ve made a positive impact for at least one person and her beautiful family.
If you haven’t done so already, please sign up for life saving registries such as !

.I’ve been putting in work to get into proper shape to watch dominate UFC 320 this weekend! Now I’m ready to get into t...
09/30/2025

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I’ve been putting in work to get into proper shape to watch dominate UFC 320 this weekend! Now I’m ready to get into three hour snacking position and enjoy this stacked card with my sweet Poatan merch!
I also can’t believe I won the redemption card (swipe left)! CHAMA! LFG!!!
(I do not represent Team Alpha Male in any way. UFC fighters just happen to be the most generous, and down to earth athletes. Special thanks to and for these unique and special moments!)

Happy Independence Day!Bitcoin is the modern day revolution. Educate yourselves before you and the people that rely on y...
07/04/2025

Happy Independence Day!
Bitcoin is the modern day revolution. Educate yourselves before you and the people that rely on you for financial security get left behind.
is going to skyrocket in value in the near future. A massive supply crunch is incoming, institutional and nation demand is surging, and mass adoption is happening. All while the dollar plummets in value every day (it has had 10% basement in 2025 alone thanks to uncontrolled money printing).
I’ve been trying to educate people since Bitcoin was $9000. It’s more than 10X that in 8 years. It’s still early but not for much longer. What are you waiting for?
#🚀

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Merced, CA
95348

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