scholarly journals Completion thyroidectomy: predicting bilateral disease

2015 ◽  
Vol 44 (1) ◽  
Author(s):  
Badr Ibrahim ◽  
Véronique-Isabelle Forest ◽  
Michael Hier ◽  
Alex M. Mlynarek ◽  
Derin Caglar ◽  
...  
Keyword(s):  
Completion Thyroidectomy ◽  
Bilateral Disease

Outcome of Thyroid Surgeries at Patan Hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 11-14
Author(s):  
Deepak Yadav ◽  
Bhawana Dangol ◽  
Anita GC ◽  
Namita Shrestha ◽  
Ishwor Raj Devkota ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Total Thyroidectomy ◽  
Neck Dissection ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Central Compartment ◽  
Neck Surgery ◽  
Laryngeal Nerve ◽  
Completion Thyroidectomy ◽  
Lateral Neck ◽  
Lateral Neck Dissection

Objective: To assess the outcome of thyroid surgeries at Patan HospitalMaterials and Methods: It is a retrospective study of in-patient records of patients undergoing thyroid surgeries for various indications from April 2013 to January 2015 at Patan Hospital, Lalitpur.Results: During the period of 21 months, 75 patients underwent thyroid surgeries. Majority of patients underwent hemithyroidectomy (35) followed by total thyroidectomy (28), subtotal thyroidectomy (7) and completion thyroidectomy (5). Out of 28 patients undergoing total thyroidectomy (TT), 11 underwent central compartment clearance (CCC), 5 underwent CCC and lateral neck dissection. Among 5 patients undergoing completion thyroidectomy, CCC was performed in all cases and in one patient lateral neck dissection was also performed.  A total of 13 patients developed unilateral recurrent laryngeal nerve palsy (RLN), among them 5 had permanent palsy. Tracheostomy had to be done in immediate postoperative period for stridor following total thyroidectomy (TT) in one case. Temporary hypocalcaemia was observed in 10 (10/28) cases following TT, out of which 8 had undergone CCC. Permanent hypocalcaemia was observed in 7 (7/28) cases following TT out of which 3 had undergone CCC. Chylous leak occurred in one of the patient undergoing left level II-IV neck dissection which was managed conservatively. None of the patient had to be transfused postoperatively.Conclusion: Complications to thyroid surgery are not uncommon. Visualization of recurrent laryngeal nerve alone in our context is adequate in experienced hands. Identification of parathyroid during thyroidectomy is recommended to avoid hypocalcaemia. Meticulous dissection can reduce the complications.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015

Female Sex, Bilateral Disease, Age Below 3 Years, and Apprehension for Enucleation Contribute to Treatment Abandonment in Retinoblastoma

2017 ◽  
Vol 39 (5) ◽  
pp. e249-e253 ◽  
Author(s):  
Anish Bhargav ◽  
Usha Singh ◽  
Amita Trehan ◽  
Zoramathara Zadeng ◽  
Deepak Bansal
Keyword(s):  
Bilateral Disease ◽  
Female Sex ◽  
Treatment Abandonment

scholarly journals Asymmetry of disciform scarring in bilateral disease when one eye is treated with radiotherapy.

1995 ◽  
Vol 79 (6) ◽  
pp. 562-568 ◽  
Author(s):  
P M Hart ◽  
D B Archer ◽  
U Chakravarthy
Keyword(s):  
Bilateral Disease

Patterns in Immunohistochemical Usage in Extended Core Prostate Biopsies: Comparisons Among Genitourinary Pathologists and Nongenitourinary Pathologists

2013 ◽  
Vol 137 (11) ◽  
pp. 1630-1634 ◽  
Author(s):  
Anna Plourde ◽  
Alden Gross ◽  
Zhong Jiang ◽  
Christopher L. Owens
Keyword(s):  
Perineural Invasion ◽  
Gleason Grade ◽  
High Grade ◽  
Benign Lesions ◽  
Billing Data ◽  
Disease Extent ◽  
Bilateral Disease ◽  
Prostate Biopsies ◽  
Difficult Cases ◽  
Extent Of Disease

Context.—Immunohistochemical (IHC) stains have known utility in prostate biopsies and are widely used to augment routine staining in difficult cases. Patterns in IHC utilization and differences based on pathologist training and experience is understudied in the peer-reviewed literature. Objectives.—To compare the rates of IHC usage between specialized (genitourinary; [GU]) and nonspecialized (non-GU) pathologists in extended core prostate biopsies (ECPBs) and the effects of diagnosis; and in cancer cases Gleason grade, disease extent, and perineural invasion on the rate. Design.—Consecutive ECPBs from 2009–2011 were identified and billing data were used to determine the number of biopsies and IHC stains per case. Diagnoses were mapped and in cancer cases, Gleason grade, extent of disease, and perineural invasion were recorded. Pathologists were classified as GU or non-GU on the basis of training and experience. Results.—A total of 618 ECPBs were included in the study. Genitourinary pathologists ordered significantly fewer IHC tests per case and per biopsy than non-GU pathologists. The rate of ordering was most disparate for biopsies of cancerous and benign lesions. For biopsies of cancerous lesions, high-grade cancer, bilateral disease, and perineural invasion decreased the rate of ordering in both groups. In cancer cases, GU pathologists ordered significantly fewer stain tests for highest Gleason grade of 3 + 3 = 6, for patients with focal disease and for patients with multiple positive bilateral cores. The effect of the various predictors on IHC ordering rates was similar in both groups. Conclusions.—Genitourinary pathologists ordered significantly fewer IHC stain tests than non-GU pathologists in ECPBs. Guidelines to define when IHC workup is necessary and not necessary may be helpful to guide workups.

scholarly journals Does Age or Bilateral Disease Influence the Value of Hip Arthroplasty?

2011 ◽  
Vol 470 (4) ◽  
pp. 1073-1078 ◽  
Author(s):  
Bryan M. Lawless ◽  
Meridith Greene ◽  
James Slover ◽  
Young-Min Kwon ◽  
Henrik Malchau
Keyword(s):  
Hip Arthroplasty ◽  
Bilateral Disease

scholarly journals Double trouble: Bilateral cerebral involvement in Sturge-Weber syndrome

2015 ◽  
Vol 19 (1) ◽  
Author(s):  
Narosha Adroos ◽  
Janet Smal ◽  
Farhana E. Suleman
Keyword(s):  
Mental Retardation ◽  
Intracranial Calcification ◽  
Clinical Correlation ◽  
Bilateral Disease ◽  
Intractable Seizures ◽  
Weber Syndrome ◽  
Cerebral Involvement ◽  
The Face ◽  
Sturge Weber Syndrome ◽  
Prognostic Implications

Sturge-Weber syndrome, also known as encephalotrigeminal angiomatosis or meningofacial angiomatosis, is characterised in its classical form by a congenital, usually unilateral, ‘portwine stain’ (capillary naevus) on the face, convulsions, typical intracranial calcification and some degree of mental retardation and hemiparesis. The clinical correlation of intractable seizures with the presence of bilateral intracranial disease has management and prognostic implications, thus making the presence of bilateral disease an important factor to all those involved in the management of the child with Sturge-Weber syndrome.

scholarly journals Completion thyroidectomy of well-differentiated thyroid cancer — a prospective, miserandomised study

2013 ◽  
Vol 64 (5) ◽  
pp. 335-339 ◽  
Author(s):  
Monika Proczko ◽  
Tomasz Stefaniak ◽  
Krzysztof Sworczak ◽  
Jarosław Kobiela ◽  
Andrzej Jacek Łachiński ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Differentiated Thyroid Cancer ◽  
Completion Thyroidectomy ◽  
Well Differentiated

scholarly journals Variability in Thyroid Cancer Multidisciplinary Team Meeting Recommendations Is Not Explained by Standard Variables: Outcomes of a Single Centre Review

2021 ◽  
Vol 10 (18) ◽  
pp. 4150
Author(s):  
Mark E. Fenton ◽  
Sarah A. Wade ◽  
Bibi N. Pirrili ◽  
Zsolt J. Balogh ◽  
Christopher W. Rowe ◽  
...  
Keyword(s):  
Decision Making ◽  
Total Thyroidectomy ◽  
Multidisciplinary Team ◽  
Univariate Analysis ◽  
Decision Making Process ◽  
Completion Thyroidectomy ◽  
Measured Variable ◽  
T1 And T2 ◽  
The Difference ◽  
Therapeutic Decision Making

Multidisciplinary team (MDT) meetings are the mainstay of the decision-making process for patients presenting with complex clinical problems such as papillary thyroid carcinoma (PTC). Adherence to guidelines by MDTs has been extensively investigated; however, scarce evidence exists on MDT performance and variability where guidelines are less prescriptive. We evaluated the consistency of MDT management recommendations for T1 and T2 PTC patients and explored key variables that may influence therapeutic decision making. A retrospective review of the prospective database of all T1 and T2 PTC patients discussed by the MDT was conducted between January 2016 and May 2021. Univariate analysis (with Bonferroni correction significance calculated at p < 0.006) was performed to establish clinical variables linked to completion thyroidectomy and Radioactive iodine (RAI) recommendations. Of 468 patients presented at thyroid MDT, 144 pT1 PTC and 118 pT2 PTC met the selection criteria. Only 18% (n = 12) of pT1 PTC patients initially managed with hemithyroidectomy were recommended completion thyroidectomy. Mean tumour diameter was the only variable differing between groups (p = 0.003). pT2 patients were recommended completion thyroidectomy in 66% (n = 16) of instances. No measured variable explained the difference in recommendation. pT1 patients initially managed with total thyroidectomy were not recommended RAI in 71% (n = 55) of cases with T1a status (p = 0.001) and diameter (p = 0.001) as statistically different variables. For pT2 patients, 60% (n = 41) were recommended RAI post-total thyroidectomy, with no differences observed among groups. The majority of MDT recommendations were concordant for patients with similar measurable characteristics. Discordant recommendations for a small group of patients were not explained by measured variables and may have been accounted for by individual patient factors. Further research into the MDT decision-making process is warranted.

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