Thyroid Diagnosis

Minimally invasive video-assisted thyroidectomy (MIVAT) has received increasing attention as a technique applicable for a subset of thyroid nodules.We prospectively assessed 51 MIVAT procedures in 40 patients. Demographic and clinical data were collected, relating to indications, outcome, and oncologic completeness.Twenty-nine (29) benign and 22 malignant lesions up to 5.9 cm were removed (median, 1.7 cm). All surgical margins of resection were negative. Residual thyroid tissue in the operative bed was assessed by radioiodine uptake in 16 patients (median, 1.76%).

Perioperative management of Sneddon syndrome during thyroidectomy.
J Clin Anesth. 2008 Sep;20(6):458-61
Authors: Ulukaya S, Makay O, Icoz G, Demir F, Sezer T

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Thyroid-Associated Ophthalmopathy and TSH Receptor Autoantibodies in Nonmetastatic Thyroid Cancer After Total Thyroidectomy.
Am J Med Sci. 2008 Sep;336(3):288-90
Authors: Antonelli A, Fallahi P, Tolari S, Ferrari SM, Ferrannini E

Abstract  Uveal melanoma spreads exclusively via a hematogenous route and is notable for its latency. Liver metastases are common; however,
metastatic spread to unusual sites has been encountered. We report the case of metastatic uveal melanoma in a woman with multinodular
goiter and primary hyperparathyroidism. The patient presented with hypercalcemia and an elevated intact parathyroid hormone
level, in conjunction with a follicular neoplasm in the setting of goiter. She underwent an uneventful total thyroidectomy

Abstract
Background  The use of neuromonitoring in thyroid surgery is controversial. Attitudes about neuromonitoring, usage patterns, and predictors
of use have not been formally studied. We hypothesized that attitudes would predict usage patterns and that the predominant
strategy among endocrine surgeons would be no neuromonitoring during thyroid surgery.

Methods  Members of the American Association of Endocrine Surgeons and registrants of the 2006 annual meeting were surveyed by e-mail.

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Unusual presentation of multiple endocrine neoplasia type 2A in a patient with the C634R mutation of the RET-protooncogene.

Abstract
Introduction  Postoperative cosmesis in the neck is often a major concern of patients, particularly women, undergoing thyroid or parathyroid
surgery. Therefore, a reduction in the length of the cervical incision, and even more so, having no scar in the neck, is particularly
appealing to these patients. Over the last years, many different so-called minimally invasive procedures have been proposed
for the treatment of thyroid and parathyroid diseases, the primary aim being to improve the cosmetic results. Nevertheless,

Background. Secondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease. Increased parathyroid hormone (PTH) synthesis and secretion is associated with parathyroid cell hyperplasia. The exact mechanisms involved in parathyroid gland (PTG) hyperplasia are still poorly understood. There is no available data on angiogenesis in PTG of patients with chronic kidney disease and SHPT.

A. N. Haberal, S. Toru, Ö. Özen, Z. Arat and B. Bilezikçi Diagnostic pitfalls in the evaluation of fine needle aspiration cytology of the thyroid: correlation with histopathology in 260 casesObjectives: Fine needle aspiration cytology (FNAC) of the thyroid is a non-invasive, cost-effective screening procedure that is valuable for distinguishing neoplastic lesions from non-neoplastic nodules.