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Total thyroidectomy

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https://www.readbyqxmd.com/read/28807633/evaluating-the-effectiveness-of-prophylactic-central-neck-dissection-with-total-thyroidectomy-for-cn0-papillary-thyroid-carcinoma-an-update-meta-analysis
#1
REVIEW
W-J Zhao, H Luo, Y-M Zhou, W-Y Dai, J-Q Zhu
BACKGROUND: The effectiveness of prophylactic central neck dissection (pCND) following total thyroidectomy (TT) in patients with clinical node-negative (cN0) papillary thyroid carcinoma (PTC) is still controversial. The aim of the meta-analysis is to evaluate the outcome of pCND and provide quantitative evidence. METHOD: A detailed literature search of PubMed, EMBASE, ClinicalTrails.gov and Cochrane Library electronic databases for articles published until October 2016 was carried out...
August 3, 2017: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28807528/clinical-course-of-incidental-parathyroidectomy-single-center-experience
#2
Sabri Özden, Ahmet Erdoğan, Besir Simsek, Baris Saylam, Baris Yıldız, Mesut Tez
OBJECTIVE: Thyroidectomy is a very common surgical procedure. Regardless of surgeon experience, incidental parathyroidectomy is a complication of thyroidectomy. The aim of this study was to identify the clinical course of incidental parathyroidectomies after thyroidectomy. METHODS: Patients who underwent thyroidectomy between January 2010 and June 2014 were evaluated retrospectively. Pathology reports were reviewed for the presence of parathyroid tissue in the thyroidectomy pathology specimens...
August 11, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28807198/encapsulated-follicular-variant-of-papillary-thyroid-cancer-are-these-tumors-really-benign
#3
Zviadi Aburjania, Samuel Jang, Celina Montemayor-Garcia, Ricardo V Lloyd, David F Schneider, Rebecca S Sippel, Herbert Chen, Dawn M Elfenbein
BACKGROUND: Recent studies suggest that the encapsulated form of follicular variant of papillary thyroid cancer (eFVPTC) behaves more similarly to benign lesions and can be treated with thyroid lobectomy alone instead of total thyroidectomy. To distinguish aggressive cancers from more benign lesions more clearly, the objective of this study was to determine if the eFVPTC behaves less aggressively than the nonencapsulated variant (neFVPTC). METHODS: A prospectively collected endocrine surgery database in our institution was reviewed for all patients with FVPTC on surgical pathology from 1999 to 2012...
August 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28804657/a-recurrent-episode-of-dermatomyositis-associated-with-papillary-thyroid-cancer
#4
Vijay Gopal Eranki
OBJECTIVE: It is uncommon for dermatomyositis to be associated with papillary thyroid cancer. We report an unusual case of papillary thyroid cancer presenting with dermatomyositis. METHODS: The case history, imaging and laboratory data is reviewed. RESULTS: We report the case of a 62-year-old female with a prior history of dermatomyositis and breast cancer who presented with a recurrent episode of dermatomyositis. Extensive evaluation of the cause of the dermatomyositis recurrence revealed no recurrence of the breast cancer but a thyroid nodule was identified...
2017: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/28801882/patients-with-non-invasive-follicular-thyroid-neoplasm-with-papillary-like-nuclear-features-are-unlikely-to-have-malignant-preoperative-cytology
#5
Richa Singh, Jorge Avila, Kahee Jo, Kevin T K Nguyen, Nika Roa Carrillo, Eric C Huang, Michael J Campbell
BACKGROUND: The newly termed tumor 'noninvasive follicular thyroid neoplasm with papillary-like nuclear features' (NIFTP) acts in an indolent manner and can likely be safely managed with a thyroid lobectomy. Preoperative fine-needle aspiration (FNA) is the cornerstone of surgical planning, but the ability of FNA to distinguish NIFTP from other variants of papillary thyroid carcinoma (PTC) has not been well-evaluated. METHODS: A 9-year retrospective review of the preoperative cytology and surgical pathology of PTC patients who underwent a thyroidectomy at our tertiary referral center...
August 11, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28782797/in-situ-preservation-of-the-inferior-parathyroid-gland-during-central-neck-dissection-for-papillary-thyroid-carcinoma
#6
J B Wang, K Wu, L H Shi, Y Y Sun, F B Li, L Xie
BACKGROUND: Postoperative hypocalcaemia due to dysfunction of the parathyroid glands is the most common complication after total thyroidectomy plus central neck dissection (CND). There is a lack of surgical techniques described to help preserve the inferior parathyroid gland in situ during CND. The objective of this study was to introduce the 'TBP layer' (layer of thymus-blood vessel-inferior parathyroid gland) concept for preserving the inferior parathyroid gland in situ during CND, and to evaluate its effectiveness...
August 7, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28780314/a-high-definition-video-teaching-module-for-thyroidectomy-surgery
#7
Amr F Hamour, Adrian I Mendez, Jeffrey R Harris, Vincent L Biron, Hadi Seikaly, David W J Côté
OBJECTIVE: With the changing landscape of postgraduate surgical education to competency-based curricula, there emerges a need for alternative forms of training. Video teaching modules have been shown to be effective tools in surgical education, complementing traditional postgraduate curricula. There is a lack of validated modules described in the literature, specifically for teaching thyroidectomy. The primary objective of this study was to develop and validate a high definition video-based teaching module instructing thyroidectomy surgery to Otolaryngology-Head and Neck Surgery trainees...
August 2, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28780248/invasive-follicular-variant-of-papillary-thyroid-cancer-harboring-the-nras-mutation-q61k-and-presenting-with-bone-metastasis-a-case-report
#8
Raman Mehrzad, Michiya Nishino, Carmelo Nucera, Dora Dias-Santagata, James V Hennessey, Per-Olof Hasselgren
INTRODUCTION: The follicular variant of papillary thyroid cancer (FVPTC) can be noninvasive or invasive. The invasive form of FVPTC commonly harbors BRAF mutations whereas RAS mutations are more often associated with noninvasive FVPTC and a favorable clinical outcome. CASE REPORT: A 47-year-old man presented with a metastasis to his right iliac bone as the initial manifestation of a 1.6cm invasive FVPTC. After total thyroidectomy, the patient underwent additional treatment, including thyroid hormone suppressive treatment to non-detectable TSH levels, repeated courses of radioiodine treatment, external beam radiation, and treatment with the tyrosine kinase inhibitor sorafenib...
July 20, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28765530/risk-factors-for-postoperative-haemorrhage-after-total-thyroidectomy-clinical-results-based-on-2-678-patients
#9
Xu Zhang, Wei Du, Qigen Fang
The aim of this study was to analyse postoperative haemorrhage (POH) after a total thyroidectomy and explore the possible risk factors. Records of patients receiving a total thyroidectomy were reviewed and analysed for risk factors of POH. From the 2,678 patients in this study, a total of 39 patients had POH, representing an incidence of 1.5%. The majority (59.0%) of POH events occurred within four hours after surgery. Arterial haemorrhage was the primary cause of POH and was identifiable prior to venous bleeding, making it the first sign of POH...
August 1, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28760150/bilateral-pheochromocytoma-with-ganglioneuroma-component-associated-with-multiple-neuroendocrine-neoplasia-type-2a-a-case-report
#10
Boubacar Efared, Gabrielle Atsame-Ebang, Soufiane Tahirou, Khalid Mazaz, Nawal Hammas, Hinde El Fatemi, Laila Chbani
BACKGROUND: Composite pheochromocytoma/paragangliomas are very rare tumors composed of ordinary pheochromocytoma paragangliomas associated with neurogenic tumors. Several hereditary susceptibility disorders are known to be associated with pheochromocytoma/paragangliomas such as multiple endocrine neoplasia type 2 (2A or B). To the best of our knowledge, only four cases of composite pheochromocytoma/paragangliomas associated with multiple endocrine neoplasia type 2 have been reported. CASE PRESENTATION: A 40-year-old Arabic woman presented with headache, palpitations, paroxysmal hypertension, and weight loss, which she had had for the last 3 years...
August 1, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28749783/multinodular-goiter-in-children-treatment-controversies
#11
Emilio García-García, Mercedes López-González, Rosa Cabello-Laureano, Elena Navarro-González
BACKGROUND: Multinodular goiter (MG) is very common in adults. MG may occur in children in some exceptional circumstances. The objective of this study was to examine two cases of MG in children who relapsed soon after surgery and to discuss the treatment options in pediatric ages. METHODS: Two girls consulted for euthyroid colloid goiter, uninodular goiter and bilateral MG. They were intervened by hemithyroidectomy and total thyroidectomy, respectively, due to the existence of local symptoms...
August 28, 2017: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/28746205/nomograms-predicting-disease-specific-regional-recurrence-and-distant-recurrence-of-papillary-thyroid-carcinoma-following-partial-or-total-thyroidectomy
#12
Ming-Hua Ge, Jun Cao, Jin-Yu Wang, Yu-Qing Huang, Xia-Bin Lan, Bin Yu, Qing-Liang Wen, Xiu-Jun Cai
The study aimed to establish effective nomograms for prediction of tumor regional recurrence and distant recurrence of papillary thyroid carcinoma (PTC) patients after partial or total thyroidectomy.These nomograms were based on a retrospective study on 1034 patients who underwent partial or total thyroidectomy for PTC. The predictive accuracy and discriminative ability of the nomograms were evaluated by the concordance index (C-index) and calibration curve. In addition, a validation cohort was included at the same institution...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28742537/update-in-natural-orifice-translumenal-endoscopic-surgery-notes
#13
Joern Bernhardt, Sarah Sasse, Kaja Ludwig, Peter N Meier
PURPOSE OF REVIEW: The recent developments and clinical applications of natural orifice translumenal endoscopic surgery (NOTES)-procedures and technologies are going to be presented. RECENT FINDINGS: In experimental as well as clinical settings, NOTES-procedures are predominantly performed in hybrid technique. Current experimental studies focus on the implementation of new surgical approaches as well as on the training of procedures. One emphasis in the clinical application is transrectal and transanal interventions...
September 2017: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/28741452/young-age-and-male-sex-can-predict-for-a-large-volume-central-neck-lymph-node-metastasis-in-clinical-n0-papillary-thyroid-microcarcinoma
#14
Hye-Seon Oh, Suyeon Park, Mijin Kim, Hyemi Kwon, Eyun Song, Tae-Yon Sung, Yu-Mi Lee, Won Gu Kim, Tae Yong Kim, YoungKee Shong, Won Bae Kim, MinJi Jeon
<b><i>Background</i></b> Large-volume lymph node metastasis (LNM) is associated with poor clinical outcomes in papillary thyroid microcarcinoma (PTMC) patients. However, sensitivity in the detection of central neck LNM on preoperative neck ultrasonography (US) is believed to be low. The aim of this study is to investigate the preoperative clinical factors associated with large volume LNM in clinical N0 PTMC patients. <b><i>Methods</i></b> In all, 2329 clinical N0 PTMC patients who underwent total thyroidectomy with prophylactic central lymph node (LN) dissection were evaluated...
July 25, 2017: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/28741201/cost-effectiveness-of-a-locally-organized-surgical-outreach-mission-making-a-case-for-strengthening-local-non-governmental-organizations
#15
Adam Gyedu, Cameron Gaskill, Godfred Boakye, Francis Abantanga
INTRODUCTION: Many low- and middle-income countries (LMICs) have a high prevalence of unmet surgical need. Provision of operations through surgical outreach missions, mostly led by foreign organizations, offers a way to address the problem. We sought to assess the cost-effectiveness of surgical outreach missions provided by a wholly local organization in Ghana to highlight the role local groups might play in reducing the unmet surgical need of their communities. METHODS: We calculated the disability-adjusted life years (DALY) averted by surgical outreach mission activities of ApriDec Medical Outreach Group (AMOG), a Ghanaian non-governmental organization...
July 24, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28740951/a-complication-of-thyroidectomy-do-not-forget-suture-reaction
#16
Burhan Hakan Kanat, Mehmet Buğra Bozan, Seyfi Emir, Fatih Mehmet Yazar, Fatih Erol, Özkan Alataş, Hasan Baki Altınsoy, Ali Aksu
OBJECTIVE: In this study, we aimed to present patients who have developed suture reaction and were treated in our clinic following thyroidectomy operation. MATERIAL AND METHODS: Patients who had been treated for suture reaction following thyroidectomy between January 2012 and December 2014 were retrospectively evaluated. The patients were analyzed in terms of their age, gender, duration of the symptoms, type of previous operation and treatment modality. RESULTS: Between January 2012 and December 2014, 559 thyroid/parathyroid operations were performed in our clinic...
2017: Turk J Surg
https://www.readbyqxmd.com/read/28739190/the-treatment-and-outcome-analysis-of-primary-squamous-cell-carcinoma-of-the-thyroid
#17
Ryuji Yasumatsu, Masanobu Sato, Ryutaro Uchi, Takafumi Nakano, Kazuki Hashimoto, Ryunosuke Kogo, Masahiko Taura, Mioko Matsuo, Torahiko Nakashima, Takashi Nakagawa
OBJECTIVES: Primary squamous cell carcinoma (SCC) of the thyroid is a rare disease. It usually presents with locally advanced disease and has an overall poor prognosis. In this study, we investigated the characteristics and outcomes of patients with SCC of the thyroid, and reported our experience with chemotherapy with lenvatinib in the treatment of SCC of the thyroid. METHODS: The management outcome of 10 patients who had SCC of the thyroid between January 2000 and 2015 at Kyushu University Hospital or associated facilities was reviewed...
July 21, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28738947/outpatient-total-thyroidectomy-is-safe-for-moderate-volume-surgeons
#18
Jonathan Black, Travis Cotton, Jen Jen Yeh
Traditionally, total thyroidectomy (TT) was an inpatient procedure, but recent trends indicate that patients are often discharged on the day of surgery. This has been proven safe for high-volume surgeons but has not been studied for low (<10 TT per year) and moderate volume surgeons (<24 TT per year). Retrospective review was performed for 414 total thyroidectomies between 2005 and 2013. Emergency department visits and readmissions within 30 days of surgery were captured, but were considered the same for the purpose of this analysis...
July 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28738945/disparities-in-the-care-of-differentiated-thyroid-cancer-in-the-united-states-exploring-the-national-cancer-database
#19
Kathryn Jaap, Rebekah Campbell, James Dove, Marcus Fluck, Marie Hunsinger, Jeffrey Wild, Tania Arora, Mohsen Shabahang, Joseph Blansfield
Differentiated thyroid cancer (DTC) treatment is multifaceted, and may be influenced by socioeconomic factors. The goal of this study is to examine disparities in DTC treatment. DTC patients from 1998 to 2012 were identified using the National Cancer Database. DTC was identified in 262,041 patients. The mean age was 48.2. The majority of patients (52%) received care at Comprehensive Community Cancer Programs (CCCPs). Total thyroidectomy was less common at Community Cancer Programs (CCPs) [odds ratio (OR): 0...
July 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28734186/bilateral-vocal-cord-palsy-after-total-thyroidectomy-a-new-treatment-case-reports
#20
Fong-Fu Chou, Cheng-Ming Hsu, Chi-Chih Lai, Yi-Chia Chan, Shun-Yu Chi
INTRODUCTION: Dyspnea due to bilateral vocal cord palsy after total thyroidectomy (BVCPATT) is a life-threatening complication; nevertheless, we try to avoid tracheotomy. METHODS: Using normalized glottal area (NGA), we retrospectively studied 14 patients with BVCPATT. Nine patients without dyspnea were treated conservatively, while five with dyspnea received immediate bilevel positive air-way pressure (BiPAP) treatment. Both right and left recurrent nerves were grossly intact during surgery...
June 30, 2017: International Journal of Surgery Case Reports
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