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Thyroid surgery

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https://www.readbyqxmd.com/read/29214321/hemithyroidectomy-for-low-risk-follicular-carcinoma-of-thyroid-results-from-a-regional-hospital
#1
Tam-Lin Chow, Susanna Wai-Yin Tam, Chi-Yee Choi, Wilson Wai-Yin Kwan
INTRODUCTION: Excellent outcome after conservative thyroid surgery for low-risk follicular thyroid carcinoma (FTC) has been reported from highly specialised centres. However, it is uncertain whether similar treatment results can be achieved in low-volume hospitals. METHODS: At our institution, 49 patients with FTC were treated during 1991-2014. Patients with minimally invasive FTC (MIFTC) were usually treated with hemithyroidectomy. The demographic data, pathology, treatment modality and oncological outcomes of these patients were retrospectively evaluated...
December 7, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29209273/updates-on-the-management-of-advanced-metastatic-and-radioiodine-refractory-differentiated-thyroid-cancer
#2
REVIEW
Dario Tumino, Francesco Frasca, Kate Newbold
Differentiated thyroid cancer (DTC) accounts for 95% of all thyroid cancers and is generally an indolent tumor, treated effectively with surgery, radioactive iodine, and thyroid-stimulating hormone suppressive therapy. However, 5-10% of patients have advanced disease, with aerodigestive tract invasion, distant metastases, or radioiodine refractory disease, with poor prognosis. This review focuses on the approaches for treating advanced DTC, including management of gross extra-thyroidal extension, recurrent loco-regional or distant metastatic disease, the role of external beam radiation therapy and systemic treatment...
2017: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/29207815/anaesthetic-management-in-transoral-endoscopic-thyroidectomy
#3
Rajendra D Patel, Nisha Gowani, Manali Nadkarni, Sameer Rege, Priti Devalkar
Young females undergoing thyroid surgery are apprehensive about the surgical scar. This leads to the introduction of Transoral Endoscopic Thyroidectomy (TOET). TOET is gaining popularity for its minimally invasive and cosmetically sound approach to perform thyroidectomies in young patients. The surgical site being the mouth orifice poses a challenge to the anaesthesiologist to secure a definitive airway. The case report is that of a young female undergoing TOET for whom we have successfully performed nasal intubation with a North Pole ivory endotracheal tube (ET)...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29205147/medico-legal-aspects-on-neuromonitoring-in-thyroid-surgery-informed-consent-on-malpractice-claims
#4
R Demontis, M R Pittau, A Maturo, P Petruzzo, G Calò
AIM: The purpose of this paper is to provide a forensic profile framework of neuromonitoring in thyroid surgery, regarding the information given to the patient and its classification as part of professional liability in the event of recurrent injury. METHOD: Evaluation and reflections on the required behaviour of the surgeon on providing details on the operation before the informed consent is given and to outline the possible legal implications regarding professional liability as a result of recurrent injury...
May 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29204764/variations-in-the-origins-of-the-thyroid-arteries-on-ct-angiography
#5
Kaan Esen, Anil Ozgur, Yuksel Balci, Sermin Tok, Engin Kara
OBJECTIVE: To investigate the anatomical variations in the origins of the thyroid arteries on CT angiography images. METHODS: The presence and the origins of the superior thyroid artery, the inferior thyroid artery, and the thyroidea ima artery were retrospectively evaluated based on carotid CT angiography examinations. The bifurcation level of the common carotid artery with respect to the cervical vertebrae and disc spaces was also determined. A total of 640 patients were included in the study...
December 4, 2017: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/29201322/the-diagnostic-value-of-fine-needle-aspiration-in-comparison-with-frozen-section-in-thyroid-nodules-a-20-year-study
#6
Sepideh Siadati, Seyed Mozafar Rabiee, Ebrahim Alijanpour, Mohammad Ali Bayani, Novin Nikbakhsh
Background: Fine needle aspiration (FNA) is the most important method in the diagnosis of thyroid nodules before surgery. Recently, the efficiency of FNA in thyroid nodule management has been debatable. On the other hand, intraoperative frozen section (FS) has been used to confirm the diagnosis of FNA and select the proper surgical approach. In this regard, the present study aimed to assess the diagnostic value of FNA as compared to FS in the diagnosis of thyroid nodules. Methods: This retrospective study was performed on 69 patients with FNA and FS and histopathological examination from 1993 to 2014 in Babol, northern Iran...
2017: Caspian Journal of Internal Medicine
https://www.readbyqxmd.com/read/29199400/disease-specific-mortality-of-differentiated-thyroid-cancer-patients-in-korea-a-multicenter-cohort-study
#7
Min Ji Jeon, Won Gu Kim, Tae Hyuk Kim, Hee Kyung Kim, Bo Hyun Kim, Hyon Seung Yi, Eun Sook Kim, Hosu Kim, Young Nam Kim, Eun Heui Kim, Tae Yong Kim, Sun Wook Kim, Ho Cheol Kang, Jae Hoon Chung, Young Kee Shong, Won Bae Kim
BACKGROUND: Little is known regarding disease-specific mortality of differentiated thyroid cancer (DTC) patients and its risk factors in Korea. METHODS: We retrospectively reviewed a large multi-center cohort of thyroid cancer from six Korean hospitals and included 8,058 DTC patients who underwent initial surgery between 1996 and 2005. RESULTS: Mean age of patients at diagnosis was 46.2±12.3 years; 87% were females. Most patients had papillary thyroid cancer (PTC; 97%) and underwent total thyroidectomy (85%)...
November 22, 2017: Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29198083/-robotic-assisted-transaxillary-thyroid-surgery-the-rabin-medical-center-experience
#8
Naomi Rabinovics, Gideon Bachar, Tom Raz-Yarkoni, Raphael Feinmesser
AIMS: To review the experience of a single-center with RATS and to assess its outcome, feasibility and safety. BACKGROUND: With the advent of minimally invasive techniques in thyroid surgery, robot-assisted transaxillary thyroid surgery (RATS) has become one of the most popular approaches. Its main advantages are improved cosmetic outcome, thereby increasing patient satisfaction, improved visualization and range of motion. Several large-scale studies, have demonstrated its safety and feasibility...
November 2017: Harefuah
https://www.readbyqxmd.com/read/29197191/post-thyroidectomy-hypoparathyroidism-what-should-we-keep-in-mind
#9
Pietro Caglià, Silvana Puglisi, Antonino Buffone, Salvo Lo Bianco, Valeriya Okatyeva, Massimiliano Veroux, Matteo Angelo Cannizzaro
AIM: Hypoparathyroidism and the resulting hypocalcemia is a common iatrogenic complication following surgical procedures to the neck, and commonly, to the thyroid gland. The aim of this study was to review the available literature to summarize current data related to the development of hypoparathyroidism after thyroid surgery. MATERIALS AND METHODS: An analysis of the surgical literature was performed using the search engine EMBASE and PubMed with particular reference to the principal risk factors related to the post-thyroid surgery hypoparathyroidism...
2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29191500/3t-non-injected-phase-contrast-mri-sequences-for-the-mapping-of-the-external-carotid-branches-in%C3%A2-vivo-radio-anatomical-pilot-study-for-feasibility-analysis
#10
Jérémie Bettoni, Gwénaël Pagé, Anne-Virginie Salsac, Jean-Marc Constans, Sylvie Testelin, Bernard Devauchelle, Olivier Balédent, Stéphanie Dakpé
An essential stage in head and neck microsurgical reconstruction is the choice of recipient vessels. To make relevant choices, surgeons must rely on accurate imaging techniques. The objective of the study was to examine the feasibility of Phase-Contrast sequences to conduct the pre-operative tests without injection and provide precise radio-anatomical data over the entire vessel region. The challenges were the large velocity range, the lack of contrast, and the large spatial resolution needed to image vessels below 5 mm in diameter...
October 16, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29189861/-study-and-management-of-thyroid-nodes-by-non-specialist-physicians-soched-consensus
#11
Hernán Tala, René E Díaz, José Miguel Domínguez Ruiz-Tagle, Jorge Sapunar Zenteno, Pedro Pineda, Patricia Arroyo Albala, Marcela Barberán, Patricio Cabané, Francisco Cruz Olivos, Patricio Gac E, Andrea Glasinovic Pizarro, Hernán E González, Francisca Grob, Maria Soledad Hidalgo Valle, Rodrigo Jaimovich, Alejandra Lanas, Claudio Liberman, Maite Lobo Guiñez, Arturo Madrid
The thyroid nodule is a frequent cause of primary care consultation. The prevalence of a palpable thyroid nodule is approximately 4-7%, increasing up to 67% by the incidental detection of nodules on ultrasound. The vast majority are benign and asymptomatic, staying stable over time. The clinical importance of studying a thyroid nodule is to exclude thyroid cancer, which occurs in 5 to 10% of the nodules. The Board of SOCHED (Chilean Society of Endocrinology and Diabetes) asked the Thyroid Study Group to develop a consensus regarding the diagnostic management of the thyroid nodule in Chile, aimed at non-specialist physicians and adapted to the national reality...
August 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29188293/variation-of-thyroidectomy-specific-outcomes-among-hospitals-and-their-association-with-risk-adjustment-and-hospital-performance
#12
Jason B Liu, Julie A Sosa, Raymon H Grogan, Yaoming Liu, Mark E Cohen, Clifford Y Ko, Bruce L Hall
Importance: Current surgical quality metrics might be insufficient to fully judge the quality of certain operations because they are not procedure specific. Hypocalcemia, recurrent laryngeal nerve (RLN) injury, and hematoma are considered to be the most relevant outcomes to measure after thyroidectomy. Whether these outcomes can be used as hospital quality metrics is unknown. Objectives: To evaluate whether thyroidectomy-specific outcomes vary among hospitals, whether the addition of thyroidectomy-specific variables affects risk adjustment, and whether differences in hospital performance are associated with thyroidectomy-specific care processes...
November 29, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29188054/solitary-pulmonary-capillary-hemangioma-presents-as-ground-glass-opacity-on-computed-tomography-indicating-adenocarcinoma-in-situ-atypical-adenomatous-hyperplasia-a-case-report
#13
Yanmei Zhu, Ning Qu, Lili Sun, Xiao Meng, Xiaoyan Li, Yong Zhang
Solitary pulmonary capillary hemangioma (SPCH) is a rare type of benign lung tumor, which must be distinguished from early lung cancer and precancerous lesions of the lung that manifest in a similar way upon imaging. The current study describes a case of SPCH and a review of the literature is performed. The patient was a 40-year-old Chinese woman who was referred to the Liaoning Cancer Hospital and Institute (Shenyang, China) in October, 2015 with a cough without obvious inducement. Computed tomography (CT) demonstrated pure ground glass opacity (GGO) in the right upper lung...
December 2017: Biomedical Reports
https://www.readbyqxmd.com/read/29184875/assessing-cosmetic-results-after-conventional-thyroidectomy-using-the-easy-eye_c-a-double-blind-randomized-controlled-trial
#14
Kwan Ho Lee, Eun Young Kim, Chan Heun Park, Yong Lai Park, Ji Sup Yun, Ga Young Lee
Purpose: The incidence of thyroid cancer is relatively high, especially in young women, and postoperative scarring after thyroidectomy is an important problem for both patients and clinicians. Currently, there is no available product that can be used for wound protection during thyroid surgery. We used the EASY-EYE_C, a new silicone-based wound protector. Methods: We conducted a double-blind randomized controlled trial to assess the efficacy of the EASY-EYE_C with surgical scars...
November 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29184871/peptide-yy-producing-strumal-carcinoid-tumor-of-the-ovary-in-a-postmenopausal-woman-a-rare-cause-of-chronic-constipation
#15
Hye Kyung Noh, Byung Su Kwon, Yoon Hwa Kim, Nam Kyung Lee, Kyung Un Choi, Dong Soo Suh, Dong Hyung Lee, Ki Hyung Kim
Strumal carcinoid tumor of the ovary is a rare subtype of ovarian carcinoid tumors; it is characterized by an intimate mixture of thyroid and carcinoid tissues. We present a case of a 64-year-old woman who presented with the chief complaint of persistent, severe constipation for over 5 years; she was later found to have an ovarian strumal carcinoid tumor. Computed tomography showed a well-defined solid mass measuring 6.4 cm at the right adnexa. The patient underwent right salpingo-oophorectomy and was histopathologically diagnosed as having a strumal carcinoid tumor...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29183364/unusual-presentations-of-functional-parathyroid-cysts-a-case-series-and-review-of-the-literature
#16
Youssef El-Housseini, Martin Hübner, Ariane Boubaker, Jan Bruegger, Maurice Matter, Olivier Bonny
BACKGROUND: Cysts of parathyroid origin are sometimes encountered and can easily be mistaken as thyroidal cysts. Functional parathyroid cysts, with symptoms and signs of hyperparathyroidism, are rare and may be a diagnostic challenge to clinicians. We report here on three cases of functional parathyroid cysts that illustrate diagnosis difficulties related to unusual clinical presentations in three Caucasian women, including negative parathyroid scintigraphy. CASE PRESENTATIONS: Patient 1, an 87-year-old Caucasian woman presented with confusion and dysphagia...
November 29, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29183351/thyroid-gland-hemorrhage-after-blunt-neck-trauma-case-report-and-review-of-the-literature
#17
Johannes Lemke, Markus N Schreiber, Doris Henne-Bruns, Gregor Cammerer, Andreas Hillenbrand
BACKGROUND: Thyroid hemorrhage is considered to be an uncommon complication following blunt trauma to the neck. This condition is potentially life-threatening due to airway compression and may therefore require emergency airway management and surgical intervention in some cases. CASE PRESENTATION: We present the case of a 52-year-old woman who experienced a traumatic thyroid gland rupture (right lobe) with subsequent active arterial bleeding from branches of the inferior thyroid artery...
November 28, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29183262/globus-symptoms-in-patients-undergoing-thyroidectomy-relationships-with-psychogenic-factors-thyroid-disease-and-surgical-procedure
#18
Chisato Tomoda, Kiminori Sugino, Tomoaki Tanaka, Yuna Ogimi, Chie Masaki, Junko Akaishi, Kiyomi Yamada Hames, Akifumi Suzuki, Kenichi Matsuzu, Takashi Uruno, Keiko Ohkuwa, Wataru Kitagawa, Mitsuji Nagahama, Koichi Ito
INTRODUCTION: The number of patients who need thyroid surgery has increased worldwide in recent decades. Patients with thyroid disease experience globus pharyngeus as a result of direct compression and edema of surrounding organs. Thyroid surgery is needed to improve these symptoms or as treatment for thyroid cancer. After thyroid surgery, globus symptoms may become worse and may affect the daily life of the patient for a long time. Psychogenic problems have also been thought to cause the globus sensation...
November 28, 2017: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/29182030/biomarkers-of-ocular-surface-disease-using-impression-cytology
#19
Suzanne Hagan
Impression cytology (IC) is a technique which permits the retrieval of the outermost layer of ocular surface cells via the use of various types of filters. It is a minimally invasive method of evaluating human conjunctival epithelial cell morphology in the diagnosis of dry eye disease, a common and distressing disorder associated with ageing, contact lens wear, autoimmune disorders and refractive (LASIK) surgery. IC may also be utilized in the diagnosis of other ocular diseases, such as keratoconus and thyroid orbitopathy...
November 28, 2017: Biomarkers in Medicine
https://www.readbyqxmd.com/read/29182003/modification-validation-and-implementation-of-a-protocol-for-post-thyroidectomy-hypocalcaemia
#20
T Stedman, P Chew, P Truran, C B Lim, S P Balasubramanian
Introduction The management of post-thyroidectomy hypocalcaemia should facilitate early discharge, and reduce risks of hypocalcaemia, readmission and treatment related hypercalcaemia. This paper describes the implementation, evaluation and revision a protocol for the optimal management of this condition. Methods Day 1 parathyroid hormone (PTH) measurements in addition to calcium measurements were commenced following review of the unit's outcomes and literature on post-thyroidectomy hypocalcaemia. Outcomes from a three-year cohort of patients undergoing thyroid surgery helped amend this protocol (revision 1) to reduce biochemical tests, stipulate the need, nature and dose of vitamin D/calcium supplements, and encourage early discharge...
November 28, 2017: Annals of the Royal College of Surgeons of England
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