BACKGROUND The aims of this study were to evaluate the rate and risk factors of ipsilateral and contralateral central lymph node (CLN) metastases in patients with papillary thyroid cancer (PTC). METHODS A total of 161 patients who underwent total thyroidectomy with prophylactic CLN dissection (CLND) to treat PTC were enrolled. RESULTS Of 134 total cases excluding tumors located in the isthm...

SURGERY IN SIMPLE GOITRE The Solitary Nodule The apparently solitary swelling, clinically and colloquially referred to as a ' simple adenoma,' may histologically be a hyperplastic nodule (due to compensatory hyperplasia) or a neoplastic nodule (innocent or malignant). The management of the solitary nodule is influenced in some hands by the availability or not of 131I facilities for investigatio...

The importance of this work centers around four considerations. The above-mentioned alterations in the assay of Stubbs and Kamovsky may lead to the elucidation of principles not possible with less efficient and less accurate methods. A second consideration is the maintenance of resting CPM sufficiently above background levels in order to reflect actual phagocytizing/resting ratios. This may not...

Background: The optimal extent of surgery for differentiated thyroid cancers (DTC) is controversial. The aim of this study is to assess the frequency and potential predictive factors of residual malignancy in the lobe contralateral to the main tumor. The secondary aim was to assess the safety of completion thyroidectomy. Methods: All total thyroidectomies performed at our institution between 20...

BACKGROUND Prone whole breast irradiation (WBI) leads to reduced heart and lung doses in breast cancer patients receiving adjuvant radiotherapy. In this feasibility trial, we investigated the prone position for whole breast + lymph node irradiation (WB + LNI). METHODS A new support device was developed for optimal target coverage, on which patients are positioned in a position resembling a ph...

A 31-year old woman was admitted to our clinic complaining of high blood pressure, dizziness, constipation, mental irritability and weight loss. The physical examination revealed goiter in her neck. The plasma levels of norepinephrine and epinephrine were 3.45 and 0.76 ng/ml, respectively. Urinary excretion of norepinephrine was 1 mg and epinephrine was 32.2 micrograms/24-hours. The examination...

Background & aim: To identify the variations in site of origin and level of the origin of the superior thyroid artery and its relation with external laryngeal nerve. Material & Method: A study was undertaken on 33 donated cadavers and through dissection was performed in neck region and both sides of superior thyroid artery were considered. Results: in present study superior thyroid artery arise...

OBJECTIVES Papillary thyroid carcinomas frequently occur as two or more separate foci within the thyroid gland (18%-87%). However, those multifocal tumors are easy to be undetected by preoperative radiologic evaluations, which lead to remnant disease after initial surgery. We aimed to study the incidence of multifocal papillary thyroid microcarcinomas (PTMCs), diagnostic accuracy of preoperativ...