Read by QxMD icon Read

Central neck dissection

Yu-Ming Xu, Zhao-Jian Gong, Han-Jiang Wu
The incidence of papillary thyroid carcinoma (PTC) incidentally found in the cervical lymph nodes during neck dissection for patients with tongue squamous cell carcinoma (SCC) is infrequent, with the coexistence of PTC and SCC in the same cervical lymph node being the rarest. Some of these patients present with primary lesions in the thyroid gland, whereas others have no obviously malignant thyroid lesion. The reasons behind this clinical phenomenon and the relationship between tongue SCC and PTC found in the cervical lymph nodes are unclear...
July 20, 2018: Journal of Oral and Maxillofacial Surgery
Melissa L Mao, Thomas Joyal, Omar Picado, Darcy Kerr, John I Lew, Josefina C Farrá
BACKGROUND: The reclassification of noninvasive encapsulated follicular variant papillary thyroid carcinoma (FVPTC) to noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) may have significant implications by changing overall malignancy rates and minimizing the extent of surgical treatment. METHODS: A retrospective review of 847 patients who underwent thyroidectomy at a single institution from January 2010 to April 2016 was performed...
October 2018: Journal of Surgical Research
Xi Zhang, Li Zhang, Shuai Xue, Peisong Wang, Guang Chen
BACKGROUND: Solitary papillary thyroid microcarcinoma (PTMC) without gross extrathyroidal extension (ETE) were the main candidates for active surveillance (AS). Predictive factors of lateral lymph node metastasis (LLNM) in solitary PTMC without gross ETE were essential but still unknown. METHODS: Altogether, 171 patients of solitary PTMC without gross ETE were enrolled in our study and divided into two groups. Group A: 123 patients without lateral lymph node dissection (LLND) were considered to be LLNM negative because there was no lateral recurrence by at least 8-year follow up for all patients...
August 3, 2018: Asian Journal of Surgery
Joshua E Fabie, Jonathan L Hatch, Ashley W Cross, Samuel L Oyer, David M Neskey, Theodore R McRackan
OBJECTIVE: To describe salivary ductal carcinoma (SDC) presenting as an isolated lesion of the mastoid segment of the facial nerve PATIENTS:: A 70-year-old man presenting with weakness of his right lower lip that progressed to complete facial paralysis over a span of 2 weeks. MAIN OUTCOME MEASURES: Clinical case records, immunohistochemical analyses, and radiological analyses including magnetic resonance imaging and positron emission tomography-computed tomography...
September 2018: Otology & Neurotology
Yong Tae Hong, Ki Hwan Hong
BACKGROUND: Chyle leakage after central neck dissection for thyroid carcinoma is an extremely rare condition. We investigated chyle leakage in patients with thyroidectomy and central neck dissection. METHODS: We experienced 3 cases of chyle leakage. The patterns of lymphatic drainage from the central neck to the lateral neck (supraclavicular fossa) were reviewed. The amount and duration of chyle leakage were measured in patients with postoperative chyle leakages...
July 26, 2018: Head & Neck
Yasuhiro Ito, Akira Miyauchi, Minoru Kihara, Takuya Higashiiyama, Mitsuhiro Fukushima, Akihiro Miya
BACKGROUND: Medullary thyroid carcinoma (MTC) originates from calcitonin-producing cells of the thyroid. In 2009, we published our first report on the biological characteristics and prognosis of 118 MTC patients. Herein, we enrolled a larger number of patients with longer follow-up periods to further study the biological characteristics and appropriate therapies for MTC. METHODS: In general, hemithyroidectomy and total thyroidectomy were performed for sporadic MTC confined to the thyroid lobe and for hereditary MTC with central node dissection, respectively...
July 26, 2018: World Journal of Surgery
Beata Pucher, Katarzyna Jonczyk-Potoczna, Agata Kaluzna-Mlynarczyk, Pawel Kurzawa, Jaroslaw Szydlowski
Background: The aim of the study was to present the surgical techniques providing the lowest recurrence rate in treatment of the primary and recurrent thyroglossal duct cyst (TGDC) in children. Methods: The study included 73 patients operated on because of TGDC in years 2011-2016. Ultrasound was performed in all patients preoperatively. In 8 patients with the recurrence of the disease, the CT or MR was carried out before the surgery. Children with the primary disease underwent the modified Sistrunk procedure...
2018: BioMed Research International
Hui Su, Yujie Li
INTRODUCTION: For papillary thyroid microcarcinoma patients, the reported incidence of lymph node metastasis is as high as 40%, and these occur mainly in the central compartment of the neck. Because these metastases are difficult to detect using ultrasonography preoperatively, some authors advocate routine central neck dissection in papillary thyroid microcarcinoma patients at the time of initial thyroidectomy. OBJECTIVE: To evaluate whether prophylactic central neck dissection can decrease the local recurrence rate of papillary thyroid microcarcinoma after thyroidectomy...
June 20, 2018: Brazilian Journal of Otorhinolaryngology
Azhar Jan Battoo, Altaf Gauhar Haji, Zahoor Ahmad Sheikh, Krishnakumar Thankappan, Wahid Abdul Mir
Introduction  There is difference of opinion about the placement of the drain in thyroid surgeries, and, to the best of our knowledge, the efficacy of drainless total thyroidectomy regarding various parameters of thyroid lesions has not been well-established. Objective  To report our experience with drainless total thyroidectomy, and to define an appropriate patient population for its performance. Methods  This is a retrospective case analysis of the patients who underwent total thyroidectomy for intrathyroidal lesions with or without central neck dissection in a tertiary referral hospital (number = 74)...
July 2018: International Archives of Otorhinolaryngology
Wenbin Yu, Guohui Xu, Junyong Sun, Naisong Zhong
The treatment of contralateral central neck lymph node metastasis is controversial in patients with papillary thyroid cancer. The present study reports the use of carbon nanoparticles (CNs) as lymph node tracers and discusses the potential role of predicting contralateral central neck metastasis is evaluated, so as to guide contralateral central neck dissection (CND). A total of 70 consecutive patients with papillary thyroid cancer were enrolled in the present study. All patients underwent a total or near-total thyroidectomy plus bilateral CND, during which CNs were used as a lymph node tracer...
July 2018: Oncology Letters
Mounir Ghabriel, Kojiro Takezawa, Grant Townsend
This article, for both researchers and clinicians, presents an overview of the lingual nerve and highlights how new insights into human anatomical variability can be gained by integrating fine dissection of cadavers with neuroanatomical approaches, microscopic studies, and morphometric techniques. Textbooks mainly provide descriptions of the typical or common gross anatomical appearance of structures in the human body with little reference to the nature and extent of variation that may be encountered within and between populations...
June 25, 2018: Odontology
Weihui Zheng, Kejing Wang, Junzhou Wu, Wendong Wang, Jinbiao Shang
Background: This study aimed to assess the predictive factor of multifocality to identify patients at high risk of central lymph node metastasis (CLNM). Patients and methods: Papillary thyroid microcarcinoma patients who underwent total or hemi-thyroidectomy with effective unilateral or bilateral central lymph node dissection were enrolled. Results: Multifocality, age, sex, tumor size, extrathyroidal extension, and nodular goiter were significantly associated with CLNM...
2018: Cancer Management and Research
Rong Liu, Zi-Zheng Wang, Yuan-Xing Gao, Yong Xu
Central pancreatectomy is carried out for the treatment of benign or low-malignant potential tumors located in the pancreatic neck or proximal part of pancreatic body. With technological development, the robotic surgical system has shown its advantage in minimally invasive surgery and been increasingly applied in central pancreatectomy. However, reconstruction of the continuity of pancreas with end-to-end anastomosis after robotic central pancreatectomy has not been applied. In this study, we report surgical techniques for robotic central pancreatectomy with end-to-end anastomosis...
June 2, 2018: Journal of Visualized Experiments: JoVE
Vaninder K Dhillon, Eleni Rettig, Salem I Noureldine, Dane J Genther, Ahmed Hassoon, Mai G Al Khadem, Ozan B Ozgursoy, Ralph P Tufano
BACKGROUND: Vocal fold motion impairment (VFMI) is a well-recognized complication of thyroid and parathyroid surgery. Preoperative counseling requires a thorough understanding of the incidence, risk factors, and value of early diagnosis of postoperative VFMI. Our objective is to describe the incidence of and risk factors for VFMI for a single high-volume academic surgeon, and to assess the utility of immediate postoperative fiberoptic laryngoscopy (FOL) in early diagnosis of VFMI. METHODS: Retrospective cohort study of patients undergoing primary thyroid and parathyroid procedures by a single high-volume surgeon at an academic tertiary care center...
June 14, 2018: International Journal of Surgery
Andreas Machens, Kerstin Lorenz, Henning Dralle
PURPOSE: To delineate risk factors for, and examine temporal patterns of, histology-proven recurrent medullary thyroid cancer (MTC) after compartment-oriented surgery. METHODS: Multivariate Cox regression on overall, node, and soft tissue infiltrate recurrence per previously dissected neck compartment. RESULTS: Mean follow-up for the 203 (and 158) patients with central (and ipsilateral lateral) neck dissection was 56.1 months. On multivariate Cox regression, tumor size > 20 mm predicted overall and node recurrence in the central neck, whereas extranodal growth predicted overall and node recurrence in the ipsilateral lateral neck...
June 5, 2018: Endocrine
Ioannis Vasileiadis, Georgios Charitoudis, Dimitrios Vasileiadis, Stylianos Kykalos, Theodore Karatzas
BACKGROUND: The reported rate of incidental parathyroidectomy (IP) during total thyroidectomy varies between 6.4 and 31.1%. The aim of this study was to investigate the clinicopathological characteristics associated with IP. MATERIALS AND METHODS: This is a retrospective cohort study which included 2556 patients who underwent total thyroidectomy between 2002 and 2012 at a single tertiary institution. Demographics, clinicopathological risk factors, and postoperative calcium levels were compared between IP and control group...
July 2018: International Journal of Surgery
Weiping Jie, Jiaying Bai, Binbin Li
BACKGROUND: Glioblastoma (GBM) is the most common and aggressive primary malignant tumor of the brain and central nervous system. Extracranial metastases of GBM are rare, with few case reports published to date. The tumor cells of GBM show strong immunopositivity for glial fibrillary acid protein. CASE DESCRIPTION: A 47-year-old man without comorbidities presented with a 1-year history of an augmenting right parotid lump. A right total parotidectomy with selective neck dissection was performed...
August 2018: World Neurosurgery
Lisa A Orloff, Sam M Wiseman, Victor J Bernet, Thomas J Fahey, Ashok R Shaha, Maisie L Shindo, Samuel K Snyder, Brendan C Stack, John B Sunwoo, Marilene B Wang
BACKGROUND: Hypoparathyroidism (hypoPT) is the most common complication following bilateral thyroid operations. Thyroid surgeons must employ strategies for minimizing and preventing post-thyroidectomy hypoPT. The objective of this American Thyroid Association Surgical Affairs Committee Statement is to provide an overview of its diagnosis, prevention, and treatment. SUMMARY: HypoPT occurs when a low intact parathyroid hormone (PTH) level is accompanied by hypocalcemia...
July 2018: Thyroid: Official Journal of the American Thyroid Association
Sabin Filimon, Richard J Payne, Martin J Black, Michael P Hier, Alex M Mlynarek, Veronique-Isabelle Forest, Michael Tamilia
OBJECTIVE: Medullary thyroid carcinoma (MTC) is a rare thyroid malignancy originating from parafollicular C-cells with the potential for aggressive behavior. The extent of lymph node (LN) dissection at the time of surgery is controversial, with different schools of thought prevailing. Some systematically perform LN dissections, whereas others base their decision on radiologic evidence of disease and some with the assistance of pre-operative calcitonin (CT) levels. METHODS: We retrospectively assessed the correlation between pre-operative CT levels and clinico-pathologic factors among 42 patients with MTC between 1994 and 2015...
May 2018: Endocrine Practice
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"