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 Thursday September 09, 2010       10:24 pm
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Clinical significance of p53 protein expression in papillary thyroid carcinoma

Abstract
Background  Although mutations in the p53 suppressor gene in thyroid carcinoma have usually been detected in anaplastic carcinoma, P53 protein expression has been
detected immunohistochemically in papillary thyroid carcinoma (PTC). In the present study, we examined the immunohistochemical
expression of P53 protein in PTC to investigate the relations between its expression and the clinicopathologic features.

Methods  The study was performed on 68 patients in whom thyroidectomy with lymph node dissection had been performed to treat PTC at

Long-term changes in parathyroid function after subtotal thyroidectomy for graves’ disease

Abstract
Background  Transient hypocalcemia is one of the postoperative complications of thyroidectomy for Graves’ disease, and perioperative parathyroid
hormone (PTH) assays are used to predict postoperative hypocalcemia. We evaluated long-term changes in parathyroid function
after surgery for Graves’ disease.

Methods  Serum PTH values were measured in Graves’ patients with postoperative hypocalcemia, and those patients were followed postoperatively.

Total or near total thyroidectomy in patients with multifocal micropapillary cancer may reduce the risk of cancer recurrence

Cancer recurrence is more common in patients with multifocal micropapillary cancer who are treated with less than near total thyroidectomy compared to patients with unifocal papillary cancer who are treated with less than near total thyroidectomy, according to data presented on Oct 2, 2008 at the 79th Annual Meeting of the American Thyroid Association (ATA) in Chicago, IL. (Source: Health News from Medical News Today)  

Hashimoto's encephalopathy.

Authors: Schiess N, Pardo CA

Total thyroidectomy for medically refractory amiodarone-induced thyrotoxicosis.

We present a patient with medically refractory amiodarone-induced thyrotoxicosis after a 2-year history of amiodarone use, resulting in cardiac arrest and encephalopathy. The patient ultimately required total thyroidectomy for symptomatic control.
PMID: 18982079 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)

Clinicopathologic features and treatment outcomes in differentiated thyroid carcinoma patients with concurrent graves' disease.

This study aimed to identify the clinicopathologic features, treatment outcome, and the indicators for predicting recurrence, and to suggest the optimal extent of surgery in these patients. We retrospectively analyzed data of 58 patients who underwent surgical treatment for differentiated thyroid cancer and concurrent Graves' disease. The follow-up period ranged from 23 to 260 months (mean+/-standard devuation, 116.8+/-54.0). In our series, the mean age was 40.8+/-12.7 yr (range, 15-70), with a male-to-female ratio of 1: 6.25. The mean tumor size was 13+/-9 mm (range, 3-62).

[intrathyroid parathyroid adenomas: right and lower.]

CONCLUSIONS: IPA are present in 3% of patients submitted to parathyroidectomy. They predominate in the right thyroid lobe and can be IIIP, IVP and supernumerary. They often cause persistence. Thyroid resection affords the best results since complete enucleation can be difficult and leaving behind a fragment of the IPA results in local recurrence.
PMID: 18928769 [PubMed - in process] (Source: Cirugia eEspanola) 

[surgical costs in an otorhinolaryngology department.]

CONCLUSIONS: The analysis of costs shows a direct relationship between the complexity of the procedure and its cost, in terms of human resources, equipment and hospitalization. The use of ambulatory surgery units positively influenced by reducing costs.
PMID: 18928676 [PubMed - in process] (Source: Acta Otorrinolaringologica Espanola)

Cytologic features of mixed papillary carcinoma and chronic lymphocytic leukemia/small lymphocytic lymphoma of the thyroid gland

We report a case of papillary thyroid carcinoma (PTC) and chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma of the thyroid gland. To the best of our knowledge, this is the first such case to be reported in the cytology literature. An 81-year-old male with known CLL presented for routine physical examination and was found to have a left-sided thyroid nodule. Thyroid ultrasound showed a calcified nodule. Fine-needle aspiration biopsy (FNAB) was performed and revealed PTC and an atypical lymphoid infiltrate that was suspicious for lymphoma.

Papillary thyroid carcinoma: evidence for intracytoplasmic formation of precursor substance for calcification and its release fr

Psammoma bodies (PBs) are believed to represent a process of dystrophic calcification over nonviable and dying tissues. Light microscopic and ultrastructural observations suggest that PB formation follows the intracellular assembly of precursor substances and their calcification leading to death of tumor cells and their release. It may also be the result of local secretion of precursor substances like collagen by tumor cells into extracellular space and their calcification.

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