Thyroid Surgery at a Volunteer Program in Sub-Saharan Africa
Conclusions Thyroid surgery is safe in developing countries adopting protocols and techniques we use in our environment (avoiding total thyroidectomy). Bilateral thyroidectomies should not be performed unless functional studies are available in the follow-up and a thyroid hormone supplement stock guaranteed whenever necessary.
ConclusionsPhysicians should be aware of the possibility of the emergence of primary malignancies in patients with a history of papillary thyroid carcinoma, especially lung cancer as it is a common site of papillary thyroid carcinoma metastases. Using appropriate diagnostic evaluations in order to choose the best therapeutic option is of utmost importance.
Conclusion Although OPTC presented more locoregional invasion, clinicopathological characteristics of OPTC and HCC were comparable. Both OPTC and HCC were iodine responsive. We suggest that adjuvant RAI therapy after total thyroidectomy is beneficial for OPTC and HCC and may improve disease-free survival.
PMID: 31414722 [PubMed - in process]
PMID: 31414720 [PubMed - in process]
Authors: Ito M, Kawasaki M, Danno H, Kohsaka K, Nakamura T, Hisakado M, Yoshioka W, Kasahara T, Kudo T, Nishihara E, Fukata S, Nishikawa M, Nakamura H, Miyauchi A Abstract BACKGROUND: Some studies reported that among athyreotic patients on levothyroxine (LT4) following total thyroidectomy, patients with normal serum thyrotropin (TSH) levels had mildly low serum free triiodothyronine (FT3) levels, whereas patients with mildly suppressed serum TSH levels had normal serum FT3 levels. The reduction of the thyroid volume (TV) after radioiodine treatment for Graves' disease is well known; however, few studies evaluated t...
Conclusions In hypothetical modeling to determine whether surgery versus MT is optimal for indeterminate (Bethesda III/IV) nodules, either of the major molecular tests was considerably more cost-effective than diagnostic lobectomy, although TSv3 was more likely to be cost-effective than GSC. Use of either MT adjunct should be strongly considered in the absence of other indications for thyroidectomy. PMID: 31407625 [PubMed - as supplied by publisher]
Conditions: Hypoparathyroidism; Quality of Life Intervention: Other: Non-interventional study Sponsors: Nantes University Hospital; University Hospital, Angers; Centre Hospitalier le Mans; University Hospital, Limoges; Nancy University Hospital; Pitié-Salpêtrière Hospital Not yet recruiting
This study raises the possibility of a role for surgery for patients with Hashimoto’s thyroiditis who continue to feel poorly despite optimal treatment with thyroid hormone. However, the study, while well done, is a relatively small one. We need longer-term follow up and confirmation with additional studies done on diverse populations. It’s also important to consider that thyroid surgery in patients with advanced Hashimoto’s thyroiditis is difficult. Rates of complications, including injury to the laryngeal nerve (which controls voice) and the parathyroid glands (which maintain normal blood calcium levels...
Publication date: Available online 10 August 2019Source: Best Practice &Research Clinical Endocrinology &MetabolismAuthor(s): Anatoliy V. Rudin, Eren BerberAbstractFluorescence and autofluorescence have been shown by several recent studies to be valuable adjuncts in identifying parathyroid glands during thyroidectomy and parathyroidectomy. The aim of this chapter is to review the impact of this new technology on surgical strategy concerning preservation of parathyroid glands during thyroidectomy, identification of hyperactive parathyroid glands in hyperparathyroidism, and their potential role in advanced thyroid cancers.
CONCLUSION: There is a gradual temporal increase in the frequency of resected papillary cancer over a 16 year period while follicular has remained static. These changes may be attributable to better salt iodination. PMID: 31392867 [PubMed - in process]