Medicine RSS Search Engine

Thyroidectomy Thyroidectomy RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

This page shows you the latest news and research items in this category.

Recovery from Permanent Hypoparathyroidism after Total Thyroidectomy.
CONCLUSIONS: Although recovery from permanent hypoparathyroidism is rare, patients should be monitored for serum PTH levels so that unnecessary treatments such as calcium and vitamin D supplementation can be avoided. PMID: 25905773 [PubMed - as supplied by publisher] (Source: Thyroid : official journal of the American Thyroid Association)
Source: Thyroid : official journal of the American Thyroid Association - April 24, 2015 Category: Endocrinology Tags: Thyroid Source Type: research

Clinical relevance and surgical anatomy of non-recurrent laryngeal nerve: 7 year experience
Conclusions Thyroid surgeons should understand the variable topography of inferior laryngeal nerves. Non-recurrent laryngeal nerve is a vulnerable asymptomatic anatomical variation of recurrent laryngeal nerve. Optimal NRLN identification should be done prior to operation by routine X-ray and ultrasonography, based on abnormality of cervical vessels. (Source: Surgical and Radiologic Anatomy)
Source: Surgical and Radiologic Anatomy - April 24, 2015 Category: Anatomy Source Type: research

Initial learning curve of single-incision transaxillary robotic hemi- and total thyroidectomy – a single team experience from Europe
The primary advantage of robotic thyroidectomy is to avoid a neck scar. On the other hand, this sophisticated technique implies some potential risks otherwise not associated with conventional thyroidectomy, increased costs, and prolonged operating times. With all these factors being an important issue, we analysed the data of our initial European series in order to understand the nature of the learning curve for this technique. (Source: International Journal of Surgery)
Source: International Journal of Surgery - April 24, 2015 Category: Surgery Authors: Balazs B. Lörincz, Chia-Jung Busch, Nikolaus Möckelmann, Rainald Knecht Tags: Original research Source Type: research

Intraoperative Nerve Monitoring and Vocal Cord Paralysis: Controlling Bias
We thank Drs Nguyen and Wang for their thoughtful comments on our article and for the opportunity to discuss this topic. The primary question raised is how use rates measured with the Nationwide Inpatient Sample (NIS) in our study are different from the 2 surveys referenced in our article, which cite higher use rates. The authors cite the American Academy of Otolaryngology−Head and Neck Surgery’s CPT coding guidelines for billing of intraoperative nerve monitoring (IONM) during thyroidectomy, which state that IONM billing codes should be used only if a dedicated monitoring professional is performing the monitoring. (So...
Source: Journal of the American College of Surgeons - April 22, 2015 Category: Surgery Authors: Thomas K. Chung, Eben L. Rosenthal, John R. Porterfield, William R. Carroll, Joshua Richman, Mary T. Hawn Tags: Letter Source Type: research

Intraoperative Nerve Monitoring and Vocal Cord Paralysis: Have Rates Really Risen after the Adoption of Intraoperative Nerve Monitoring?
We read with great interest the article, “Examining National Outcomes after Thyroidectomy with Nerve Monitoring” by Chung and colleagues.1 The authors used the Nationwide Inpatient Sample, a national database funded by the US Agency for Healthcare Research and Quality that collects data from a 20% stratified sample of hospitals around the country. Data collected include diagnoses and charge data. Cases from the outpatient or ambulatory setting are excluded. The authors retrospectively analyzed 243,527 thyroidectomies during the time period from 2008 to 2011 using the Nationwide Inpatient Sample. (Source: Journal of the...
Source: Journal of the American College of Surgeons - April 22, 2015 Category: Surgery Authors: Chau Nguyen, Marilene Wang Tags: Letter Source Type: research

Overlapping Morphologic and Immunohistochemical Features of Hashimoto Thyroiditis and IgG4-Related Thyroid Disease
Abstract Immunoglobulin G4-related disease (IgG4-RD) is an emerging clinicopathologic entity characterized by both IgG4+ plasma cell infiltration and fibrosis in one or more organs, prototypically pancreas or salivary/lacrimal glands. IgG4-RD in the thyroid (IgG4-RTD) is an area of active study, and the relationship between IgG4-RTD and Hashimoto thyroiditis is not fully delineated due to their overlapping histologic features. Retrospective review was performed of all thyroidectomy cases demonstrating lymphocytic inflammation at a single institution over a 4-year period. Approximately half (23/38) of patients had ...
Source: Endocrine Pathology - April 22, 2015 Category: Pathology Source Type: research

Total Thyroidectomy versus Lobectomy as Initial Operation for Small Unilateral Papillary Thyroid Carcinoma: A Meta-Analysis
Consensus guidelines have recommended total thyroidectomy for papillary thyroid carcinoma (PTC) > 1 cm. However, the optimal surgical approach for small and unilateral ( (Source: Surgical Oncology)
Source: Surgical Oncology - April 22, 2015 Category: Surgery Authors: Francisco Igor B. Macedo, Vijay K. Mittal Source Type: research

Hypoparathyroidism after Total Thyroidectomy: Incidence and Resolution
Parathyroid hormone (PTH) levels are often measured after thyroid surgery and are used to detect patients at risk for postoperative hypoparathyroidism. However, there is a lack of consensus in the literature about how to define the recovery of parathyroid gland function and when to classify hypoparathyroidism as permanent. The goals of this study were to determine the incidence of low postoperative PTH in total thyroidectomy patients and to monitor their time course to recovery of parathyroid gland function. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - April 21, 2015 Category: Surgery Authors: Kathryn Ritter, Dawn Elfenbein, David Schneider, Herbert Chen, Rebecca S. Sippel Source Type: research

Should surgical outcomes be published?
Despite publishing surgical outcomes being a positive step forwards in the progression of England’s healthcare system, it has no doubt been faced with criticism and reservations. This review article aims to discuss the pros and cons of publishing individual surgical outcomes, as well as the challenges faced. Publishing outcomes requires data from a number of sources such as national clinical audits, hospital episode statistics, patient-reported outcomes, registers and information from revalidation. As yet, eight surgical specialties have begun publishing their data, including cardiac (coronary artery bypass graft, va...
Source: JRSM - April 21, 2015 Category: UK Health Authors: Chou, E., Abboudi, H., Shamim Khan, M., Dasgupta, P., Ahmed, K. Tags: Review Source Type: research

Predictive factors of contralateral paratracheal lymph node metastasis in unilateral papillary thyroid carcinoma
Conclusion Primary tumor size >1 cm, capsular/extracapsular invasion, pretracheal/prelaryngeal LN metastasis and lateral neck LN metastasis are predictive factors of contralateral paratracheal LN metastasis in unilateral PTC, which may help to determine the optimal extent of CND in patients with PTC. (Source: European Journal of Surgical Oncology (EJSO))
Source: European Journal of Surgical Oncology (EJSO) - April 18, 2015 Category: Surgery Source Type: research

Surgical treatment for dominant malignant nodules of the isthmus of the thyroid gland: A case control study
Appropriate surgical treatment of papillary thyroid carcinomas (PTC) located in the isthmus remains controversial. The aim of this study was to evaluate the clinicopathological characteristics of PTC of the isthmus compared to tumors located in the thyroid lobes, to identify differences between PTC and microcarcinomas of the isthmus, and to use these findings to establish total thyroidectomy as an appropriate surgical resection for treating these tumors. (Source: International Journal of Surgery)
Source: International Journal of Surgery - April 18, 2015 Category: Surgery Authors: Theodore Karatzas, Georgios Charitoudis, Dimitrios Vasileiadis, Stylianos Kapetanakis, Ioannis Vasileiadis Tags: Original Research Source Type: research

Substernal Goiter: When is a Sternotomy Required?
Sternotomy for substernal goiters (SSG) is associated with greater morbidity than a cervical approach to thyroidectomy. We sought to identify predictors for sternotomy as a surgical approach for the removal of SSG, and analyzed the preoperative and postoperative characteristics of patients with SSG compared to those with large goiters contained entirely within the neck, or a cervical goiter (CG). (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - April 18, 2015 Category: Surgery Authors: Luke Nankee, Herbert Chen, David F. Schneider, Rebecca S. Sippel, Dawn M. Elfenbein Source Type: research

National Trends and Factors associated with Hospital Costs following Thyroid Surgery.
Conclusions Costs associated with hospitalization after thyroid surgery increased markedly from 2003 to 2011. This increase appears to be in part due to a growing proportion of sicker patients undergoing more extensive surgery regardless of diagnosis. PMID: 25873398 [PubMed - as supplied by publisher] (Source: Thyroid : official journal of the American Thyroid Association)
Source: Thyroid : official journal of the American Thyroid Association - April 17, 2015 Category: Endocrinology Tags: Thyroid Source Type: research

Incidental Thyroid C Cell Hyperplasia: Clinical Significance and Implications in Practice
In conclusion, reactive CCH has no malignant potential, in contrast to neoplastic CCH. Total thyroidectomy achieves cure of patients with CCH.Oncol Res Treat (Source: Oncology Research and Treatment)
Source: Oncology Research and Treatment - April 17, 2015 Category: Cancer & Oncology Source Type: research

Thyroid gland rupture after blunt neck trauma: A case report and review of the literature
Conclusions Although the rarity of this condition, physicians should take in mind the possibility of thyroid injury after blunt neck trauma. Early detection and prompt treatment, can reduce life threatening complications. Management should be individualized to patient's characteristics and surgeon’s experience. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - April 17, 2015 Category: Surgery Source Type: research

RAI thyroid bed uptake after total thyroidectomy: A novel SPECT‐CT anatomic classification system
ConclusionAfter extracapsular total thyroidectomy, highly sensitive detection tools identify microscopic residual RAI avid foci in thyroid bed in the majority of patients. These foci can be classified as 1) neural‐related and 2) capsule‐related. These common residual foci have no relationship to postoperative Tg, suggesting that attempts at radical removal of thyroid tissue in these locations may not be warranted. Level of Evidence4. Laryngoscope, 2015 (Source: The Laryngoscope)
Source: The Laryngoscope - April 17, 2015 Category: ENT & OMF Authors: Rebecca Zeuren, Agnese Biagini, Ravinder K. Grewal, Gregory W. Randolph, Dipti Kamani, Mona M. Sabra, Ashok R. Shaha, R Michael Tuttle Tags: Thyroid/Parathyroid Source Type: research

Transient early increase in thyroglobulin levels post-radioiodine ablation in patients with differentiated thyroid cancer.
CONCLUSIONS: This study confirms a prominent transient early increase in Tg post-RAI ablation in DTC patients with complete resection, with the Tg levels falling below baseline by 6-months. This is presumed to reflect RAI-induced thyroid tissue destruction/inflammation with subsequent release of Tg from the thyroid remnant. Recognizing this transient phenomenon is important for post-ablation Tg interpretation and patient management. PMID: 25895485 [PubMed - as supplied by publisher] (Source: Clinical Biochemistry)
Source: Clinical Biochemistry - April 17, 2015 Category: Biochemistry Authors: Stevic I, Dembinski TC, Pathak KA, Leslie WD Tags: Clin Biochem Source Type: research

Clinical Pathway for Thyroidectomy
Publication date: Available online 16 April 2015 Source:Cirugía Española (English Edition) Author(s): Jesús María Villar del Moral , Víctor Soria Aledo , Alberto Colina Alonso , Benito Flores Pastor , María Teresa Gutiérrez Rodríguez , Joaquín Ortega Serrano , Pedro Parra Hidalgo , Susana Ros López Clinical pathways are care plans applicable to patient care procedures that present variations in practice and a predictable clinical course. They are designed not as a substitute for clinical judgement, but rather as a means to improve the effectiveness and efficiency of the procedures. This clinical pathway is the ...
Source: Cirugia Espanola - April 16, 2015 Category: Surgery Source Type: research

FDG PET Performed at Thyroid Remnant Ablation Has a Higher Predictive Value for Long-Term Survival of High-Risk Patients With Well-Differentiated Thyroid Cancer Than Radioiodine Uptake
Conclusions: At thyroid remnant ablation, FDG PET is more predictive for long-term survival, whereas radioiodine uptake is more important for short-term response. FDG PET performed at thyroid remnant ablation might represent a useful tool for management of high-risk patients with differentiated thyroid cancer. (Source: Clinical Nuclear Medicine)
Source: Clinical Nuclear Medicine - April 15, 2015 Category: Nuclear Medicine Tags: Original Articles Source Type: research

Pediatric Thyroid Carcinoma in Patients with Graves' Disease: The Role of Ultrasound in Selecting Patients for Definitive Therapy
Conclusions: Concurrent DTC occurs in pediatric GD patients. Thyroid US is an efficient tool for selecting patients for thyroidectomy. For patients with a nodule on US before definitive therapy, FNA should be performed to appropriately select thyroidectomy versus RAI ablation.Horm Res Paediatr (Source: Hormone Research in Paediatrics)
Source: Hormone Research in Paediatrics - April 14, 2015 Category: Endocrinology Source Type: research

Transoral endoscopic thyroidectomy: A case report
Conclusion Transoral endoscopic thyroidectomy is proving to be a feasible technique with little or no complications as compared to other endoscopic thyroid surgeries. It provides surgeons with easy access to the thyroid gland and patients with aesthetically pleasing results. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - April 10, 2015 Category: Surgery Source Type: research

Anatomical study of surgical approaches for minimally invasive transoral thyroidectomy: eMIT and TOPP
Minimally Invasive Therapy & Allied Technologies, Ahead of Print. (Source: Minimally Invasive Therapy and Allied Technologies)
Source: Minimally Invasive Therapy and Allied Technologies - April 9, 2015 Category: Surgery Tags: article Source Type: research

Total thyroidectomy as a method of choice in the treatment of Graves’ disease - analysis of 1432 patients
Conclusions: Frequency of complications were not significantly statistically different in relation to the type of surgical procedure. Total thyroidectomy represents a safe and efficient method for treating patients with Graves’ disease, and it is not followed by a greater frequency of complications in relation to less extensive procedures. (Source: BMC Surgery)
Source: BMC Surgery - April 9, 2015 Category: Surgery Authors: Toplica BojicIvan PaunovicAleksandar DiklicVladan ZivaljevicGoran ZoricNevena KalezicVerica SabljakNikola SlijepcevicKatarina TausanovicNebojsa DjordjevicDragana BudjevacLidija DjordjevicAleksandar Karanikolic Source Type: research

Gray matter predominant Longitudinally Extensive Transverse Myelitis: a rare association with metastatic Papillary Thyroid Carcinoma. (P5.123)
This is a case report of a 29 year old female with a history of granulomatosis with polyangitis, focal segmental glomerulosclerosis s/p living related donor kidney transplant in 2000 presented with bronchitis, low grade fevers and productive cough which progressed to neck stiffness prior to admission. Lumbar puncture showed WBC of 73 (13[percnt] lymph, 29[percnt] mono), RBC 17, protein 52, glucose 54. She was initially started on acyclovir and ceftriaxone. Two days later, patient noticed right hand weakness, right facial droop and additionally LUE weakness. Over the course of the night, patient started to develop upper and...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dalal, P., Hafeez, S., Zakaria, A. Tags: Ischemia, Myelitis, and Vascular Malformations Source Type: research

Stepwise tapering of remifentanil at the end of surgery decreased postoperative pain and the need of rescue analgesics after thyroidectomy
Conclusions: Tapering of remifentanil at the end of surgery decreased postoperative pain scores immediately after thyroidectomy with desflurane and high-dose remifentanil anesthesia.Trial registrationClinical Research information Service (CRiS, registration number KCT0000589). (Source: BMC Anesthesiology)
Source: BMC Anesthesiology - April 8, 2015 Category: Anesthesiology Authors: Sun HanSang DoTae KimWon ChoiJi YunJung Ryu Source Type: research

Predictors of thyroid gland involvement in hypopharyngeal squamous cell carcinoma.
CONCLUSION: Ipsilateral thyroidectomy in combination with total laryngopharyngectomy is indicated when invasion of the thyroid cartilage is suspected in patients with hypopharyngeal cancer. PMID: 25837190 [PubMed - in process] (Source: Yonsei Medical Journal)
Source: Yonsei Medical Journal - April 5, 2015 Category: Universities & Medical Training Authors: Chang JW, Koh YW, Chung WY, Hong SW, Choi EC Tags: Yonsei Med J Source Type: research

A Risk Model to Determine Surgical Treatment in Patients with Thyroid Nodules with Indeterminate Cytology
Conclusions A multivariable model based on calcification, nodule size, nuclear atypia, and tobacco use may predict the risk of thyroid cancer requiring a total thyroidectomy in patients with thyroid nodules of indeterminate cytology. (Source: Annals of Surgical Oncology)
Source: Annals of Surgical Oncology - April 2, 2015 Category: Cancer & Oncology Source Type: research

Thyroglobulin Antibody Resolution after Total Thyroidectomy for Cancer
Thyroglobulin antibodies (TgAb) are produced by 10-25% of thyroid cancer patients and interfere with thyroglobulin (Tg) measurement, a marker of residual or recurrent cancer after surgery. Our purpose was to describe the TgAb resolution time-course and the significance of persistent antibody elevation after thyroidectomy. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - April 2, 2015 Category: Surgery Authors: Jimmy Xu, Ryan Bergren, David Schneider, Herbert Chen, Rebecca S. Sippel Source Type: research

Unusual 131Iodine Uptake in a Joint Demonstrated by SPECT/CT in a Patient With Differentiated Thyroid Cancer
Abstract: An 84-year-old woman was referred for radioiodine ablation 2 months after total thyroidectomy for papillary thyroid cancer. Whole-body scan showed an 131Iodine focus in the left hand. 131Iodine uptake persisted after skin decontamination. SPECT/CT revealed focal uptake in the metacarpophalangeal joint of the thumb. Hybrid CT scan and medical history with clinical examination suggested osteoarthritis of the first metacarpophalangeal joint. (Source: Clinical Nuclear Medicine)
Source: Clinical Nuclear Medicine - April 1, 2015 Category: Nuclear Medicine Tags: Interesting Images Source Type: research

New Endoscopic Thyroidectomy With the Transareola Single-site Approach: A Comparison With the Bilateral Areolar Approach
Purpose: We developed the transareola single-site approach (TASSA) for less invasive endoscopic thyroidectomy to avoid scars on exposed areas. Here, we report our experience with the TASSA technique in treatment of benign thyroid tumors and evaluate its feasibility through comparison with the bilateral areolar approach (BAA). Methods: From September 2009 to December 2011, 129 patients with benign thyroid tumors were enrolled in the study. Of these patients, 51 patients underwent endoscopic thyroidectomy by TASSA and 78 patients by BAA. The TASSA technique was performed using one 10 mm trocar and one 5 mm trocar through cir...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - April 1, 2015 Category: Surgery Tags: Original Articles Source Type: research

Takotsubo cardiomyopathy associated with hyperthyroidism treated with thyroidectomy.
We report a case that highlights takotsubo syndrome in the setting of thyrotoxicosis that required thyroidectomy. The association of takotsubo syndrome and hyperthyroidism has been reported before. We found 13 previously reported cases of thyrotoxicosis-induced cardiomyopathy, most associated with Grave's disease and none treated with thyroidectomy. Awareness of this possible association is important in establishing the diagnosis and instituting proper management. PMID: 25829652 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2015 Category: Universities & Medical Training Authors: Omar S, Ali E, Mazek H, Mahmoud T, Soontrapa S, Suarez J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Should surgical outcomes be published?
Abstract Despite publishing surgical outcomes being a positive step forwards in the progression of England's healthcare system, it has no doubt been faced with criticism and reservations. This review article aims to discuss the pros and cons of publishing individual surgical outcomes, as well as the challenges faced. Publishing outcomes requires data from a number of sources such as national clinical audits, hospital episode statistics, patient-reported outcomes, registers and information from revalidation. As yet, eight surgical specialties have begun publishing their data, including cardiac (coronary artery bypas...
Source: J R Soc Med AND (has... - April 1, 2015 Category: Journals (General) Authors: Chou E, Abboudi H, Shamim Khan M, Dasgupta P, Ahmed K Tags: J R Soc Med Source Type: research

Carbon nanoparticles‐guided central lymph node dissection in clinically node‐negative patients with papillary thyroid carcinoma
Conclusions: CNs can be applied to more accurately guide the dissection of lymph node during thyroidectomy in PTC patients. This article is protected by copyright. All rights reserved. (Source: Head and Neck)
Source: Head and Neck - March 31, 2015 Category: ENT & OMF Authors: Youzhi Zhu, Xiangjin Chen, Huihao Zhang, Ling Chen, Shujun Zhou, Kunlin Wu, Zongcai Wang, Lingjun Kong, Hezhu Zhuang Tags: Original Article Source Type: research

Characterization and Clinical Relevance of Circulating CD4(+)CD28(-)T Cells in Graves' disease.
Abstract During autoimmune disease the fraction of CD4(+)CD28(-) T cells in the peripheral blood of has been found to be elevated. In the present study, peripheral blood was collected from 61 patients with Graves' disease (GD) and 30 healthy control participants. Serum concentrations of thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), free thyroxine (FT4) and thyrotropin receptor autoantibody (TRAb) were measured and peripheral blood mononuclear cell (PBMC) surface expression of CD4 and CD28 molecules was detected by flow cytometry. CD4(+)CD28(-) cells were sorted from 6 patients undergoing subtotal ...
Source: Immunology Letters - March 31, 2015 Category: Allergy & Immunology Authors: Wang F, Chen L, Shen Q, Liu T, Jiang L, Gu X, Chen L, Sun J, Liu C Tags: Immunol Lett Source Type: research

Variation in Cost of Total Thyroidectomy Across the United States, 2007-2008
Conclusions More than a quarter of the variation in cost of TT was not explained by patient-, hospital- or state-level factors. Further research is needed to understand the unexplained residual variation. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - March 29, 2015 Category: Surgery Source Type: research

Thyroid Cancer in Patients with Toxic Nodular Goiter, Is the Incidence Increasing?
Conclusions No significant increase in the rate of carcinoma was observed in patients with TNG. As a result, the risk benefit analysis should not change when considering therapeutic options for TNG. Teaser The purpose of this study was to determine if there has been an increase in the incidence of thyroid cancer in patients operated on for TNG. Patients who underwent thyroidectomy for TNG were identified from a prospectively-maintained thyroid database and rates of malignancy were compared during the intervals from 1990-1999, 2000-2009 and 2010-2014. Overall, seven (4.7%) of 148 patients were found to have thyroid cancer, ...
Source: The American Journal of Surgery - March 29, 2015 Category: Surgery Source Type: research

Using diffusion-weighted MRI to predict aggressive histological features in papillary thyroid carcinoma: a novel tool for pre-operative risk stratification in thyroid cancer.
CONCLUSION: ADC value derived from DW-MRI before surgery has the potential to stratify ETE in patients with PTCs. PMID: 25809949 [PubMed - as supplied by publisher] (Source: Thyroid : official journal of the American Thyroid Association)
Source: Thyroid : official journal of the American Thyroid Association - March 28, 2015 Category: Endocrinology Tags: Thyroid Source Type: research

Effects of Salivary Secretion Stimulation on the Treatment of Chronic Radioacive iodine-induced Sialadenitis.
CONCLUSION: The study shows that salivary stimulation therapy may reduce the subjective symptoms of RAI-induced chronic sialadenitis but does not significantly induce functional restoration. PMID: 25809840 [PubMed - as supplied by publisher] (Source: Thyroid : official journal of the American Thyroid Association)
Source: Thyroid : official journal of the American Thyroid Association - March 28, 2015 Category: Endocrinology Tags: Thyroid Source Type: research

Support Needs and Survivorship Concerns of Thyroid Cancer Patients.
CONCLUSION: TC patients place high importance on most types of information and concerns. However, many needs are unmet, which varies based on demographic and treatment factors as well as the importance placed on each of the categories of information and support. PMID: 25809716 [PubMed - as supplied by publisher] (Source: Thyroid : official journal of the American Thyroid Association)
Source: Thyroid : official journal of the American Thyroid Association - March 28, 2015 Category: Endocrinology Tags: Thyroid Source Type: research

[Case Report] A pregnant woman with acute cardiorespiratory failure: dengue myocarditis
In April, 2014, a 29-year-old Vietnamese woman, 31 weeks into her fourth pregnancy, presented to a clinic in Ho Chi Minh City with a 2 day history of fever, dry cough, chest pain, and shortness of breath. She had a history of partial thyroidectomy for hyperthyroidism in 2012, and had had three miscarriages. She took 150 μg thyroxine daily and was a non-smoker. (Source: LANCET)
Source: LANCET - March 27, 2015 Category: Journals (General) Authors: Thuy Duong Bich, Oanh Kieu Nguyet Pham, Duong Ha Thi Hai, Nguyet Minh Nguyen, Hao Nguyen Van, Trung Dinh The, Bridget Wills, Sophie Yacoub Tags: Case Report Source Type: research

Variation in Cost of Total Thyroidectomy Across the United States, 2007-2008
Variation in cost of surgical care across state lines is poorly understood. We sought to examine state-level variation in wage-adjusted total cost (WATC) of a common surgical procedure. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 27, 2015 Category: Surgery Authors: Caroline E. Reinke, Elizabeth M. Sonnenberg, Giorgos C. Karakousis, Douglas L. Fraker, Rachel R. Kelz Source Type: research

Thyroglobulin in differentiated thyroid cancer
Publication date: 15 April 2015 Source:Clinica Chimica Acta, Volume 444 Author(s): Carol Evans , Sarah Tennant , Petros Perros Identification of differentiated thyroid cancer (DTC) is becoming increasingly common. Patients usually have an excellent prognosis. Most undergo total thyroidectomy, radioiodine ablation and treatment with suppressive doses of levothyroxine. Patients require long term follow-up which includes measurement of serum thyroglobulin (Tg). Interpretation of serum Tg requires knowledge of the concurrent thyroid stimulating hormone (TSH) concentration, as secretion is TSH dependant, and an awareness of t...
Source: Clinica Chimica Acta - March 26, 2015 Category: Laboratory Medicine Source Type: research

Unusual Metastasis of Papillary Thyroid Carcinoma: Lumbar Vertebrae
A 52-years-old woman presented to the neurosurgery clinic with lumbago and prior history of a thyroidectomy for papillary thyroid carcinoma. Magnetic resonance imaging (MRI) revealed an expansive mass in the L5 vertebra that expanded vertebral body contour and narrowed spinal canal posteriorly (figure 1,2). The mass was hyperintens on T2weighted (T2W) and T1 weighted (T1W) images (figure 1,2) and homogenous with contrast enhancement (figure 1,2). There was also a right iliac mass with similar characteristics (figure 2). (Source: The Spine Journal)
Source: The Spine Journal - March 26, 2015 Category: Orthopaedics Authors: Leyla Karaca, Recep Sade, Ihsan Yuce, Hayri Ogul, Mecit Kantarci Tags: Images of Spine Care Source Type: research

Thyroid Cancer in Patients with Toxic Nodular Goiter, Is the Incidence Increasing?
The purpose of this study was to determine if there has been an increase in the incidence of thyroid cancer in patients operated on for TNG. Patients who underwent thyroidectomy for TNG were identified from a prospectively-maintained thyroid database and rates of malignancy were compared during the intervals from 1990-1999, 2000-2009 and 2010-2014. Overall, seven (4.7%) of 148 patients were found to have thyroid cancer, one (3.2%) of 31 from 1990-1999, three (4.2%) of 72 from 2000-2009, and three (6.7%) of 45 from 2010-2014. As there was no significant increase in the rate of incidental carcinoma in TNG between the three t...
Source: American Journal of Surgery - March 26, 2015 Category: Surgery Authors: Kevin C. Choong, Christopher R. McHenry Source Type: research

Expression of ECM1 and MMP-2 in follicular thyroid lesions among egptians.
CONCLUSIONS: MMP-2 protein and ECM1 gene are useful preoperative markers for defining malignancy in suspicious thyroid nodules. PMID: 25812648 [PubMed - as supplied by publisher] (Source: Cancer Biomarkers : Section A of Disease Markers)
Source: Cancer Biomarkers : Section A of Disease Markers - March 26, 2015 Category: Cancer & Oncology Authors: Abdel Salam R, El-Badry N, Rizk A, El-Sedfy A, Kamel N, El-Abd E Tags: Cancer Biomark Source Type: research

Characteristics of thyroid nodules causing globus symptoms
In conclusion, thyroid nodules with specific size and location can cause globus symptoms, and this finding can be indicated in patient counseling. Also, conservative treatments or thyroidectomy may be helpful in relieving patients’ globus symptoms. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 25, 2015 Category: ENT & OMF Source Type: research

Pediatric papillary thyroid cancer >1 cm: is total thyroidectomy necessary?
This study examined the association between operation type and overall survival (OS) for tumors >1cm in size in the pediatric population. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 25, 2015 Category: Surgery Authors: Tate Nice, Sebastian Pasara, Melanie Goldfarb, John Doski, Adam Goldin, Kenneth W. Gow, Jed G. Nuchtern, Sanjeev A. Vasudevan, Monica Langer, Elizabeth A. Beierle Source Type: research

Follicular thyroid carcinoma with skull metastases.
We present the cases of a 70-year-old female and a 74-year-old female who presented with painless, large slow-growing masses of the skull. The patients underwent surgical excision of the skull masses, which were histologically diagnosed as metastatic follicular thyroid cancer, and total thyroidectomy, which confirmed the diagnosis of follicular thyroid carcinoma. They were treated with radioiodine and suppressive levothyroxine, which achieved local control of the disease. Management of metastatic thyroid cancer, requires a multidisciplinary approach and multimodality treatment. Distant metastases should be surgically remov...
Source: Endocrine Journal - March 24, 2015 Category: Endocrinology Tags: Endocr J Source Type: research

The Impact of Thyroidectomy on Vocal Quality Characteristics
With no laryngeal nerve injury, do vocal characteristics change after thyroidectomy? Background: Vocal dysfunction is a feared complication of thyroidectomy. While operative injury to the recurrent laryngeal nerve is a primary cause of voice alterations, changes have also been noted in the absence of this injury. Study design: Prospective study of patients one week prior […] (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - March 24, 2015 Category: ENT & OMF Authors: Sue Pondrom Tags: Laryngology Literature Reviews Practice Focus laryngeal nerve injury thyroidectomy vocal Source Type: research

Minimally invasive video-assisted thyroidectomy: Ascending the learning curve
Conclusions: Advances in skills and technology allow surgeons to easily reproduce the standard open total thyroidectomy with video-assistance. Although the learning curve represents a time-consuming step, training remains a crucial point in gaining a reasonable confidence with video-assisted surgical technique. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - March 24, 2015 Category: Surgery Authors: Michela Giulii CapponiCarlo BellottiMarco LottiLuca Ansaloni Source Type: research