14,324 results match your criteria Complications of Thyroid Surgery


Core-needle biopsy in thyroid nodules: performance, accuracy, and complications.

Eur Radiol 2019 Feb 19. Epub 2019 Feb 19.

University of the Basque Country (UPV/EHU), Leioa, Spain.

Objective: To evaluate the performance of core-needle biopsy (CNB) in thyroid using a cohort of patients in which it was used as first choice.

Methods: Our institutional review board approved this retrospective study. We reviewed all CNB performed in our center over a period of 11 years. Read More

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http://dx.doi.org/10.1007/s00330-019-06038-6DOI Listing
February 2019

Surgical treatment of rectal cancer with a Retzius shunt: a case report.

Surg Case Rep 2019 Feb 18;5(1):25. Epub 2019 Feb 18.

Department of Surgery, Osaka Rosai Hospital, 1179-3 Nagasonecho, Kita-ku, Sakai, 591-8025, Japan.

Background: A case of a short circuit (Retzius shunt) from the inferior mesenteric vein (IMV) to the inferior vena cava (IVC) without accompanying portal hypertension due to liver cirrhosis is rare.

Case Presentation: An 83-year-old woman who was followed after surgery for thyroid and breast cancer was incidentally found to have rectal cancer on computed tomography (CT). Preoperative three-dimensional CT showed a venous malformation forming a short circuit (Retzius shunt) from the IMV to the IVC. Read More

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http://dx.doi.org/10.1186/s40792-019-0583-zDOI Listing
February 2019

Role of preoperative investigations in elderly patients undergoing oncosurgical procedures - A retrospective review audit.

J Anaesthesiol Clin Pharmacol 2018 Oct-Dec;34(4):535-539

Department of Epidemiology and Biostatistics, Regional Cancer Centre, Thiruvananthapuram, Kerala, India.

Background And Aims: The aim of the study was to evaluate the efficacy and usefulness of the current practice of various investigations and consultations being done during preanesthetic evaluation in patients undergoing oncosurgical procedures in our hospital. We also evaluated the delay caused due to these and its value in predicting postoperative complications.

Material And Methods: The preanesthetic charts of 300 elderly patients >65 years of age were reviewed, and the incidence of abnormal investigations and number of consultations advised were noted. Read More

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http://dx.doi.org/10.4103/joacp.JOACP_147_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360897PMC
February 2019

Three-stage laparoscopic surgery in a morbidly obese patient with Hinchey III diverticulitis: a case report.

Surg Case Rep 2019 Feb 15;5(1):24. Epub 2019 Feb 15.

Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan.

Background: Perforated diverticulitis with purulent peritonitis (Hinchey III diverticulitis) has traditionally been treated with a Hartmann's procedure in order to avoid the considerable postoperative morbidity and mortality associated with one-stage resection and primary anastomosis. Although there have been reports regarding laparoscopic lavage as the initial treatment of perforated Hinchey III diverticulitis, a formal treatment strategy has not been established yet. We performed a three-stage surgery, including laparoscopic lavage and drainage with diverting ileostomy (first stage), laparoscopic sigmoidectomy (second stage), and ileostomy closure (third stage) in a morbidly obese patient with Hinchey III diverticulitis. Read More

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http://dx.doi.org/10.1186/s40792-019-0588-7DOI Listing
February 2019
1 Read

Recurrent laryngeal nerve injury assessment by intraoperative laryngeal ultrasonography: a prospective diagnostic test accuracy study.

Wideochir Inne Tech Maloinwazyjne 2019 Jan 10;14(1):38-45. Epub 2018 Dec 10.

Clinic of Gastroenterology, Nephrourology and Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Introduction: Recurrent laryngeal nerve injury is one of the major complications related to thyroid surgery. Intraoperative recurrent laryngeal nerve functional status monitoring is becoming a standard part of thyroid surgery. However, the current methods for intraoperative nerve functional status assessment are associated with a demand for specialized devices and increased costs. Read More

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http://dx.doi.org/10.5114/wiitm.2018.80066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372865PMC
January 2019
1 Read

Comparison of Mean Platelet Volume, Platelet Count, Neutrophil/Lymphocyte Ratio and Platelet/Lymphocyte Ratio in the Euthyroid, Overt Hypothyroid and Subclinical Hyperthyroid Phases of Papillary Thyroid Carcinoma.

Endocr Metab Immune Disord Drug Targets 2019 Feb 6. Epub 2019 Feb 6.

Gaziosmanpasa University, Faculty of Medicine, Department of Internal Medicine 60200 Tokat. Turkey.

Introduction: Thyroid hormones are essential for the normal development, differentiation, metabolic balance and physiological function of all tissues. Mean platelet volume (MPV) indicates mean platelet size and reflects platelet production rate and stimulation. Increased platelet size has been observed in association with known cardiovascular risk factors. Read More

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http://dx.doi.org/10.2174/1871530319666190206125545DOI Listing
February 2019
1 Read

Effects of Preoperative Iodine Administration on Thyroidectomy for Hyperthyroidism: A Systematic Review and Meta-analysis.

Otolaryngol Head Neck Surg 2019 Feb 5:194599819829052. Epub 2019 Feb 5.

1 Department of Surgery, MacKay Memorial Hospital and Mackay Medical College, Taipei, Taiwan.

Objective: The current guidelines recommend that potassium iodide be given in the immediate preoperative period for patients with Graves' disease who are undergoing thyroidectomy. Nonetheless, the evidence behind this recommendation is tenuous. The purpose of this study is to clarify the benefits of preoperative iodine administration from published comparative studies. Read More

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http://dx.doi.org/10.1177/0194599819829052DOI Listing
February 2019
1 Read

Active Moderate-to-Severe Graves' Orbitopathy in a Patient With Type 2 Diabetes Mellitus and Vascular Complications.

Front Endocrinol (Lausanne) 2018 17;9:810. Epub 2019 Jan 17.

Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Graves' orbitopathy (GO) is the main extrathyroidal manifestation of Graves' disease (GD). Diabetes mellitus (DM) has been reported to be a risk factor in patients with GO. Moreover, GO can be more frequent and severe in type 2 diabetes patients. Read More

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http://dx.doi.org/10.3389/fendo.2018.00810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344418PMC
January 2019
1 Read

Oral levothyroxine therapy postbariatric surgery: Biopharmaceutical aspects and clinical effects.

Surg Obes Relat Dis 2019 Jan 10. Epub 2019 Jan 10.

Department of Clinical Pharmacology, School of Pharmacy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Electronic address:

Background: Bariatric surgery can lead to changes in the oral absorption of many drugs. Levothyroxine is a narrow therapeutic drug for hypothyroidism, a common condition among patients with obesity.

Objective: The purpose of this work was to provide a mechanistic overview of levothyroxine absorption, and to thoroughly analyze the expected effects of bariatric surgery on oral levothyroxine therapy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15507289183043
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http://dx.doi.org/10.1016/j.soard.2019.01.001DOI Listing
January 2019
6 Reads

Parathyroid autotransplantation at a novel site for better evaluation of the grafted gland function: study protocol for a prospective, randomized controlled trial.

Trials 2019 Jan 31;20(1):96. Epub 2019 Jan 31.

Department of Thyroid and Breast Surgery, Zhongnan Hospital, Wuhan University, 169 Donghu Road, Wuhan, Hubei, 430071, China.

Background: Hypoparathyroidism is one of the most common complications encountered in thyroidectomy. In addition to parathyroid in-situ preservation, parathyroid autotransplantation (PA) is another important remedial method for patients whose parathyroid glands have been removed. However, an accurate evaluation method for the function of a transplanted parathyroid is lacking. Read More

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http://dx.doi.org/10.1186/s13063-019-3195-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357396PMC
January 2019
2.117 Impact Factor

Parathyroid adenoma presenting with spontaneous cervical and anterior mediastinal hemorrhage: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14347

Department of Surgery, Division of Surgical Oncology.

Rationale: Spontaneous anterior cervical or mediastinal hemorrhage is a rare presentation of parathyroid adenoma.

Patient Concerns: A 69-year-old woman presented with neck hematoma and dysphagia and was found to have a soft tissue mass adjacent to her thyroid gland as seen on MRI and neck ultrasound.

Diagnosis: Laboratory testing demonstrated elevated calcium and parathyroid hormone supporting diagnosis of parathyroid adenoma. Read More

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http://dx.doi.org/10.1097/MD.0000000000014347DOI Listing
February 2019
1 Read

Skin and soft tissue infections after breast surgery.

Curr Opin Infect Dis 2019 Jan 28. Epub 2019 Jan 28.

Department of Medical Sciences, University of Turin, City of Health and Sciences, Turin, Italy.

Purpose Of Review: Breast surgery is considered a clean surgical procedure; nevertheless, infection rates are often higher than those reported after other similarly considered clean surgeries (e.g., thyroid, hernia). Read More

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http://dx.doi.org/10.1097/QCO.0000000000000531DOI Listing
January 2019

Oncoplastic breast surgery combining partial mastectomy with immediate breast reshaping using multiple local flaps for a patient with slim body.

Breast Cancer 2019 Jan 25. Epub 2019 Jan 25.

Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.

Oncoplastic breast surgery (OBS), which combines the concepts of oncologic and plastic surgery, is becoming more common worldwide. We report the results of OBS in a Japanese patient with early breast cancer located on the outer lower quadrant area. We performed OBS combining partial mastectomy with immediate breast reshaping using multiple adipofascial cutaneous flaps and free dermal fat graft because she refused any other OBS. Read More

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http://link.springer.com/10.1007/s12282-019-00948-5
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http://dx.doi.org/10.1007/s12282-019-00948-5DOI Listing
January 2019
5 Reads

Contralateral surgery in patients scheduled for total thyroidectomy with initial loss or absence of signal during neural monitoring.

Br J Surg 2019 Jan 25. Epub 2019 Jan 25.

Endocrine Surgery Unit, Hospital del Mar, Barcelona, Spain.

Background: Staged total thyroidectomy has been advised to prevent bilateral recurrent laryngeal nerve paralysis when loss of the signal from neural monitoring is observed after dissection of the initial thyroid lobe. This is supported by expert opinion but hard evidence is lacking. A lost signal can return during surgery or, even if it persists, its positive predictive value is only in the range 60-70 per cent. Read More

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http://dx.doi.org/10.1002/bjs.11067DOI Listing
January 2019
1 Read

Efficacy of fluoroscopy-guided endoscopic cricopharyngeal myotomy.

J Laryngol Otol 2018 Dec;132(12):1128-1133

Department of Otolaryngology, Head and Neck Surgery,Faculty of Medicine,Tottori University,Yonago,Japan.

Background: In endoscopic cricopharyngeal myotomy, surgeons sometimes have concerns about performing an adequate incision with only a narrow intra-cavital view from one direction. In order to overcome these issues, fluoroscopic radiography was used during endoscopic cricopharyngeal myotomy.

Methods: Peri-operative fluoroscopic radiography was utilised to check the position of the diverticuloscope, and to confirm the extent of the incision during surgery. Read More

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http://dx.doi.org/10.1017/S0022215118002232DOI Listing
December 2018
6 Reads

Organ transplantation and gut microbiota: current reviews and future challenges.

Am J Transl Res 2018 15;10(11):3330-3344. Epub 2018 Nov 15.

Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science and Technology 13 Hangkong Road, Wuhan 430030, China.

Organ transplantation is often the only effective treatment for patients with end-stage diseases, such as heart, liver, kidney and small bowel failure and is carried out frequently worldwide. Still the post-transplantation complications remain health- and life-threatening outcome that needed to be resolved. With the rapid development of molecular technologies in recent years, more and more researchers realize that the gut microbiota may play a critical role in human diseases. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291689PMC
November 2018
6 Reads

Metabolic syndrome as cardiovascular risk factor in childhood cancer survivors.

Crit Rev Oncol Hematol 2019 Jan 3;133:129-141. Epub 2018 Nov 3.

Princess Máxima Centre for Pediatric Oncology, Utrecht, the Netherlands.

Over the past decades, survival rates of childhood cancer have increased considerably from 5 to 30% in the early seventies to current rates exceeding 80%. This is due to the development of effective chemotherapy, surgery, radiotherapy and stem cell transplantation, combined with an optimized stratification of therapy and better supportive care regimens. As a consequence, active surveillance strategies of late sequelae have been developed to improve the quality of survival. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10408428183020
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http://dx.doi.org/10.1016/j.critrevonc.2018.10.010DOI Listing
January 2019
6 Reads

Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal nerve injury in adults undergoing thyroid surgery.

Cochrane Database Syst Rev 2019 Jan 19;1:CD012483. Epub 2019 Jan 19.

Department of General Surgery, University of Perugia, Terni, Italy, 05100.

Background: Injuries to the recurrent inferior laryngeal nerve (RILN) remain one of the major post-operative complications after thyroid and parathyroid surgery. Damage to this nerve can result in a temporary or permanent palsy, which is associated with vocal cord paresis or paralysis. Visual identification of the RILN is a common procedure to prevent nerve injury during thyroid and parathyroid surgery. Read More

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http://dx.doi.org/10.1002/14651858.CD012483.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6353246PMC
January 2019
3 Reads

Simultaneous Hodgkin lymphoma and BRAFV600E-positive papillary thyroid carcinoma: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14180

Department of Hematology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, PR China.

Rationale: Papillary thyroid carcinoma (PTC) is the most common endocrine malignancy. However, the simultaneous occurrence of PTC and Hodgkin Lymphoma (HL) was rarely reported.

Patient Concerns: We present a case of simultaneous BRAF-positive PTC and HL in a 17-year-old female. Read More

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http://dx.doi.org/10.1097/MD.0000000000014180DOI Listing
January 2019
1 Read

Effect of orbital decompression on dysthyroid optic neuropathy: A retrospective case series.

Medicine (Baltimore) 2019 Jan;98(3):e14162

Department of Ophthalmology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi.

In this study, we try to explore the effect of orbital decompression treatment on severe dysthyroid optic neuropathy.We retrospectively collected demographic and clinical characteristics of thyroid eye disease patients who performed orbital decompression. Then we analyzed the change of best-corrected visual acuity and exophthalmometry after surgery and the correlations among clinical parameters. Read More

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http://dx.doi.org/10.1097/MD.0000000000014162DOI Listing
January 2019
1 Read

Solitary colonic metastasis from primary lung adenocarcinoma first presenting as intestinal obstruction: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14063

Department of Surgery.

Rationale: The brain, liver, adrenal glands, and bone are the most common sites of metastatic disease in patients with lung cancer. Symptomatic gastrointestinal metastases are rare. In the present report, we describe a rare case of a patient with intestinal obstruction due to solitary colonic metastasis from primary lung adenocarcinoma, wherein the intestinal obstruction was the first symptom of lung cancer. Read More

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http://dx.doi.org/10.1097/MD.0000000000014063DOI Listing
January 2019
1 Read

Correlation of Fine Needle Aspiration Cytology of Thyroid Gland with Histopathological Results.

Pol Przegl Chir 2018 Aug;90(6):1-5

Uniwersytet Medyczny w Łodzi Lekarski Klinika Chirurgii Endokrynologicznej, Ogólnej i Onkologicznej.

Fine needle aspiration cytology (FNAC) is considered as the gold standard diagnostic test for the diagnosis of thyroid nodules. It is a cost-effective procedure that provides specific diagnosis rapidly with minimal complications. It plays an important role in the determination of treatment- patients with suspected malignancy diagnosis can be subjected to surgery. Read More

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https://ppch.pl/gicid/01.3001.0012.4712
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http://dx.doi.org/10.5604/01.3001.0012.4712DOI Listing
August 2018
5 Reads

Thyroidectomy for thyroid cancer in the elderly: A meta-analysis.

Eur J Surg Oncol 2019 Mar 6;45(3):310-317. Epub 2018 Sep 6.

The Whiteley-Martin Research Centre, Department of Surgery, Nepean Hospital, Penrith, New South Wales, Australia. Electronic address:

Thyroid cancer, the most common endocrine malignancy, has patients who generally have excellent prognosis. It has been shown that elderly patients are more likely to undergo sub-therapeutic management, despite having more aggressive disease, resulting in increased mortality and morbidity. The present study aimed to quantitatively investigate the risks of elderly patients who underwent thyroidectomy for thyroid cancer regarding mortality/survival, recurrence of disease, and complications arising from thyroidectomy. Read More

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http://dx.doi.org/10.1016/j.ejso.2018.07.055DOI Listing

3D culture of salivary gland stem cell in orthotropic decellularized extracellular matrix hydrogels.

Tissue Eng Part A 2019 Jan 11. Epub 2019 Jan 11.

Korea Institute of Radiological and Medical Sciences, 37995, Radiation Biomedical Research, Nowon-gu, Seoul, Korea (the Republic of) ;

Radiotherapy (RT) in patients with cancer can kill cancer cells but also damage normal cells or tissues. During the treatment of patients with head and neck cancer or thyroid cancer, hyposalivation is a representative chronic side effect of radio-damaged salivary glands (SGs). The major symptom of hyposalivation is mouth dryness, resulting in several subsequent long-term complications. Read More

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https://www.liebertpub.com/doi/10.1089/ten.TEA.2018.0308
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http://dx.doi.org/10.1089/ten.TEA.2018.0308DOI Listing
January 2019
8 Reads

Observation and analysis of clinical efficacy of breast-conserving therapy integrated with neoadjuvant chemotherapy on Breast Cancer.

Pak J Pharm Sci 2018 Nov;31(6(Special)):2869-2872

Department of Thyroid and Breast Surgery, Central Hospital of Shengli Oil Field, Dongying, Shandong, China.

To investigate the efficaciousness of breast-conserving therapy in connection with neoadjuvant chemotherapy on breast cancer. 68 patients, who were confirmed going down with breast cancer and hospitalized from June 2015 and June 2017, were sampled and divided into two groups using the random digit table, i.e. Read More

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November 2018
4 Reads

Agenesis of Isthmus of Thyroid Gland in the Presence of Ectopic Thyroid Tissue Associated with Papillary Carcinoma.

J Coll Physicians Surg Pak 2019 Jan;29(1):75-77

Department of General Pathology4, University of Giresun, School of Medicine, Giresun, Turkey.

The thyroid is an endocrine gland composed of two lateral lobes connected by a strip of thyroid tissue called an isthmus. The thyroid gland is usually associated with extensive morphological variations and developmental anomalies. During the 4th intrauterine week, the thyroid gland begins to develop mainly from the invagination of the endodermal cells of the ventral floor of the primitive pharynx. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.01.75DOI Listing
January 2019
0.318 Impact Factor

Clinical Significance of Preoperative Embolization for Non-Hypervascular Metastatic Spine Tumors.

J Korean Neurosurg Soc 2019 Jan 31;62(1):106-113. Epub 2018 Dec 31.

Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Objective: The efficacy of preoperative embolization for hypervascular metastatic spine disease (MSD) such as renal cell and thyroid cancers has been reported. However, the debate on the efficacy of preoperative embolization for non-hypervascular MSD still remains unsettled. The purpose of this study is to determine whether preoperative embolization for non-hypervascular MSD decreases perioperative blood loss. Read More

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http://dx.doi.org/10.3340/jkns.2018.0073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328796PMC
January 2019
1 Read

The Role of Core Needle Biopsy for the Evaluation of Thyroid Nodules with Suspicious Ultrasound Features.

Korean J Radiol 2019 Jan 27;20(1):158-165. Epub 2018 Dec 27.

Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Objective: Recent studies demonstrated that core needle biopsy (CNB) can effectively reduce the possibility of inconclusive results and prevent unnecessary diagnostic surgery. However, the effectiveness of CNB in patients with suspicious thyroid nodules has not been fully evaluated. This prospective study aimed to determine the potential of CNB to assess thyroid nodules with suspicious ultrasound (US) features. Read More

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http://dx.doi.org/10.3348/kjr.2018.0101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315075PMC
January 2019

[Experiencia en el diagnóstico y tratamiento de 38 casos de cáncer de tiroides en población pediátrica].

Cir Cir 2019 ;87(1):7-11

Departamento de Cirugía Pediátrica, Instituto Nacional de Cancerología. Bogotá, Colombia.

Objective: To present our experience treating 38 patients with pediatric thyroid carcinoma.

Method: We received 44 pediatric patients with thyroid cancer between 2008 and 2016 in a specialized cancer center. A team of two surgeons treated all patients. Read More

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http://dx.doi.org/10.24875/CIRU.18000044DOI Listing
January 2019
3 Reads

Surgical treatment result of giant thyroid tumor: Case series in Vietnam.

Int J Surg Case Rep 2019 24;54:103-107. Epub 2018 Nov 24.

Department of Oncology, Hanoi Medical University, No 1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam; Department of Oncology and Palliative Care, Hanoi Medical University Hospital, No 1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam. Electronic address:

Introduction: Giant thyroid tumors can be associated with severely compressive symptoms and surgery is inevitable for treatment strategy. However, the risk of surgical complications is higher as well as the duration of operation may be longer than those of small thyroid tumors.

Presentation Of Cases: Two patients with large neck tumors were admitted with history of thyroid goiters for more than 10 years. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312799PMC
November 2018
1 Read

[Thyroid function after hypofractionated adjuvant radiotherapy for localized breast cancer].

Cancer Radiother 2019 Feb 27;23(1):34-37. Epub 2018 Dec 27.

Radiothérapie oncologie, hôpital universitaire Mohammed-VI, BP 2013, Oued Nachef, Oujda, Maroc.

Purpose: We aimed to evaluate the impact on the thyroid function of hypofractionated adjuvant radiotherapy of localized breast cancer.

Material And Method: This was a prospective study, including 50 patients with breast cancer treated by hypofractionated adjuvant radiation, only half of whom received radiotherapy on the supraclavicular region. The analysis focused on clinical, dosimetric and biological data collected through periodic dosing of thyroid hormones. Read More

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http://dx.doi.org/10.1016/j.canrad.2018.04.004DOI Listing
February 2019

Metastases to the thyroid gland: A retrospective analysis of 21 patients.

J Cancer Res Ther 2018 ;14(7):1515-1518

Department of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, P.R. China.

Background: Metastases to the thyroid gland are uncommon and often occur in patients with advanced metastatic diseases. The management and prognosis of secondary thyroid malignancies (STMs) are not well established. This retrospective study reported the incidence, clinical characteristics, treatment, and prognosis of STM in patients with metastatic tumors. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_435_16DOI Listing
February 2019

A suppurative thyroiditis and perineal subcutaneous abscess related with aspergillus fumigatus: a case report and literature review.

BMC Infect Dis 2018 Dec 27;18(1):702. Epub 2018 Dec 27.

Department of Critical Care Medicine, Huashan Hospital, Fudan University, No. 12 Middle Urumqi Road, Shanghai, 200040, People's Republic of China.

Background: Invasive aspergillosis is a complication in immunocompromised patients and commonly detected in patients with hematological malignancies, which mostly affect the lungs. Because of its high iodine content, rich blood supply and capsule, the thyroid is considered to be less prone to microbial invasion thus most infectious thyroiditis cases are caused by bacteria. However, a few case reports have described thyroid gland aspergilloses, most of which were due to disseminated invasive aspergillosis. Read More

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http://dx.doi.org/10.1186/s12879-018-3617-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307113PMC
December 2018
1 Read

Remote-Access Thyroidectomy: A Multi-Institutional North American Experience with Transaxillary, Robotic Facelift, and Transoral Endoscopic Vestibular Approaches.

J Am Coll Surg 2018 Dec 23. Epub 2018 Dec 23.

Division of Endocrine Surgery, Department of Surgery, Tulane University Medical Center, New Orleans, LA.

Background: Many remote-access approaches (RAAs) to the thyroid have been described to circumvent anterior neck scarring, including the transaxillary, robotic facelift, and transoral endoscopic vestibular approaches. These techniques have been popularized in Asia, but adoption has been slow in North America. We aimed to examine multi-institutional North American outcomes with RAA thyroidectomy in the context of these institutions' transcervical approach (TCA) outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515183222
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http://dx.doi.org/10.1016/j.jamcollsurg.2018.12.005DOI Listing
December 2018
3 Reads

Does hemithyroidectomy still provide any benefit?

Ann Endocrinol (Paris) 2018 Sep 25. Epub 2018 Sep 25.

Service de chirurgie viscérale et endocrinienne, CHU d'Angers, 4, rue Larrey, 49100 Angers, France.

Objectives: Multinodular goiter is a common disorder, found in 5% of the general population. If only one thyroid lobe is affected, hemithyroidectomy may be preferred to total thyroidectomy, to limit the risk of complications and avoid hormone replacement therapy, but incurs a risk of subsequent completion thyroidectomy. The aim of the present study is to determine whether the arguments in favor of hemithyroidectomy are justified and whether it still provides real benefit. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034266183125
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http://dx.doi.org/10.1016/j.ando.2018.09.006DOI Listing
September 2018
10 Reads

Teprotumumab, an insulin-like growth factor-1 receptor antagonist antibody, in the treatment of active thyroid eye disease: a focus on proptosis.

Eye (Lond) 2019 Feb 21;33(2):183-190. Epub 2018 Dec 21.

Cedars Sinai Medical Center Los Angeles and Zhongshen Ophthalmic Center, Guangzhou, China.

Thyroid eye disease is a disabling autoimmune disease associated with orbital inflammation and tissue remodeling which can result in significant proptosis, leading to visual alterations and is potentially sight threatening. Current evidence indicates that autoantibodies to the insulin-like growth factor 1 receptor (IGF-1R), along with the thyroid-stimulating hormone receptor (TSHR), mediate the pathogenesis in susceptible individuals. Teprotumumab, a monoclonal IGF-1R antagonist, has demonstrated previously in a 24 week, randomized, controlled trial to produce significant changes in composite outcomes of proptosis and clinical activity score as compared with placebo. Read More

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http://www.nature.com/articles/s41433-018-0321-y
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http://dx.doi.org/10.1038/s41433-018-0321-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367366PMC
February 2019
2 Reads

Letter to editor: "Thyroid surgery and obesity: Cohort study of surgical out comes and local specific complications".

Am J Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Endocrine and Breast Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, India. Electronic address:

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http://dx.doi.org/10.1016/j.amjsurg.2018.11.038DOI Listing
December 2018
2 Reads

Identifying risk factors of lateral lymph node recurrence in clinically node-negative papillary thyroid cancer.

Medicine (Baltimore) 2018 Dec;97(51):e13435

Department of Surgery, Chonnam National University Medical School, 322 Seoyang-ro Hwasun-eup, Hwasun-gun Jeonnam, Gwangju, South Korea.

There is still debate regarding the role of routine central lymph node (LN) dissection in treating clinically node-negative papillary thyroid cancer (PTC). The aim of this study was to investigate the risk factors for lateral recurrence after total thyroidectomy and prophylactic bilateral central LN dissection in clinically node-negative PTC patients.We retrospectively collected the medical records of 1406 PTC patients who underwent total thyroidectomy and prophylactic bilateral central LN dissection between January 2004 and December 2008. Read More

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http://dx.doi.org/10.1097/MD.0000000000013435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320004PMC
December 2018
1 Read

Perioperative intravenous ketamine for acute postoperative pain in adults.

Cochrane Database Syst Rev 2018 12 20;12:CD012033. Epub 2018 Dec 20.

Department of Anesthesiology, Intensive Care and Pain Medicine, Division of Anesthesiology, Töölö Hospital, Helsinki University and Helsinki University Hospital, Topeliuksenkatu 5, Helsinki, Finland, PB 266 00029.

Background: Inadequate pain management after surgery increases the risk of postoperative complications and may predispose for chronic postsurgical pain. Perioperative ketamine may enhance conventional analgesics in the acute postoperative setting.

Objectives: To evaluate the efficacy and safety of perioperative intravenous ketamine in adult patients when used for the treatment or prevention of acute pain following general anaesthesia. Read More

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http://dx.doi.org/10.1002/14651858.CD012033.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360925PMC
December 2018
29 Reads

Technique for endoscopic thyroidectomy with selective lateral neck dissection via a chest-breast approach.

Surg Endosc 2018 Dec 19. Epub 2018 Dec 19.

Department of Thyroid Surgery, First People's Hospital of Zunyi, Zunyi, 563000, China.

Background: Endoscopic thyroidectomy has been widely accepted because it can effectively avoid neck scarring. However, there are seldom reports concerning completely endoscopic lateral neck dissection approaches. In this study, we introduced a technique for performing endoscopic thyroidectomy with lateral neck dissection via a chest-breast approach. Read More

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http://dx.doi.org/10.1007/s00464-018-06608-7DOI Listing
December 2018
3 Reads

Comparative study on operative trauma between microwave ablation and surgical treatment for papillary thyroid microcarcinoma.

World J Clin Cases 2018 Dec;6(15):936-943

Department of Ultrasound, Fudan University Affiliated Shanghai Fifth People's Hospital, Shanghai 200240, China.

Aim: To compare the effect and postoperative trauma of ultrasound-guided percutaneous microwave ablation and surgical resection in the treatment of papillary thyroid microcarcinoma (PTMC).

Methods: Eighty-seven patients with PTMC treated at Fudan University affiliated Shanghai Fifth People's Hospital were enrolled as subjects. The patients were divided into a microwave ablation group (41 cases) and a surgical group (46 cases). Read More

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http://www.wjgnet.com/2307-8960/full/v6/i15/936.htm
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http://dx.doi.org/10.12998/wjcc.v6.i15.936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288511PMC
December 2018
5 Reads

Fine-needle aspiration biopsies of thyroid nodules.

Nuklearmedizin 2018 Dec 18;57(6):211-215. Epub 2018 Dec 18.

Objective: The purpose of the study was the characterization of adverse events (AEs) after fine-needle aspiration biopsies (FNABs) of thyroid nodules, as well as possible predisposing factors.

Methods: A total of 205 patients, each of whom had undergone an FNAB of a thyroid nodule, were included in the study (15 of whom were taking anticoagulant medication). The thyroid nodules were classified according to the ultrasound criteria of the American Thyroid Association (ATA). Read More

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http://dx.doi.org/10.3413/Nukmed-0981-18-06DOI Listing
December 2018
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Axillary lymph node metastasis as the first manifestation of male occult breast cancer: A Case Report.

Medicine (Baltimore) 2018 Dec;97(50):e13706

Department of Radiotherapy, The Second Hospital of Jilin University, Changchun, Jilin Province, China.

Rational: Occult breast cancer (OBC) is an extremely rare breast cancer and is defined by the presence of axillary metastasis without a primary tumor in the breasts or any abnormality on radiologic examination.

Patient Concerns: This case report presents a 49-year-old man who was diagnosed with male OBC, which first manifested as an axillary lymph node metastasis followed by the emergence of infraclavicular lymph node metastasis. Neither the breast nor other organs had any abnormality. Read More

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http://dx.doi.org/10.1097/MD.0000000000013706DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320098PMC
December 2018
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High intensity focused ultrasound (HIFU) ablation of benign thyroid nodule is safe and efficacious in patients who continue taking an anti-coagulation or anti-platelet agent in the treatment period.

Int J Hyperthermia 2018 Dec 16:1-5. Epub 2018 Dec 16.

c Department of Radiology , The University of Hong Kong , Hong Kong , China.

Background: High intensity focused ultrasound (HIFU) ablation is a promising treatment for benign thyroid nodules but because bleeding complications can occur following any intervention to the thyroid gland, the safety and efficacy of HIFU ablation were evaluated in patients who continued taking an anti-coagulation or anti-platelet agent during treatment.

Methods: From 2015 to 2017, 303 patients who underwent a single-session ablation for a benign thyroid nodule were analyzed. The primary study endpoint was thyroid bleeding, intra-lesional or peri-thyroidal hematoma or neck bruising diagnosed within 4 days of the treatment. Read More

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http://dx.doi.org/10.1080/02656736.2018.1548034DOI Listing
December 2018

Quality of life and outcomes in patients with a large toxic adenoma undergoing laser ablation plus radioiodine vs lobectomy.

Int J Hyperthermia 2018 Dec 16:1-5. Epub 2018 Dec 16.

a Division of Endocrinology , "V. Fazzi" Hospital, Piazza F. Muratore , Lecce , Italy.

Purpose: Patients with toxic adenomas (TAs) that are too large to undergo radioactive iodine (RAI) treatment aimed at resolving hyperthyroidism and/or relieving mechanical pressure symptoms are referred to surgery. This prospective study aimed to assess the outcomes of combining laser ablation (LA) plus RAI vs lobectomy to treat large TAs in terms of clinical efficacy and the health-related quality of life (HRQoL).

Patients And Methods: Patients with TAs of volumes greater than 20 mL and a calculated therapeutic activity exceeding 600 Mbq were randomly assigned to undergo LA + RAI (Group A) or lobectomy (Group B). Read More

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http://dx.doi.org/10.1080/02656736.2018.1549335DOI Listing
December 2018
2 Reads

[Application of da Vinci robot's bilateral axillo-breast approach in thyroid surgery of obese patients].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jul;32(14):1061-1065

Departmeng of Thyroid and Breast Surgery, Jinan Military General Hospital, Jinan, 250031, China.

To discuss the effect of obesity on the operation of thyroid gland surgery and surgical results.The clinical data of 446 patients who underwent robot thyroid surgery through bilateral axillo-breast approach (BABA) from the General Hospital of Jinan Military region from February 2014 to November 2017 were analyzed retrospectively, and the patients were divided into BMI<25 kg/m²; group, BMI 25-30 kg/m²; group and BMI>30 kg/m²; group according to body mass index (BMI). The operative complications were compared between the three groups of benign and malignant patients, such as operation time, postoperative lead flow, postoperative hospitalization time, tumor size (malignant), lymph node metastasis (malignant), cosmetic satisfaction score, laryngeal nerve injury and parathyroid function decrease. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.14.005DOI Listing

The time point of completion thyroidectomy has no prognostic impact in patients with differentiated thyroid cancer.

Clin Endocrinol (Oxf) 2019 Mar 28;90(3):479-486. Epub 2018 Dec 28.

Department of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.

Background: After partial resection of the thyroid gland, a second operation referred to as "completion thyroidectomy" may be required if histopathological analysis indicates the presence of differentiated thyroid cancer (DTC). Although there is little evidence, it is assumed that the time point of completion thyroidectomy is not critical for oncological prognosis of patients with DTC. We assessed whether patients with total thyroidectomy (TTx) in a two-step procedure have an equal long-term prognosis with regard to disease-specific survival (DSS) compared to patients immediately undergoing total thyroidectomy in a one-step procedure. Read More

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http://dx.doi.org/10.1111/cen.13916DOI Listing
March 2019
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Understanding nationwide readmissions after thyroid surgery.

Surgery 2019 Feb 10;165(2):423-430. Epub 2018 Dec 10.

Department of Surgery, Thyroid and Parathyroid Surgery Program, Thomas Jefferson University Hospital, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Background: The 30-day readmission rate is increasingly utilized as a metric of quality that impacts reimbursement. To date, there are no nationally representative data on readmission rates after thyroid surgery. We aimed to determine national readmission rates after inpatient thyroidectomy operations and whether select clinical factors were associated with increased odds of postthyroidectomy readmission. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060183065
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http://dx.doi.org/10.1016/j.surg.2018.09.007DOI Listing
February 2019
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Transoral Robotic Thyroidectomy for Papillary Thyroid Carcinoma: Perioperative Outcomes of 100 Consecutive Patients.

World J Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Surgery, KUMC Thyroid Center, Korea University Hospital, Korea University College of Medicine, 73, Inchon-ro, Seongbuk-gu, Seoul, 02841, Republic of Korea.

Background: Endoscopic transoral thyroidectomy is a recently introduced technique of remote access thyroidectomy. We previously reported the feasibility of the robotic approach (TORT). Nevertheless, experience to date is limited, with scant data on outcomes in patients with papillary thyroid carcinoma (PTC). Read More

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http://dx.doi.org/10.1007/s00268-018-04877-wDOI Listing
December 2018
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Feasibility, Safety, and Surgical Outcome of Robotic Hemithyroidectomy Via Transaxillary and Retroauricular Approach: an Institutional Experience.

Indian J Surg Oncol 2018 Dec 19;9(4):477-482. Epub 2018 May 19.

Department of Head-Neck and Thoracic Surgical Oncology, Fortis Memorial Research Institute (FMRI), Gurugram, Sector-44, Gurugram, Haryana 122002 India.

The aim of this observational prospective study was to determine the technical feasibility, safety, and adequacy of robotic hemithyroidectomy. From April 2015 to May 2016, 16 patients with solitary thyroid lesion underwent robotic hemithyroidectomy using the Surgical system. Patients were observed and data were recorded on surgical time, blood loss, complications, and functional outcome of the patients. Read More

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http://dx.doi.org/10.1007/s13193-018-0763-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265200PMC
December 2018
3 Reads