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Monitoring of Hypocalcaemia & Hyperglycemia predictive consequences of Thyroidectomy
Background: Hyperglycemia and hypocalcaemia have separately been attributed to adverse outcomes in critically ill patients. The study was aim determine whether hyperglycemia and hypocalcaemia together post-operative effect of thyroidectomy and evaluate the gender & age impact on the extend of clinical condition. Methods: All the patients underwent thyroidectomy in the duration of 1st Jan 2012 till 30th June, 2013 in HPP and HUSM Kelantan, Malaysia. Serum evaluation has been made on 4 consecutive reading with duration of 6 hours. The predictive trend has been established to identify the hypokalemic and hyperglycemic conditi...
Source: BioMed Central - April 1, 2014 Category: Journals (General) Authors: Syed Wasif GillaniDiana Laila RahmatillahYelly Oktavia SariMirza R BaigSyed Azhar Syed Sulaiman Source Type: research

Long-Term Cosmetic Outcomes After Robotic/Endoscopic Thyroidectomy by a Gasless Unilateral Axillo-breast or Axillary Approach
Journal of Laparoendoscopic & Advanced Surgical Techniques Apr 2014, Vol. 24, No. 4: 248-253. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - March 31, 2014 Category: Surgery Tags: article Source Type: research

Your Post-Thyroidectomy Diet
If you are having a thyroidectomy, you may be concerned about your diet following the procedure. As many of you know, my husband is being treated for thyroid cancer and just underwent a total thyroidectomy. While researching the internet, he found conflicting information about what he could and couldn't eat after having the surgery. One site said he would be on liquids for two weeks, while another said even liquids could be hard to swallow. It wasn't exactly the most encouraging information, to say the least....Read Full Post (Source: About.com Cancer)
Source: About.com Cancer - March 31, 2014 Category: Cancer & Oncology Source Type: news

Minimally Invasive Video-Assisted Thyroidectomy: Tips and Pearls for the Surgical Technique.
The objectives of this study were first to show principles of the minimally invasive video-assisted thyroidectomy (MIVAT), based on a video highlighting critical steps, and second to discuss tips and pearls to assist surgical teams that would like to start using this technique. METHODS: Based on a video, we described tips and pearls of a MIVAT. RESULTS: MIVAT includes 5 main steps: (1) skin incision and identification of the common carotid artery, (2) dissection and ligation of the upper pedicle, (3) identification of the inferior laryngeal nerve and parathyroid glands, (4) isthmectomy and lobe extraction, and (5) ...
Source: The Annals of Otology, Rhinology, and Laryngology - March 26, 2014 Category: ENT & OMF Authors: Kania R, Hammami H, Vérillaud B, Blancal JP, Sauvaget E, Tran H, Leclerc N, Altabaa K, Herman P, Pons Y Tags: Ann Otol Rhinol Laryngol Source Type: research

Prophylactic total thyroidectomy using the minimally invasive video‐assisted approach in children with multiple endocrine neoplasia type 2
ConclusionAlthough our outcomes are similar to those reported using the traditional approach, it is important to note that MIVAT is essentially the same operation, just performed through a smaller incision, with resulting benefits in terms of pain, cosmesis and, perhaps, morbidity. © 2013 Wiley Periodicals, Inc. Head Neck, 2013 (Source: Head and Neck)
Source: Head and Neck - March 25, 2014 Category: ENT & OMF Authors: Ronan W. Glynn, Emma C. Cashman, Jaime Doody, Eimear Phelan, John D. Russell, Conrad Timon Tags: Original Article Source Type: research

Closure of tracheoesophageal fistula with prefabricated deltopectoral flap.
Abstract Tracheoesophageal fistula (TEF) is a serious complication associated with impaired quality of life. However, a successful TEF closure is difficult owing to the high incidence of recurrence. We utilized a prefabricated deltopectoral (DP) flap for closure of a TEF that occurred after an extended total thyroidectomy. Prefabrication of the inner soft tissue lining the DP flap with a split skin graft was performed prior to surgical closure of a TEF. Esophageal and tracheal mucosa were sutured to the split thickness side and full thickness side of the prefabricated DP flap, respectively. A successful closure of ...
Source: Asian Journal of Surgery - March 24, 2014 Category: Surgery Authors: Murono S, Ishikawa E, Nakanishi Y, Endo K, Kondo S, Wakisaka N, Yoshizaki T Tags: Asian J Surg Source Type: research

Hand-foot syndrome associated with use of sorafenib in a patient with papillary thyroid cancer: a case report
Conclusion: Sorafenib as a new therapeutic option for patients with radioactive iodine (RAI)-resistant metastatic differentiated thyroid cancer, it is important that clinicians are fully aware of the potential adverse effects. All patients on Sorafenib therapy should be educated to recognize the first symptoms to obtaining the maximal benefit from this anti-neoplastic rescue therapy. (Source: BMC Endocrine Disorders)
Source: BMC Endocrine Disorders - March 19, 2014 Category: Endocrinology Authors: Carlos CarrilloEdwin SánchezDiego Abreo Source Type: research

Pemberton's Sign: Explained nearly 70 Years Later.
Conclusions: In the present case, we demonstrated that when eliciting Pemberton's sign facial plethora and venous engorgement was due to the clavicles moving and compressing venous vasculature against the enlarged thyroid and not to a "cork effect". Rather, the clavicular motion observed during arm elevation could be compared to the movement of a "nutcracker" compressing major venous structures within a narrowed thoracic inlet against a relatively fixed and enlarged thyroid. PMID: 24646105 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)
Source: The Journal of Clinical Endocrinology and Metabolism - March 19, 2014 Category: Endocrinology Authors: De Filippis EA, Sabet A, Sun MR, Garber JR Tags: J Clin Endocrinol Metab Source Type: research

Minimally invasive compared with conventional thyroidectomy for nodular goiter
(Source: Best Practice and Research. Clinical Endocrinology and Metabolism)
Source: Best Practice and Research. Clinical Endocrinology and Metabolism - March 18, 2014 Category: Endocrinology Authors: Henning Dralle, Andreas Machens, Phuong Nguyen Thanh Source Type: research

Anaesthesia for massive retrosternal thyroidectomy in a tertiary referral centre
(Source: British Journal of Anaesthesia)
Source: British Journal of Anaesthesia - March 18, 2014 Category: Anesthesiology Authors: Mackie, T. W., Skinner, A. Tags: Correspondence Source Type: research

Anaesthesia for retrosternal thyroidectomy
(Source: British Journal of Anaesthesia)
Source: British Journal of Anaesthesia - March 18, 2014 Category: Anesthesiology Authors: Dempsey, G., Snell, J., Coathup, R., Jones, T. Tags: Correspondence Source Type: research

Voice Outcomes after Total Thyroidectomy, Partial Thyroidectomy, or Non-Neck Surgery Using a Prospective Multifactorial Assessment
(Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - March 17, 2014 Category: Surgery Authors: Diego A. Vicente, Nancy P. Solomon, Itzhak Avital, Leonard R. Henry, Robin S. Howard, Leah B. Helou, George L. Coppit, Craig D. Shriver, Chester C. Buckenmaier, Steven K. Libutti, Ashok R. Shaha, Alexander Stojadinovic Source Type: research

Minimally invasive compared with conventional thyroidectomy for nodular goiter
(Source: Best Practice and Research. Clinical Endocrinology and Metabolism)
Source: Best Practice and Research. Clinical Endocrinology and Metabolism - March 14, 2014 Category: Endocrinology Authors: Henning Dralle, Andreas Machens, Phuong Nguyen Thanh Source Type: research

Experimental Autotransplantation and Cryopreservation of the Thyroid Gland
Conclusion: Thyroid autogrefts were found to be functional and thought to have a potential preventing postoperative hypothyroidism. Head Neck, 2014 (Source: Head and Neck)
Source: Head and Neck - March 14, 2014 Category: ENT & OMF Authors: İmdat Yüce, Hacı Okuducu, Sedat Çağlı, Alperen Vural, Ramazan Gündoğdu, Ümmühan Abdülrezzak, Turan Arlı, Mesut Aydın, Ercihan Güney Tags: Original Article Source Type: research

Thyroglobulin in lymph node fine-needle aspiration wash-out: a systematic review and meta-analysis of diagnostic accuracy.
Conclusions. Thyroglobulin measurement in washout from lymph-node FNA has high accuracy in early detection of nodal metastases from DTC. The technique is simple, but a better standardization of criteria for patient selection, analytical methods, and cut-off levels is required. PMID: 24617715 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)
Source: The Journal of Clinical Endocrinology and Metabolism - March 11, 2014 Category: Endocrinology Authors: Grani G, Fumarola A Tags: J Clin Endocrinol Metab Source Type: research

Acute pulmonary emboli due to internal jugular vein thrombosis in papillary thyroid carcinoma, a case report and literature review.
Abstract Upper extremity deep vein thrombosis (UEDVT) is a life threatening rare condition. Among the patients with UEDVT, internal jugular vein is accepted as uncommon thrombosis. Since internal jugular vein thrombosis (IJVT) is mostly underdiagnosed, a great attention is needed to diagnose the disease. A 75-year-old woman with history of dyspnea on exertion (DOE), weight loss and anorexia with the stable vital sign and right-sided cervical adenopathy with suspected thyroid nodule was admitted. One day after admission, sudden dyspnea was occurring with unstable vital sign and hypotension. Chest X-ray showed a bila...
Source: Biomed Res - March 10, 2014 Category: Research Authors: Ataiekhorasgani M, Jafaripozve N Tags: Adv Biomed Res Source Type: research

Desmoid tumor arising from omohyoid muscle: The first report for unusual complication after transaxillary robotic thyroidectomy
ConclusionThis case suggests that desmoid tumors could develop late after TAR thyroidectomy. Thus, careful observation of the surgical wound may be necessary after TAR thyroidectomy. © 2013 Wiley Periodicals, Inc. Head Neck, 2013 (Source: Head and Neck)
Source: Head and Neck - March 9, 2014 Category: ENT & OMF Authors: Wonjae Cha, Il Gyu Kong, Heejin Kim, J. Hun Hah, Myung‐Whun Sung Tags: Case Report Source Type: research

Follicular nodules (Thy3) of the thyroid: is total thyroidectomy the best option?
Conclusions: The rate of malignancy in cytologically indeterminate lesions was high in the present study sample compared to other reported rates, and in a significant number of cases Hashimoto's thyroiditis was also detected. Thus, considering the fact that clinical and cytological features were found to be inaccurate predictors of malignancy, it is our opinion that surgery should always be recommended. Moreover, total thyroidectomy is advisable, being the most suitable procedure in cases of multiple lesions, hyperplastic nodular goiter, or thyroiditis; the high incidence of malignancy and the unreliability of intraoperati...
Source: BMC Surgery - March 6, 2014 Category: Surgery Authors: Pietro CalòFabio MedasRosa Santa CruzFrancesco PoddaEnrico ErdasGiuseppe PisanoAngelo Nicolosi Source Type: research

Follicular nodules (Thy3) of the thyroid: is total thyroidectomy the best option?
CONCLUSIONS: The rate of malignancy in cytologically indeterminate lesions was high in the present study sample compared to other reported rates, and in a significant number of cases Hashimoto's thyroiditis was also detected. Thus, considering the fact that clinical and cytological features were found to be inaccurate predictors of malignancy, it is our opinion that surgery should always be recommended. Moreover, total thyroidectomy is advisable, being the most suitable procedure in cases of multiple lesions, hyperplastic nodular goiter, or thyroiditis; the high incidence of malignancy and the unreliability of intraoperati...
Source: Hand Surgery - March 6, 2014 Category: Surgery Authors: Calò PG, Medas F, Santa Cruz R, Podda F, Erdas E, Pisano G, Nicolosi A Tags: BMC Surg Source Type: research

Paediatric thyroid surgery is safe - experiences at a tertiary surgical centre.
CONCLUSION: This study demonstrated that paediatric thyroidectomy is safe as performed by this team of endocrine and paediatric surgeons, with acceptable morbidity even when total thyroidectomy was performed in the case of benign disease. PMID: 24573649 [PubMed - in process] (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - March 4, 2014 Category: Journals (General) Authors: Fahrner R, Ubersax L, Mettler A, Berger S, Seiler CA Tags: Swiss Med Wkly Source Type: research

Differences in the characteristics of papillary thyroid microcarcinoma ≤5 mm and >5 mm in diameter
Conclusions The clinicopathologic features of PTMCs ≤5 mm and >5mm are similar, except for sex distribution and extrathyroidal extension. The 5‐year recurrence rate in the two groups did not differ significantly. Head Neck, 2014 (Source: Head and Neck)
Source: Head and Neck - March 4, 2014 Category: ENT & OMF Authors: Eunyoung Kim, June Young Choi, Do Hoon Koo, Kyu Eun Lee, Yeo‐Kyu Youn Tags: Original Article Source Type: research

Risk Factors for Perioperative Airway Difficulty and Evaluation of Intubation Approaches Among Patients With Benign Goiter.
CONCLUSIONS: Our results suggest that benign nodular goiter disease does not pose significant challenges to intubation in our patient cohort. The technique of intubation deviated from the initial plan several times in the FOI group, whereas LTOI was ultimately successful in every case. Our data suggest that the role of fiberoptic intubation for patients with large goiters should be further refined. PMID: 24595624 [PubMed - as supplied by publisher] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - March 4, 2014 Category: ENT & OMF Authors: Loftus PA, Ow TJ, Siegel B, Tassler AB, Smith RV, Cohen HW, Schiff BA Tags: Ann Otol Rhinol Laryngol Source Type: research

Measurement of fine‐needle aspiration thyroglobulin levels increases the detection of metastatic papillary thyroid carcinoma in cystic neck lesions
CONCLUSIONSTg‐FNA is a useful ancillary test that improves the detection of cystic PTC metastases. Particularly in cytologically nondiagnostic cases, the measurement of Tg‐FNA helps to distinguish benign from malignant cystic lesions. Cancer (Cancer Cytopathol) 2014. © 2014 American Cancer Society. (Source: Cancer Cytopathology)
Source: Cancer Cytopathology - March 3, 2014 Category: Pathology Authors: Brittany J. Holmes, Lori J. Sokoll, Qing Kay Li Tags: Original Article Source Type: research

Analysis of BRAFV600E mutation and DNA methylation improves the diagnostics of thyroid fine needle aspiration biopsies
Background: Thyroid nodules with indeterminate cytological features on fine needle aspiration biopsy specimens (FNABs) have a ~20% risk of thyroid cancer. BRAFV600E mutation and DNA methylation are useful markers to distinguish malignant thyroid neoplasm from benign. The aim of this study was to determine whether combined detection of BRAFV600E mutation and methylation markers on FNABs could improve the diagnostic accuracy of thyroid cancer. Methods: Using pyrosequencing and quantitative methylation-specific PCR (Q-MSP) methods, FNABs from 79 and 38 patients with thyroid nodules in training and test groups, respectively, w...
Source: Diagnostic Pathology - March 3, 2014 Category: Pathology Authors: Bingfei ZhangShu LiuZhaoxia ZhangJing WeiYiping QuKexia WuQi YangPeng HouBingyin Shi Source Type: research

Acute prediction of laryngeal outcome during thyroid surgery by electromyographic laryngeal monitoring
Conclusions Laryngeal IONM can predict a favorable outcome of laryngeal mobility in case where the response exceeds 280 µV. Under this value, the risk of palsy is about 50% suggesting a staged surgery. Head Neck, 2014 (Source: Head and Neck)
Source: Head and Neck - March 1, 2014 Category: ENT & OMF Authors: Yoann Pavier, Nicolas Saroul, Bruno Pereira, Laurent Gilain, Igor Tauveron, Thierry Mom Tags: Original Article Source Type: research

Liquid‐based cytologic findings of solitary extramedullary plasmacytoma in thyroid: A case report identified with fine‐needle aspiration cytology
In this report, we provide the first description of liquid‐based cytomorphologic findings of SEP observed on fine‐needle aspiration biopsy (FNAB) of the thyroid. A 56‐year‐old woman with a history of Hashimoto thyroiditis presented with a growing nodule in the thyroid. The liquid‐based preparation obtained from FNAB showed numerous dispersed plasmacytoid cells with occasional loosely cohesive aggregates of tumor cells. Cells were round to oval in shape, with eccentrically located nuclei. Hyalinized perinuclear vacuoles were found in the cytoplasm of the tumor cells. Initial cytological findings, including those o...
Source: Diagnostic Cytopathology - March 1, 2014 Category: Pathology Authors: Chung Hun Lee, Yoon Yang Jung, Yul Ri Chung, Han Suk Ryu Tags: Brief Report Source Type: research

Transoral endoscopic thyroidectomy with central neck dissection: experimental studies on human cadavers.
CONCLUSION: The transoral procedure is progressive and innovative which not only gives the best cosmetic result and minimal access trauma but also provides a craniocaudal view. PMID: 24622436 [PubMed - in process] (Source: Chinese Medical Journal)
Source: Chinese Medical Journal - March 1, 2014 Category: Journals (General) Authors: Guo P, Tang Z, Ding Z, Chu G, Yao H, Pan T, Wang H Tags: Chin Med J (Engl) Source Type: research

Diagnosis and management of pyriform sinus fistula: Experience in 48 cases
Conclusion: PSF should be considered in any children with repeated neck or thyroid infection/mass. The combination of barium esophagography, CT scan and ultrasound is useful to establish the diagnosis. Intraoperative endoscopy-assisted intubation or methylene blue injection through the internal opening as a guide can facilitate identification of the tract during dissection. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - March 1, 2014 Category: Surgery Authors: Qingfeng Sheng, Zhibao Lv, Xianmin Xiao, Shan Zheng, Yimin Huang, Xiong Huang, Hui Li, Yibo Wu, Kuiran Dong, Jiangbin Liu Tags: Original Articles Source Type: research

Posttransplant malignancies in liver transplant recipients.
CONCLUSIONS: Transplant recipients generally have advanced stage cancers at the time of diagnosis with a poor prognosis. Because some neoplasms are common, early detection of cancer is important to decrease cancer-related mortality and morbidity. PMID: 24635818 [PubMed - in process] (Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation)
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - March 1, 2014 Category: Transplant Surgery Authors: Akdur A, Kırnap M, Yıldırım S, Altundağ O, Moray G, Haberal M Tags: Exp Clin Transplant Source Type: research

Isolated metastatic papillary thyroid carcinoma masquerading as parapharyngeal space paraganglioma.
Abstract Isolated metastatic deposits of papillary thyroid carcinoma to the parapharyngeal space are rare. Herein, we describe the case of a young woman who presented with a right-sided oropharyngeal mass that was initially diagnosed as a parapharyngeal space paraganglioma. The patient opted for conservative treatment as she was asymptomatic and wished to avoid the risk of neurovascular morbidity associated with surgery. After 20 years, the patient sought treatment again for the oropharyngeal mass, which had progressively increased in size and was causing difficulty in swallowing. Repeat imaging of the affected are...
Source: Singapore Medical Journal - March 1, 2014 Category: Journals (General) Authors: Sharma SC, Sagar P, Kumar R, Durgapal P Tags: Singapore Med J Source Type: research

Masquerading Gastrointestinal Polyps: Air on the Side of Caution?
Question: A 50-year-old woman presented with an episode of melena on a background of longstanding upper gastrointestinal (GI) symptoms (dyspepsia). Her past medical history included a benign cerebellar tumor removed 24 years ago with ventriculoperitoneal shunt placed in 2001 for hydrocephalus, moderate asthma well-controlled with inhalers, thyroidectomy for toxic multinodular goiter, and hypertension. Physical examination was unremarkable apart from the thyroidectomy scar. Routine laboratory tests revealed no abnormalities. (Source: Gastroenterology)
Source: Gastroenterology - February 26, 2014 Category: Gastroenterology Authors: Hannah Cottom, Alexander C. Ford, Olorunda Rotimi Tags: Electronic Clinical Challenges and Images in GI Source Type: research

Coccidiomycosis Thyroiditis in an Immunocompromised Host Post-Transplant: Case Report and Literature Review.
Conclusion: A case of coccidiomycosis thyroiditis occurring in a post-liver transplant immunocompromised host is reported. Analysis of donor serum revealed the liver allograft as the likely infectious source, resulting in hematologic spread to the thyroid. Although our patient's thyroid gland was lacking gross structural abnormalities at presentation, new-onset thyroid masses developed after relative immune restoration and initiation of antifungal therapies. The differential diagnosis of new-onset thyroid masses in immunocompromised hosts is discussed with a focus on immune reconstitution inflammatory syndrome (IRIS). The ...
Source: The Journal of Clinical Endocrinology and Metabolism - February 25, 2014 Category: Endocrinology Authors: McAninch EA, Xu C, Lagari VS, Kim BW Tags: J Clin Endocrinol Metab Source Type: research

Pancreatic metastasis of papillary thyroid carcinoma: a case report with review of the literature.
Abstract In this article we give a case report on a PTC patient with pancreatic metastasis. In this case, the patient was admitted to our hospital for recurrence of PTC and occupying pancreatic lesions. We considered that the pancreatic neoplasm may be pancreatic metastasis of PTC but there is no previous experience about therapeutic approaches to this type of metastases. After some discussion the distant metastasis within the pancreas was successfully removed by a laparotomy and postoperative histology confirmed the diagnosis. After that surgery, the patient recovered well and then received total thyroidectomy and...
Source: International Journal of Clinical and Experimental Pathology - February 23, 2014 Category: Pathology Authors: Li XO, Li ZP, Wang P, Li CL, Wu JH, Zhang JZ, Cui Y Tags: Int J Clin Exp Pathol Source Type: research

Usefulness of PTH measurements in FNAB washouts in the identification of pathological parathyroids - analysis of the factors that influence the effectiveness of this method.
CONCLUSIONS: In patients with thyroid abnormalities, PTH-FNAB measurements show advantages over routine biopsy and SPECT-CT in the identification of typically located pathological parathyroids. (Endokrynol Pol 2014; 65 (1): 25-32). PMID: 24549599 [PubMed - in process] (Source: Endokrynologia Polska)
Source: Endokrynologia Polska - February 22, 2014 Category: Endocrinology Authors: Popowicz B, Klencki M, Sporny S, Jankiewicz-Wika J, Komorowski J, Pisarek H, Słowińska-Klencka D Tags: Endokrynol Pol Source Type: research

No evidence of association between human cytomegalovirus infection and papillary thyroid cancer
Conclusions: Our results suggest no association between CMV infection and papillary thyroid cancer. (Source: World Journal of Surgical Oncology)
Source: World Journal of Surgical Oncology - February 21, 2014 Category: Cancer & Oncology Authors: Tung-Sun HuangJie-Jen LeeShih-Ping Cheng Source Type: research

Refining calcium test for the diagnosis of medullary thyroid cancer: cut-offs, procedures and safety.
Conclusions: Gender-specific basal and Ca stimulated CT cut-offs for the identification of C cells hyperplasia and/or MTC have been defined. The bCT and sCT were found to have a similar accuracy, indicating that serum CT assays with improved functional sensitivity may likely decrease the relevance of the stimulation test in several conditions. Finally, systematic cardiac monitoring confirms the safety of Ca test. PMID: 24552221 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)
Source: The Journal of Clinical Endocrinology and Metabolism - February 19, 2014 Category: Endocrinology Authors: Mian C, Perrino M, Colombo C, Cavedon E, Pennelli G, Ferrero S, De Leo S, Sarais C, Cacciatore C, Irene Manfredi G, Verga U, Iacobone M, De Pasquale L, Pelizzo MR, Vicentini L, Persani L, Fugazzola L Tags: J Clin Endocrinol Metab Source Type: research

Smoldering medullary thyroid carcinoma liver metastasis 37 years after resection of an organ‐confined tumor
We report a case of a 65‐year‐old woman who presented with a large liver metastasis 37 years after she underwent thyroidectomy for organ‐confined MTC. Her clinical course over that time showed a smoldering pattern in which she was symptom free until presentation even though her serum calcitonin and CEA concentrations were elevated for 17 years, and a small equivocal radiographic lesion in the liver was detected 10 years prior to presentation. Cytopathology from an ultrasound guided fine needle aspiration of the hepatic lesion was diagnostic for metastatic MTC. This case highlights the ability for smoldering residual ...
Source: Diagnostic Cytopathology - February 18, 2014 Category: Pathology Authors: Kevin M. Waters, Syed Z. Ali, Yener S. Erozan, Matthew T. Olson Tags: Brief Report Source Type: research

Impact of thyroidectomy on the control of obstructive sleep apnea syndrome in patients with large goiters.
CONCLUSION: Despite the high prevalence of OSAS in patients with large goiters and the improvement of OSAS symptoms, thyroidectomy showed no significant impact on the polysomnographic parameters. PMID: 24535631 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - February 18, 2014 Category: Sleep Medicine Authors: Haddad L, Martinho Haddad FL, Bittencourt L, Gregório LC, Tufik S, Abrahão M Tags: Sleep Breath Source Type: research

Profile of patients with thyroid cancer undergoing radioiodine therapy
In conclusion, although most patients have a low education level and financially underappreciated professions, more than half of them noticed changes in their thyroid.Estudio descriptivo, con enfoque cuantitativo, que tuvo como objetivo describir el perfil de los 650 pacientes con cáncer de tiroides e tiroidectomía, sometidos a tratamiento con radioisótopos en un Servicio Público de Florianópolis, que pasó por la consulta de enfermería en el periodo de 2004 a 2009. Para alcanzar los objetivos, las variables se estudiaron los siguientes: sexo, edad, profesión, estado civil, origen y detectar cambios en la tiroides. ...
Source: Texto e Contexto - Enfermagem - February 13, 2014 Category: Global & Universal Source Type: research

[Difficult intubation: Should follow the recommendations.]
We report the case of a patient of 43 years, followed for a goiter, which was scheduled for a total thyroidectomy under general anesthesia. Preoperative evaluation is not noted signs of compression or tracheal deviation, and there were no criteria predictive of intubation or difficult mask ventilation. The induction of anesthesia was standard. Mask ventilation was effective allowing paralysis. The standard laryngoscopy showed a score of Cormack and Lehane grade IV. Several attempts at intubation were made leading to a situation of intubation and ventilation impossible mask with deep desaturation. A tracheostomy was done u...
Source: Annales Francaises d'Anesthesie et de Reanimation - February 12, 2014 Category: Anesthesiology Authors: Bensghir M, Bouhabba N, Fjouji S, Haimeur C, Azendour H Tags: Ann Fr Anesth Reanim Source Type: research

The rising trend of papillary carcinoma in thyroidectomies: 14-years of experience in a referral center of Turkey
Background: During the past 25 years, the incidence of thyroid papillary carcinoma (TPC), especially the micropapillary subtype, has been increasing in different countries worldwide. The rise in the rate of thyroid malignancies were also determined in Turkey in the last two decades. This fact was attributed to the Chernobyl accident because Turkey is one of the affected countries by the radioactive fallout. The aim of this study was to assess the changes in the parameters of the thyroid and put forth the reasons in a 14-year period. Methods: The patient records, demographic and malignancy characteristics, and operations of...
Source: World Journal of Surgical Oncology - February 10, 2014 Category: Cancer & Oncology Authors: Selim YildizHuseyin BerkemBulent YukselHakan OzelMurat KendirciSuleyman Hengirmen Source Type: research

[Interest of cervical epidural anesthesia in perioperative management of thyroidectomy with the high-risk anesthetic patient.]
We report the case of a patient of 49years old with hypertension, diabetes mellitus, epilepsy, left hemiparesis sequelae of stroke and congestive left ventricular failure. The patient underwent total thyroidectomy under cervical epidural anesthesia. No difficulty breathing or decompensation of chronic underlying diseases were noted in the postoperative. PMID: 24525284 [PubMed - as supplied by publisher] (Source: Annales Francaises d'Anesthesie et de Reanimation)
Source: Annales Francaises d'Anesthesie et de Reanimation - February 10, 2014 Category: Anesthesiology Authors: Mahoungou Guimbi KC, Itiere Odzili FA, Soussa GR Tags: Ann Fr Anesth Reanim Source Type: research

Continuous vagal IONM prevents recurrent laryngeal nerve paralysis by revealing initial EMG changes of impending neuropraxic injury: A prospective, multicenter study
ConclusionsContinuous vagal monitoring is safe and provides real‐time RLN evaluation during surgical maneuvers. Combined events and LOS, both easily identifiable intraoperatively, are related to the development of VCP. A combined event represents a largely reversible electrophysiologic change when the associated surgical maneuver is aborted. If allowed to continue, it can advance to LOS (which typically is significantly less reversible) and to postoperative VCP. Continuous vagal monitoring has utility in identifying real‐time adverse concordant amplitude and latency changes (combined events), which can prompt modificat...
Source: The Laryngoscope - February 6, 2014 Category: ENT & OMF Authors: Eimear Phelan, Rick Schneider, Kerstin Lorenz, Henning Dralle, Dipti Kamani, Andre Potenza, Niranjan Sritharan, Jenifer Shin, Gregory W. Randolph Tags: Thyroid/Parathyroid Source Type: research

Acute onset of a vesiculopustular rash in an ICU patient.
Abstract A 63 year-old woman with hyperthyroidism was admitted to the Medical Intensive Care Unit for ARDS following damage to her lungs from propylthiouracil. She was placed on 250 mg SSKI PO TID as an alternative therapy until thyroidectomy could be performed. Four days after admission, she abruptly developed an acneiform rash on her face, shown to be iododerma. The eruption rapidly resolved after discontinuation of the SSKI. PMID: 24456952 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - February 3, 2014 Category: Dermatology Authors: Frankel AJ, Ahmad M, Perl M, Yao J, Pereira F Tags: Dermatol Online J Source Type: research

Recombinant human thyrotropin-aided versus thyroid hormone withdrawal-aided radioiodine treatment for differentiated thyroid cancer after total thyroidectomy: A meta-analysis
Abstract: Background and purpose: We conducted a meta-analysis of randomized controlled trials (RCTs) to compare the effects of recombinant human thyrotropin (rhTSH) and thyroid hormone withdrawal (THW) on thyrotropin stimulation prior to remnant ablation of differentiated thyroid cancer (DTC).Material and methods: A comprehensive search was conducted for articles discussing rhTSH and THW prior to December 2012. After applying the inclusion criteria, all the available data were summarized to analyze the efficacy of rhTSH and THW for stimulating TSH.Results: Seven RCTs that involved a total of 1535 patients, were included i...
Source: Radiotherapy and Oncology - January 31, 2014 Category: Radiology Authors: Jian Tu, Siwen Wang, Zijun Huo, Ying Lin, Xiaoxi Li, Shenming Wang Tags: Review Articles Source Type: research

Ambulatory thyroid surgery: Do the risks overcome the benefits?
Abstract With appropriate selection, ambulatory thyroid surgery is feasible. Thyroid surgery is unique amongst ambulatory procedures in that it is associated with a small but unpredictable risk of rapid onset compromising cervical haematoma that may require immediate treatment. Reports of "safety" are frequently from series which are too small to give complete assurance. Postoperative haemorrhage is the only issue that makes day case surgery questionable because other risks (hypocalcaemia, nerve injury) can be mitigated. Studies suggest 20-60% bleed will occur after 6hours but the clinical severity of later bleeds ...
Source: Presse Medicale - January 30, 2014 Category: Journals (General) Authors: Doran HE, Palazzo F Tags: Presse Med Source Type: research

Recombinant human thyrotropin-aided versus thyroid hormone withdrawal-aided radioiodine treatment for differentiated thyroid cancer after total thyroidectomy: A meta-analysis.
CONCLUSIONS: Our findings indicate that the administration of rhTSH had resulted in an ablation rate similar to that of THW for DTC patients, but rhTSH provided a better QoL at the time of ablation. PMID: 24485353 [PubMed - as supplied by publisher] (Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology)
Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology - January 28, 2014 Category: Radiology Authors: Tu J, Wang S, Huo Z, Lin Y, Li X, Wang S Tags: Radiother Oncol Source Type: research

Pre-operative role of BRAF in the guidance of the surgical approach and prognosis of differentiated thyroid carcinoma.
Conclusions:Pre-operative identification of BRAF mutation in improved cytological diagnosis of DTC but it was not associated to poor prognostic factors. Prophylactic CND did not guarantee better outcome in BRAF+ patients. PMID: 24468978 [PubMed - as supplied by publisher] (Source: European Journal of Endocrinology)
Source: European Journal of Endocrinology - January 27, 2014 Category: Endocrinology Authors: Danilovic DL, Lima EU, Domingues RB, Brandão LG, Hoff AO, Marui S Tags: Eur J Endocrinol Source Type: research

Thoracoscopic management of cervical thoracic duct injuries after thyroidectomy with lymphadenectomy
We present a case of postoperative cervical chylous fistula after neck dissection of advanced thyroid carcinoma that was managed successfully by thoracoscopic ligation of the thoracic duct. A double lumen endobronchial tube was introduced for selective single‐lung ventilation with the patient under general anesthesia. The patient was placed in the left decubitus position. Four thoracoports were introduced in the collapsed right lung. The thoracic duct was ligated at two points, and two clips were applied. Postoperatively, neck drainage ceased immediately. The chest tube and closed neck drains were removed on postoperativ...
Source: Asian Journal of Endoscopic Surgery - January 23, 2014 Category: Surgery Authors: Yoshifumi Ikeda Tags: Case Report Source Type: research

Sonographic Detection of Thyroid Pyramidal Lobes Before Thyroid Surgery: A Prospective Single-Center Study
Conclusions— Our study indicates that thyroid sonography may be helpful for identifying the presence and location of thyroid pyramidal lobes. (Source: Journal of Ultrasound in Medicine)
Source: Journal of Ultrasound in Medicine - January 21, 2014 Category: Radiology Authors: Kim, D. W., Ha, T. K., Park, H. K., Kang, T. Tags: Original Research Source Type: research