Archives

Authors: Inohara H, Segawa T, Miyauchi A, Yoshii T, Nakahara S, Raz A, Maeda M, Miyoshi E, Kinoshita N, Yoshida H, Furukawa M, Takenaka Y, Takamura Y, Ito Y, Taniguchi N

Conclusions  Although the endoscopic approach may be relatively contraindicated for large thyroid glands, endoscopic subtotal thyroidectomy
via the breast approach is a safe, feasible procedure with excellent cosmetic benefits, and it may be the procedure of choice
in carefully selected patients with Graves’ disease.

Content Type Journal ArticleDOI 10.1007/s00268-008-9783-6Authors

Conclusions  Clinical outcomes of MTC patients in our series were better than those in Western countries, a result that might have resulted
in part because of our routine MND regardless of whether clinically apparent node metastasis was detected.

Content Type Journal ArticleDOI 10.1007/s00268-008-9795-2Authors

Primary squamous cell carcinoma of the thyroid gland is very rare and its histogenesis is poorly defined so far. Although there have been some cases of squamous cell carcinoma with variant types of papillary thyroid carcinoma (PTC), the present case is the first primary squamous cell carcinoma with classic PTC to be reported. A 43-year-old woman presented with a 20 year history of neck mass. Neck ultrasound indicated a 6 × 4 × 3 cm large mass. The patient underwent total thyroidectomy.

Carcinoma showing thymus-like differentiation (CASTLE) is a rare malignant neoplasm that histologically resembles thymic carcinoma and arises in the thyroid gland or adjacent soft tissue of the neck. Herein is reported the case of a 62-year-old male patient with CASTLE exhibiting neuroendocrine differentiation, who was treated with total pharyngolaryngo-esophagectomy and total thyroidectomy. Gross examination of the surgical specimen showed a grayish-white, solid, lobulated tumor, mainly located between the trachea and esophagus, and involving the lower part of the left thyroid lobe.

Conclusion:
Metastatic rectal carcinoma to the thyroid gland and in particular to a primary thyroid malignancy is rare and unusual. Prognosis is likely to be more dependent on underlying metastatic disease rather than the primary thyroid malignancy hence primary treatments should be tailored towards treating and controlling metastatic disease and less emphasis placed on the primary thyroid malignancy. (Source: World Journal of Surgical Oncology) 

Thyroid , Vol. 0, No. 0.

Background: RET genotype analysis allows identification of asymptomatic carriers at risk of developing medullary thyroid carcinoma (MTC). However, there is still controversy regarding the ideal timing and extent of prophylactic thyroidectomy due to the ... (Source: Thyroid) MedWorm Sponsored Message: Find out how you can get your message across here by sponsoring this MedWorm news feed.

CONCLUSION:: Thyroid surgery impairs hormone secretion by the parathyroid glands resulting in postoperative latent parathyroid insufficiency. Normal PTH levels 3 h after surgery and a normal serum calcium level on the first postoperative day rule out persistent hypoparathyroidism. Copyright (c) 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
PMID: 18991283 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)

We report a case of metastatic MTC presented as palpable neck and breast nodules in a 39-year-old woman. Fine needle aspiration of breast nodules showed a cellular smear with relatively homogenous, poorly cohesive tumor cells in a relatively clean background. The tumor cells were round to oval, with hyperchromatic nuclei, abundant cytoplasm and plasmacytoid in appearance. A few amorphous materials, possibly amyloid, were also noted. The patient underwent radical thyroidectomy, cervical lymph node dissection and excision of breast nodules.

Surgical Infections Oct 2008, Vol. 9, No. 5: 529-531.

Abstract Background: Group A Streptococcus (GAS) is an uncommon cause of infection after clean surgery in non-pregnant adults. Methods: Report of three cases and review of the literature. Results: For the first time in France, severe GAS infections were ... (Source: Surgical Infections)