keyword
https://read.qxmd.com/read/38545078/principles-and-features-of-ultrasound-hypoechogenicity-in-diffuse-thyroid-pathology
#1
REVIEW
Andrey Valerievich Ushakov
For different thyroid diseases and hormonal metabolism, ultrasound (US) of the thyroid gland reveals hypoechogenicity. Despite the direct correlation of hypoechogenicity with the levels of thyroid-stimulating hormone and antibodies of thyroid peroxidase and thyroglobulin, ~20% of this correlation is inconsistent, thus restricting the comprehensive utilisation of this valuable diagnostic sign. Thus, it is necessary to investigate the additional circumstances affecting the extent and features of the US hypoechogenicity of the thyroid gland...
March 15, 2024: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/38545042/bibliometric-and-visualized-analysis-of-reporting-and-data-systems-from-2000-to-2022-research-situation-global-trends-and-hotspots
#2
JOURNAL ARTICLE
Yan Wang, Minghui Zhang, Li Sang, Ziyi Li, Xuemei Wang, Ziyi Yang, Zijun Yu, Zhongqing Wang, Liang Sang
BACKGROUND: The reporting and data system (RADS) has been researched across the world since it was first developed. This study used bibliometrics to analyze the research trends and current status of this field over the past almost 23 years and explored possible future research hotspots. METHODS: We searched the Web of Science (WOS) literature on RADSs from January 1, 2000, to November 1, 2022, and evaluated the findings visually with VOSviewer (1.6.18), CiteSpace (6...
March 15, 2024: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/38544658/sensitivity-and-specificity-analysis-of-fine-needle-aspiration-cytology-fnac-for-thyroid-swelling
#3
JOURNAL ARTICLE
Mangesh G Kohale, Anupama V Dhobale, Nandkishor J Bankar, Neha Bhatt, Akshay H Salgar
Introduction Thyroid gland disorders, such as goiters or tumor masses, are the result of localized or systemic aberrations of the thyroid gland. The purpose of this research was to see how effective fine needle aspiration cytology (FNAC) was in detecting thyroid swelling in patients with thyroid swelling. It is critical to be able to differentiate between benign and malignant thyroid nodules to reduce unnecessary thyroid surgeries. It is hypothesized that FNAC is not a reliable diagnostic tool to detect thyroid nodules in patients with thyroid swelling and that there is a significant variation between the number of thyroid nodules detected by FNAC and the number of thyroid nodules that were eventually diagnosed as malignant by surgery...
February 2024: Curēus
https://read.qxmd.com/read/38544612/forgotten-goiter-presenting-as-acute-respiratory-distress-following-a-thyroidectomy-a-case-report
#4
Beatriz Marques, Rita Oliveira, Roberto J Ameiro, Manuela Paiva
Airway complications account for a significant amount of post-thyroidectomy complications. Forgotten goiter is a residual thyroid mass left after total thyroidectomy, an event already depicted in the literature. Clinical presentation is diverse, ranging from asymptomatic tracheal deviation to symptoms caused by hormonally active thyroid tissue or airway obstruction due to mass effect. However, it has never been documented as the cause of acute respiratory distress following thyroid surgery. We report the case of a 65-year-old female undergoing left hemithyroidectomy due to long-standing substernal goiter...
February 2024: Curēus
https://read.qxmd.com/read/38544610/thyroid-lobectomy-under-local-anesthesia-before-lung-transplantation-owing-to-diffuse-panbronchiolitis-a-case-report
#5
Tsuyoshi Kojima, Yo Kishimoto, Keigo Honda, Atsushi Suehiro, Koichi Omori
We herein report a case of thyroid lobectomy performed under local anesthesia for thyroid cancer in a patient who was at a high risk for general anesthesia due to diffuse panbronchiolitis. Although thyroid surgery has been performed in the past under local anesthesia in low-risk patients, thyroid surgery is now rarely performed under local anesthesia. If they are performed, thyroid surgery under local anesthesia is usually performed under monitored anesthesia care; sedation is considered safe and does not cause discomfort to patients...
February 2024: Curēus
https://read.qxmd.com/read/38544601/high-malignancy-risk-and-its-predictors-in-south-indian-patients-with-bethesda-ii-thyroid-nodules
#6
JOURNAL ARTICLE
Sunanda Tirupati, Pradeep Puthenveetil, Shilpa Lakkundi, Anudeep Gaddam, Vijaya Sarathi
BACKGROUND: Global data reports a low malignancy risk, whereas regional data report a variable risk of malignancy in Bethesda II thyroid nodules. The limited availability of surgical histopathology might have underestimated the risk of malignancy. Here, we report the prevalence of malignancy and its predictors in Bethesda II thyroid nodules for which the surgical histopathological diagnosis was available. METHODS:  This retrospective study was done at a tertiary healthcare center in South India between January 2008 and September 2015...
February 2024: Curēus
https://read.qxmd.com/read/38541197/the-effect-of-thyroid-surgery-on-the-accuracy-of-palpation-based-cricothyroid-membrane-identification-in-female-patients-a-prospective-observational-cohort-study
#7
JOURNAL ARTICLE
Jaesik Park, A Rim Yang, Hyunji Lee, Kwangsoon Kim, Min Suk Chae
Background and Objectives : This study examined how a history of thyroid surgery impacts the precision of cricothyroid membrane (CTM) identification through palpation (validated by ultrasound) in female patients visiting the operating room for surgeries unrelated to neck procedures. Materials and Methods : This prospective observational cohort study enrolled adult female patients undergoing elective non-neck surgery, dividing them into control (no thyroid surgery history; n = 40) and experimental (with thyroid surgery history; n = 40) groups...
March 13, 2024: Medicina
https://read.qxmd.com/read/38540448/cyto-histological-profile-of-micrornas-as-diagnostic-biomarkers-in-differentiated-thyroid-carcinomas
#8
JOURNAL ARTICLE
Maria de Lurdes Matos, Mafalda Pinto, Marta Alves, Sule Canberk, Ana Gonçalves, Maria João Bugalho, Ana Luísa Papoila, Paula Soares
INTRODUCTION: The repertoire of microRNAs (miRNAs) in thyroid carcinomas starts to be elucidated. Among differentiated thyroid carcinomas (DTCs), papillary thyroid carcinoma (PTC) is the most frequent. The assessment of miRNAs expression may contribute to refine the pre-surgical diagnosis in order to obtain a personalized and more effective treatment for patients. AIMS: This study aims to evaluate (1) the miRNAs in a series of DTCs, and their association with the presence of selected genetic mutations in order to improve diagnosis and predict the biologic behavior of DTC/PTC...
March 21, 2024: Genes
https://read.qxmd.com/read/38540288/current-knowledge-on-the-use-of-neuromonitoring-in-thyroid-surgery
#9
REVIEW
Beata Wojtczak, Karolina Sutkowska-Stępień, Mateusz Głód, Krzysztof Kaliszewski, Krzysztof Sutkowski, Marcin Barczyński
Thyroid surgery rates have tripled over the past three decades, making it one of the most frequently performed procedures within general surgery. Thyroid surgery is associated with the possibility of serious postoperative complications which have a significant impact on the patient's quality of life. Recurrent laryngeal nerve (RLN) palsy and external branch of the superior laryngeal nerve (EBSLN) palsy are, next to hypoparathyroidism and postoperative bleeding, some of the most common complications. The introduction of neuromonitoring into thyroid surgery, which enabled both the confirmation of anatomical integrity and the assessment of laryngeal nerve function, was a milestone that began a new era in thyroid surgery...
March 18, 2024: Biomedicines
https://read.qxmd.com/read/38540145/the-effect-of-radioiodine-therapy-on-the-prognosis-of-differentiated-thyroid-cancer-with-lung-metastases
#10
JOURNAL ARTICLE
Shenghong Zhang, Mengqin Zhu, Han Zhang, Hanhui Liu, Xin Fan, Jiajia Zhang, Fei Yu
Lung metastasis substantially influences the survival of thyroid cancer (TC) patients. This study sought to investigate factors impacting the survival of differentiated thyroid cancer patients with lung metastases (DTC-LM) undergoing radioiodine therapy (RAI) after thyroid surgery. The retrospective study encompassed 609 TC patients with lung metastases. Survival outcomes-specifically, overall survival (OS) and thyroid cancer-specific survival (TCSS)-were examined through both univariate and multivariate Cox regression analyses...
February 27, 2024: Biomedicines
https://read.qxmd.com/read/38537070/intraoperative-nerve-monitoring-reduces-recurrent-laryngeal-nerve-palsy-in-endoscopic-thyroid-surgery-a-trial-sequential-analysis
#11
JOURNAL ARTICLE
Kuo-Chuan Hung, Wei-Ting Wang, I-Wen Chen
No abstract text is available yet for this article.
April 3, 2024: International Journal of Surgery
https://read.qxmd.com/read/38534986/papillary-thyroid-cancer-trends-in-the-wake-of-the-covid-19-pandemic-is-there-a-shift-toward-a-more-aggressive-entity
#12
JOURNAL ARTICLE
Iyad Hassan, Lina Hassan, Farooq Bacha, Mohammad Al Salameh, Omran Gatee, Wiam Hassan
BACKGROUND: Globally, the incidence of papillary thyroid cancer (PTC) has been increasing over the last few decades and it has become the second most common cancer in women in the UAE. There is some evidence to suggest that COVID-19 infection might be directly linked to the development of aggressive variants of PTC. The primary goal of this study was to compare the clinical and pathologic characteristics of thyroid cancer patients treated at the largest endocrine surgery center in Abu Dhabi before and after the COVID-19 pandemic outbreak...
March 20, 2024: Diseases (Basel)
https://read.qxmd.com/read/38533287/role-of-genetic-testing-in-the-management-of-indeterminate-thyroid-nodules-in-the-indian-setting
#13
REVIEW
Jeyashanth Riju, Nihal Thomas, Thomas V Paul, Deepak Thomas Abraham, Rekha Pai, Anne J Prabhu, Paul Mazhuvanchary Jacob, Remya Rajan, Rajiv C Michael, Amit Jiwan Tirkey, Natarajan Ramalingam, Hesarghatta S Asha, Nitin Kapoor
The increased detection of thyroid nodules in the human population has led to an increase in the number of thyroid surgeries without an improvement in survival outcomes. Though the choice for surgery is straightforward in malignant thyroid nodules, the decision is far more complex in those nodules that get categorized into indeterminate thyroid nodules (ITN) by fine needle aspiration. Therefore, there is a pressing need to develop a tool that will aid in decision-making among the ITN. In this context, the development of various molecular testing (MT) panels has helped to confirm or rule out malignancy, reducing unnecessary surgeries and potentially guiding the extent of surgery as well...
2024: Indian Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38532506/sonographic-characteristics-of-diffuse-sclerosing-variant-of-papillary-thyroid-carcinoma-with-histopathological-correlation-a-preliminary-study
#14
JOURNAL ARTICLE
Wanying Li, Ying Wang, Luying Gao, Ruie Feng, Ke Lv, Xining Wu, Xiao Yang, Sheng Cai, Hongyan Wang, Jianchu Li
BACKGROUND: Diffuse sclerosing variant of papillary thyroid carcinoma (DSVPTC) is a rare but high invasive subtype of papillary thyroid carcinoma, which mandates an aggressive clinical strategy. Few studies have focused on the sonographic characteristics of DSVPTC and the role of ultrasound in diagnosis and treatment of this variant remains unknown. This study aimed to identify and understand DSVPTC more accurately under ultrasound in correlation with pathology. METHODS: The ultrasound characteristics and histopathologic sections of 10 lesions in 10 DSVPTC patients who underwent thyroid surgery at our center between 2014 and 2020 were reviewed and compared with 184 lesions in 168 classic variant of papillary thyroid carcinoma (cPTC) patients...
March 26, 2024: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/38530608/characteristics-and-risk-factors-of-cervical-lymph-node-metastasis-in-cn0-papillary-thyroid-microcarcinoma-of-the-isthmus
#15
JOURNAL ARTICLE
Linjie Ma
The surgical resection range of papillary thyroid microcarcinoma of the isthmus (PTMCI) is controversial, and the guidelines do not fully guide the central lymph node dissection (CLND).We retrospectively studied the comparison of PTMCI (Group A, n = 65 cases) and non-PTMCI (Group B, n = 80 cases). Based on whether central lymph node metastasis (CLNM) was further detected, they were further divided into the PTMCI with CLNM (group C, n = 42 cases), the PTMCI without CLNM (group D, n = 23 cases), the non-PTMCI with CLNM (group E, n = 45 cases), the non-PTMCI without CLNM (group F, n = 35 cases)...
March 26, 2024: Updates in Surgery
https://read.qxmd.com/read/38530419/triiodothyronine-supplementation-for-children-undergoing-cardiopulmonary-bypass-a-meta-analysis
#16
JOURNAL ARTICLE
Monique R Radman, April E Slee, Eva M Marwali, Michael A Portman
Specific pediatric populations have exhibited disparate responses to triiodothyronine (T3) repletion during and after cardiopulmonary bypass (CPB). Objective: To determine if T3 supplementation improves outcomes in children undergoing CPB. We searched randomized controlled trials (RCT) evaluating T3 supplementation in children aged 0-3 years undergoing CPB between 1/1/2000 and 1/31/2022. We calculated Hazard ratios (HR) for time to extubation (TTE), ICU length of stay (LOS), and hospital LOS. 5 RCTs met inclusion criteria with available patient-level data...
March 26, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38528686/establishment-and-preliminary-application-of-personalized-three-dimensional-reconstruction-of-thyroid-gland-with-automatic-detection-of-thyroid-nodules-based-on-ultrasound-videos
#17
JOURNAL ARTICLE
Huang Yandong, Zhang Shiqi, Jia Lanting, Hu Wenxin, Chen Leyao, Huang Hejing
PURPOSE: A well display of the spatial location of thyroid nodules in the thyroid is important for surgical path planning and surgeon-patient communication. The aim of this study was to establish a three-dimensional (3D) reconstruction method of the thyroid gland, thyroid nodule, and carotid artery with automatic detection based on two-dimensional (2D) ultrasound videos, and to evaluate its clinical value. METHODS: Ultrasound videos, including the thyroid gland with nodule, isthmus of thyroid gland, and ipsilateral carotid artery, were recorded...
March 25, 2024: Journal of Applied Clinical Medical Physics
https://read.qxmd.com/read/38527848/development-and-validation-of-a-nomogram-for-prognosis-prediction-in-patients-with-synchronous-primary-thyroid-and-breast-cancer-based-on-seer-database
#18
JOURNAL ARTICLE
Miao Huo, Jianfei Zhang, Minna Hou, Jianhui Li, Ning Bai, Ruifen Xu, Jiao Guo
This study aimed to develop prognostic prediction models for patients diagnosed with synchronous thyroid and breast cancer (TBC). Utilizing the SEER database, key predictive factors were identified, including T stage of thyroid cancer, T stage of breast cancer, M stage of breast cancer, patient age, thyroid cancer surgery type, and isotope therapy. A nomogram predicting 5-year and 10-year survival rates was constructed and validated, exhibiting strong performance (C-statistic: 0.79 in the development cohort (95% CI: 0...
March 25, 2024: Cancer Investigation
https://read.qxmd.com/read/38525115/pain-control-is-comparable-between-opioid-versus-non-opioid-management-after-otolaryngology-procedures
#19
JOURNAL ARTICLE
Ashwini Sarathy, Clemens An, Ty Bever, Peter Callas, Mayo H Fujii, Mirabelle Sajisevi
OBJECTIVE: The current study aims to measure patient-reported satisfaction with pain control using opioid and non-opioid medications after undergoing the following otolaryngology procedures: parathyroidectomy, thyroid lobectomy, total thyroidectomy, and bilateral tonsillectomy. MATERIALS AND METHODS: A prospective cohort study was performed at an academic medical center that included a telephone questionnaire and chart review. Opioid prescriptions, usage, and patient-reported pain outcomes were recorded...
April 2024: Laryngoscope Investigative Otolaryngology
https://read.qxmd.com/read/38524686/effect-of-aggressive-warming-versus-routine-thermal-management-on-the-incidence-of-perioperative-hypothermia-in-patients-undergoing-thyroid-surgery-a-prospective-randomized-double-blind-controlled-trial
#20
JOURNAL ARTICLE
Yue Zhang, Yafan Bai, Yi Zhang, Yingjie Du, Min Liu, Jiayu Zhu, Guyan Wang
PURPOSE: Despite the implementation of various insulation measures, the incidence of hypothermia during thyroid surgery remains high. This randomized controlled study aimed to evaluate the effects of aggressive thermal management combined with resistive heating mattresses to prevent perioperative hypothermia in patients undergoing thyroid surgery. PATIENTS AND METHODS: 142 consecutive patients scheduled for elective thyroid surgery were enrolled in the study. They were randomly and equally allocated to the aggressive warming or routine care groups (n = 71)...
2024: Therapeutics and Clinical Risk Management
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