hospital because of substernal chest pain, dyspnea, and occasional dysphagia to solids. His past medical history was remarkable for diabetes mellitus type II, hyperlipidemia, and Parkinson’s disease. On physical examination he appeared frail but with no apparent distress. Examination of the neck showed no masses, stridor or jugular venous distension. Heart examination disclosed a regular rate a...

BACKGROUND The purpose of this study was to determine feasibility, safety, and cost savings of outpatient thyroid and parathyroid surgery. METHODS Consecutive unselected patients undergoing thyroid and parathyroid operations by two surgeons with a special interest in endocrine surgery were studied prospectively. RESULTS One-hundred patients underwent operation, 61 as outpatients and 39 as i...

Primary amyloidosis (PA) is a protein deposition disorder that presents with localized or multisystemic disease. The incidence is low in the general public, ranging from three to eight cases per million, and with nonspecific presenting symptoms typically occurring later in life. Due to late presentation, substantial and irreversible damage has usually already occurred by the time of the diagnos...

OBJECTIVES To examine the presentation, workup, and surgical complications of substernal goitre. DESIGN Retrospective study. SETTING Regional hospital, Hong Kong. PATIENTS Twenty-four mostly elderly patients (mean age, 60.1 years) who underwent thyroidectomy for substernal goitres between 2000 and 2003 (substernal goitres were defined as those having either a caudal mass transgressing the...

Purpose. Postoperative hemorrhage is fortunately uncommon but potentially life-threatening complication of thyroid surgery that increases the postoperative morbidity and the hospital stay. In this study we compare the efficacy of collagen patch coated with human fibrinogen and human thrombin (CFTP) (group C) and oxidized regenerated cellulose gauze (group B) versus traditional hemostatic proced...

Goiter is an enlargement of the thyroid gland which can be associated with a number of complications both for mother and fetus. A 34-year-old pregnant woman with normal function was referred to our Department Obstetrics and Gynecology at Microcitemico Pediatric Hospital, Cagliari, suspected fetal goiter 32 gestational weeks. The case monitored regularly by ultrasound and treated successfu...