keyword
https://read.qxmd.com/read/38650135/diagnostic-value-of-high-frequency-ultrasound-combined-with-fine-needle-aspiration-cytology-and-braf-gene-for-papillary-thyroid-microcarcinoma
#1
JOURNAL ARTICLE
Chuang Li, Xiaojuan Zhao, Jingge Zhao, Jing Zhao, Lemei An, Gang Wu
We attempted to evaluate clinical application value of high-frequency ultrasound (HFUS), fine needle aspiration cytology (FNAC), BRAF gene, and combination of HFUS, FNAC, and BRAF gene in diagnosing papillary thyroid microcarcinoma (PTMC). The 150 patients with thyroid minimal lesions who underwent HFUS, FNAC and BRAF gene testing before surgery in our hospital from June 2020 to December 2021 were selected as research subjects. Patients were divided into two groups based on postoperative pathological results...
March 31, 2024: Cellular and Molecular Biology
https://read.qxmd.com/read/38646429/optimal-surgical-population-for-cervical-lymph-node-dissection-in-ptc
#2
JOURNAL ARTICLE
Yongkun Wang, Zhen Wu, Jinqiang Yan, Yumin Yao, Lin Han
OBJECTIVE: There is still controversy about whether cervical lymph node dissection should be performed in surgical treatment of PTC. Based on the data of thyroid cancer patients from Liaocheng People's Hospital from 2015 to 2018, this study focused on appropriate indications for cervical lymph node dissection surgery. METHODS: The clinical and pathological data of patients with initial treatment of PTC in thyroid surgery department from 2015 to 2018 were collected...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38622433/the-survival-after-thyroidectomy-versus-lobectomy-in-multifocal-papillary-thyroid-microcarcinoma-patients
#3
JOURNAL ARTICLE
Xiang Ai, Kongyong Zhang, Juan Xu, Hualin Xiao, Lingfan Li, Peng Sun, Junyan Li
BACKGROUND: The extent of thyroid surgery for multifocal papillary thyroid microcarcinoma (PTMC) remains controversial. Studies on the optimal surgical approach for a multifocal PTMC are scarce. This study aimed to compare the effectiveness of thyroidectomy and lobectomy for the treatment of multifocal PTMC. METHODS: A population-based retrospective cohort of patients with multifocal PTMC was analyzed using the Surveillance, Epidemiology, and End Results (SEER) database between 2004 and 2017, and divided into two groups (thyroidectomy, lobectomy) based on the surgical approach...
April 15, 2024: Endocrine
https://read.qxmd.com/read/38608080/diagnostic-value-of-contrast-enhanced-ultrasound-in-the-diagnosis-of-papillary-thyroid-microcarcinoma-a-systematic-review-and-meta-analysis
#4
JOURNAL ARTICLE
Yan Ding, Yulan Peng, Jing Zhang, Xueqin Pan, Xu Huang, Chun-Quan Zhang
BACKGROUND: Using meta-analysis to evaluate the diagnostic value of contrast-enhanced ultrasound (CEUS) in the diagnosis of papillary thyroid microcarcinoma (PTMC). METHODS: For this systematic review and meta-analysis, we searched PubMed, Cochrane Library, Web of Science, WanFang Data, VPCS Data, and China National Knowledge Infrastructure electronic databases for diagnostic studies on PTMC by CEUS from January 2013 to November 2022. Data were not available or incomplete such as case reports, nonhuman studies, etc, were excluded...
April 12, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38604465/biomimicking-covalent-organic-frameworks-nanocomposite-coating-for-integrated-enhanced-anticorrosion-and-antifouling-properties-of-a-biodegradable-magnesium-stent
#5
JOURNAL ARTICLE
Rui Zan, Hao Wang, Sheng Shen, Shi Yang, Han Yu, Xiyue Zhang, Xian Zhang, Xiang Chen, Mengxuan Shu, Xiao Lu, Jiazeng Xia, Yaqi Gu, Houbao Liu, Yongping Zhou, Xiaonong Zhang, Tao Suo
The utilization of biodegradable magnesium (Mg) alloys in the fabrication of temporary non-vascular stents is an innovative trend in biomedical engineering. However, the heterogeneous degradation profiles of these biomaterials, together with potential bacterial colonization that could precipitate infectious or stenotic complications, are critical obstacles precluding their widespread clinical application. In pursuit of overcoming these limitations, this study applies the principles of biomimicry, particularly the hydrophobic and anti-fouling characteristics of lotus leaves, to pioneer the creation of nanocomposite coatings...
April 9, 2024: Acta Biomaterialia
https://read.qxmd.com/read/38600392/risk-factors-for-tumor-enlargement-in-low-risk-papillary-thyroid-microcarcinoma-patients-a-systematic-review-and-meta-analysis
#6
REVIEW
Nengwen Luo, Xinlong Shi, Yu Xia, Luying Gao, Xiaoyi Li, Yuxin Jiang
PURPOSE: The current management guidelines for low-risk papillary thyroid microcarcinoma (PTMC) do not specify how to screen for growing tumors. We sought to explore the possible risk factors for tumor enlargement in patients with low-risk PTMC under active surveillance (AS). METHODS: We searched the PubMed and Embase databases for high quality studies up to January 10th, 2024. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of the included studies, and Review Manager 5...
April 10, 2024: Endocrine
https://read.qxmd.com/read/38577570/tumor-growth-manifested-in-two-fifths-of-low-risk-papillary-thyroid-microcarcinoma-patients-during-active-surveillance-data-from-a-tertiary-center-in-china
#7
JOURNAL ARTICLE
Kehao Le, Lei Jin, Fangfang Zhong, Xiaojuan Huang, Liang Zhou, Jiamin Zhou, Lei Xie
PURPOSE: To assess tumor growth using tumor doubling rate (TDR) during active surveillance (AS) in China. METHODS: Between January 2016 and June 2020, a total of 219 patients with low-risk papillary thyroid microcarcinoma (PTMC) (aged 23-75 years) were consecutively enrolled in the AS program. RESULTS: Four sections of TDR, >0.5, 0.1~0.5, -0.1~0.1 and <-0.1, corresponded with four categories of tumor volume kinetics: rapid growth, slow growth, stable, and decreased size...
2024: Frontiers in Endocrinology
https://read.qxmd.com/read/38572535/clinicopathological-features-and-molecular-signatures-of-lateral-neck-lymph-node-metastasis-in-papillary-thyroid-microcarcinoma
#8
JOURNAL ARTICLE
Jinsun Lim, Han Sai Lee, Jin-Hyung Heo, Young Shin Song
BACKGROUND: The predictive factors for lateral neck lymph node metastasis (LLNM) in papillary thyroid microcarcinoma (PTMC) remain undetermined. This study investigated the clinicopathological characteristics, transcriptomes, and tumor microenvironment in PTMC according to the LLNM status. We aimed to identify the biomarkers associated with LLNM development. METHODS: We retrospectively reviewed the medical records of patients with PTMC from two independent institutions between 2018 and 2022 (n=597 and n=467)...
April 4, 2024: Endocrinology and Metabolism
https://read.qxmd.com/read/38572363/recent-development-and-future-application-of-biodegradable-ureteral-stents
#9
REVIEW
Ke Hu, Zhipeng Hou, Yuanbin Huang, Xueying Li, Xiancheng Li, Liqun Yang
Ureteral stenting is a common clinical procedure for the treatment of upper urinary tract disorders, including conditions such as urinary tract infections, tumors, stones, and inflammation. Maintaining normal renal function by preventing and treating ureteral obstruction is the primary goal of this procedure. However, the use of ureteral stents is associated with adverse effects, including surface crusting, bacterial adhesion, and lower urinary tract symptoms (LUTS) after implantation. Recognizing the need to reduce the complications associated with permanent ureteral stent placement, there is a growing interest among both physicians and patients in the use of biodegradable ureteral stents (BUS)...
2024: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/38563008/predicting-central-cervical-lymph-node-metastasis-in-papillary-thyroid-microcarcinoma-using-deep-learning
#10
JOURNAL ARTICLE
Yu Wang, Hai-Long Tan, Sai-Li Duan, Ning Li, Lei Ai, Shi Chang
BACKGROUND: The aim of this study is to design a deep learning (DL) model to preoperatively predict the occurrence of central lymph node metastasis (CLNM) in patients with papillary thyroid microcarcinoma (PTMC). METHODS: This research collected preoperative ultrasound (US) images and clinical factors of 611 PTMC patients. The clinical factors were analyzed using multivariate regression. Then, a DL model based on US images and clinical factors was developed to preoperatively predict CLNM...
2024: PeerJ
https://read.qxmd.com/read/38547780/braf-v600e-mutation-does-not-predict-lymph-node-metastases-and-recurrence-in-chinese-papillary-thyroid-microcarcinoma-patients
#11
JOURNAL ARTICLE
Hao Zhao, Chun-Hao Liu, Ying Lu, Shu-Zhou Liu, Palashate Yeerkenbieke, Yue Cao, Yu Xia, Lu-Ying Gao, Yue-Wu Liu, Zi-Wen Liu, Shu-Guang Chen, Zhi-Yong Liang, Xiao-Yi Li
OBJECT: Previous studies suggest BRAFV600E mutation is a marker for poor prognosis in papillary thyroid cancer, however, its ability to further risk stratify papillary thyroid microcarcinoma (PTMC) remains controversial. We aimed to explore the association between BRAFV600E mutation and the clinicopathological features and recurrence in Chinese PTMC patients. METHODS: We retrospectively reviewed 2094 PTMC patients who underwent surgery and had a valid BRAFV600E mutation test result...
March 27, 2024: Oral Oncology
https://read.qxmd.com/read/38541194/frequency-of-thyroid-microcarcinoma-in-patients-who-underwent-total-thyroidectomy-with-benign-indication-a-5-year-retrospective-review
#12
JOURNAL ARTICLE
Vasiliki Magra, Kassiani Boulogeorgou, Eleni Paschou, Christina Sevva, Vasiliki Manaki, Ioanna Mpotani, Stylianos Mantalovas, Styliani Laskou, Isaak Kesisoglou, Triantafyllia Koletsa, Konstantinos Sapalidis
Background and Objectives : Incidental thyroid cancers (ITCs) are often microcarcinomas. The most frequent histologic type is a papillary microcarcinoma. Papillary thyroid microcarcinomas are defined as papillary thyroid tumours measuring less than 10 mm at their greatest diameter. They are clinically occult and frequently diagnosed incidentally in histopathology reports after a thyroidectomy. The aim of this study is to evaluate the rate of papillary thyroid microcarcinomas (PTMC) in patients who were thyroidectomised with indications of benign disease...
March 12, 2024: Medicina
https://read.qxmd.com/read/38534839/use-of-biomaterials-in-3d-printing-as-a-solution-to-microbial-infections-in-arthroplasty-and-osseous-reconstruction
#13
REVIEW
Argyrios Periferakis, Aristodemos-Theodoros Periferakis, Lamprini Troumpata, Serban Dragosloveanu, Iosif-Aliodor Timofticiuc, Spyrangelos Georgatos-Garcia, Andreea-Elena Scheau, Konstantinos Periferakis, Ana Caruntu, Ioana Anca Badarau, Cristian Scheau, Constantin Caruntu
The incidence of microbial infections in orthopedic prosthetic surgeries is a perennial problem that increases morbidity and mortality, representing one of the major complications of such medical interventions. The emergence of novel technologies, especially 3D printing, represents a promising avenue of development for reducing the risk of such eventualities. There are already a host of biomaterials, suitable for 3D printing, that are being tested for antimicrobial properties when they are coated with bioactive compounds, such as antibiotics, or combined with hydrogels with antimicrobial and antioxidant properties, such as chitosan and metal nanoparticles, among others...
March 1, 2024: Biomimetics
https://read.qxmd.com/read/38503312/preoperative-serum-thyroglobulin-levels-predict-radioiodine-therapy-outcome-in-papillary-thyroid-microcarcinoma-patients
#14
JOURNAL ARTICLE
Xian Cheng, Yijun Fan, Wanzhong Ye, Shichen Xu, Jing Wu, Wenjing Gao, Jiandong Bao, Huixin Yu, Li Zhang
Our previous study showed that elevated preoperative thyroglobulin (pre-Tg) level predicted the risk of developing radioiodine refractory in PTC patients. In the present study, we aimed to evaluate the prognostic value of pre-Tg in papillary thyroid microcarcinoma (PTMC). After a specific inclusion and exclusion criteria were applied, a total of 788 PTMCs were enrolled from Jiangyuan Hospital affiliated to Jiangsu Institute of Nuclear Medicine between Jan, 2015 and Dec, 2019. Among them, 107 PTMCs were treated with radioiodine therapy (RAIT) and the response to therapy was grouped as excellent response (ER), and non-excellent response (NER: indeterminate response, IDR and biochemical incomplete response, BIR)...
March 19, 2024: Hormone and Metabolic Research
https://read.qxmd.com/read/38497388/radiofrequency-ablation-for-papillary-thyroid-microcarcinoma-close-to-the-thyroid-capsule-versus-far-from-the-thyroid-capsule-a-retrospective-study
#15
JOURNAL ARTICLE
Jieli Luo, Tianchen Hui, Peile Jin, Yang Sun, Yajun Chen, Zimei Lin, Pintong Huang
INTRODUCTION: The aim of this study was to evaluate the safety and efficacy of ultrasound-guided radiofrequency ablation (RFA) for the management of papillary thyroid microcarcinoma (PTMC) close to the thyroid capsule. MATERIAL AND METHODS: This was a retrospective study of 202 patients with PTMC who underwent RFA close to the thyroid capsule and 80 patients with PTMC who underwent RFA far from the thyroid capsule between June 2015 and December 2022. The follow-up time after RFA, change in size of tumour, location, thyroid function, the rates of PTMC disappearance, and complications were evaluated...
2024: Endokrynologia Polska
https://read.qxmd.com/read/38487589/papillary-muscle-rupture-without-severe-mitral-regurgitation-following-percutaneous-balloon-mitral-commissurotomy-a-case-report
#16
Pierre Rossignon, Sofia Morra, Quentin de Hemptinne, Didier de Cannière, Philippe Unger
BACKGROUND: Percutaneous transvenous mitral commissurotomy (PTMC) is the first-line therapy of clinically significant rheumatic mitral stenosis. While the procedure is generally safe, new onset or aggravation of mitral regurgitation (MR) may occur, mainly due to commissural splitting and, less frequently, to leaflet tear and chordal rupture. Papillary muscle rupture (PMR) is exceedingly rare in this setting. CASE SUMMARY: A 74-year-old woman with a history of aortic valve replacement and prior rheumatic mitral commissurotomy presented for worsening exercise intolerance and exertional dyspnoea...
March 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38481630/retrospective-analysis-of-the-efficacy-and-safety-of-ultrasound-guided-radiofrequency-ablation-in-the-treatment-of-papillary-thyroid-microcarcinoma-a-follow-up-study-of-continuous-postoperative-surveillance-and-large-sample-data
#17
JOURNAL ARTICLE
Gongli Zhou, Xuefeng Zhang, Ke Xu, Beibei Zhang, Ruiqing Su, Tingting Cai, Wei Zhao, Feng Li
OBJECTIVE: To retrospectively evaluate the efficacy and safety of ultrasound-guided radiofrequency ablation (RFA) in the treatment of papillary thyroid microcarcinoma (PTMC) through a follow-up study of continuous postoperative surveillance and large-sample data. METHODS: The efficacy of ultrasound-guided RFA was evaluated by measuring the tumor volume reduction rate (VRR), tumor disappearance rate, and disease progression in 358 patients with low-risk unifocal PTMC who underwent ultrasound-guided RFA at Hangzhou Weja Hospital, while the safety was evaluated by measuring their complications...
2024: International Journal of Endocrinology
https://read.qxmd.com/read/38462410/the-overtreatment-of-papillary-thyroid-microcarcinoma-in-the-community
#18
JOURNAL ARTICLE
Peter J Abraham, Christopher Wu, Rongzhi Wang, Brendon Herring, Polina Zmijewski, Andrea Gillis, Jessica Fazendin, Brenessa Lindeman, Herbert Chen
INTRODUCTION: Total thyroidectomy is the traditional primary approach for papillary thyroid cancer. However, recent evidence supports conservative management for low-risk tumors like papillary thyroid microcarcinomas (PTMCs). This study explores the adoption of these practices in our community, using a cancer database to analyze treatment strategies. METHODS: A retrospective review of a 1433-patient institutional database identified 258 ​PTMC cases. Outcomes, including 30-day mortality, reoperation rate, postoperative hypocalcemia, and recurrent laryngeal nerve (RLN) injury, were assessed...
March 4, 2024: American Journal of Surgery
https://read.qxmd.com/read/38446376/papillary-thyroid-carcinoma-%C3%A2-%C3%A2-%C3%A2-10%C3%A2-mm-does-not-always-mean-pn0-a-multicentric-real-world-study
#19
JOURNAL ARTICLE
Stefano Amendola, Tommaso Piticchio, Lorenzo Scappaticcio, Sium Wolde Sellasie, Salvatore Volpe, Rosario Le Moli, Luigi Coppola, Leo Guidobaldi, Francesco Pedicini, Carla Carbone, Paola Caruso, Elena Gamarra, Giovanni Docimo, Francesco Frasca, Luigi Uccioli, Pierpaolo Trimboli
The incidence of papillary thyroid carcinoma (PTC) is increasing and PTC ≤ 10 mm (PTMC) accounts for most new diagnoses. PTMCs are not always low risk, as detection of lymph nodes metastasis (LNM) may occur. The purpose of the study was to analyze the clinical pattern, frequency, and independent risk factors of patients with PTMC and LNM. From January 2022 to June 2023, PTCs managed at CTO Hospital, Rome; Policlinico Vanvitelli, Naples; and Garibaldi Nesima Hospital, Catania were included...
March 6, 2024: Updates in Surgery
https://read.qxmd.com/read/38441255/accurate-preoperative-prediction-of-nodal-metastasis-in-papillary-thyroid-microcarcinoma-towards-optimal-management-of-patients
#20
JOURNAL ARTICLE
Si-Ying Lin, Meng-Yao Li, Chi-Peng Zhou, Wei Ao, Wen-Yu Huang, Si-Si Wang, Jia-Fan Yu, Zi-Han Tang, Amr H Abdelhamid Ahmed, Ting-Yi Wang, Zhi-Hong Wang, Surong Hua, Gregory W Randolph, Wen-Xin Zhao, Bo Wang
OBJECTIVE: To enhance the accuracy in predicting lymph node metastasis (LNM) preoperatively in patients with papillary thyroid microcarcinoma (PTMC), refining the "low-risk" classification for tailored treatment strategies. METHODS: This study involves the development and validation of a predictive model using a cohort of 1004 patients with PTMC undergoing thyroidectomy along with central neck dissection. The data was divided into a training cohort (n = 702) and a validation cohort (n = 302)...
March 5, 2024: Head & Neck
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