Difficult problems in thyroid cancer surgery.

Abstract:

:The incidence of thyroid cancer has increased dramatically, yet the mortality has remained unchanged. There remain many challenges and "difficult problems" in diagnosing and treating patients with differentiated thyroid cancer (DTC). A significant percentage of patients with DTC will present with a thyroid nodule and an indeterminate fine needle aspiration biopsy underscoring the importance of proper evaluation and management. It is important when considering the extent of thyroidectomy and the management of lymph node metastases to balance the outcome of treatment in terms of recurrence and mortality with the morbidity of the procedure. Total thyroidectomy and lymphadenectomy for macroscopic lymph node metastases appear to be the optimal therapy for most patients with DTC. Preservation of function is a priority in managing patients with DTC invading the recurrent laryngeal nerve, trachea, esophagus, or the larynx.

journal_name

Minerva Chir

journal_title

Minerva chirurgica

authors

McHenry CR,Phitayakorn R

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

83-93

issue

1

eissn

0026-4733

issn

1827-1626

pii

R06105245

journal_volume

65

pub_type

杂志文章,评审
  • [Risk of recurrence following partial thyroidectomy for benign lesions. Report of 58 patients 15-25 years after surgery].

    abstract:BACKGROUND:Since the 1980's, thanks to the introduction of new techniques and methods for the study of thyroid function, new light has been shed on certain aspects of thyroid disease that constitute the basis for surgical therapy. Multinodular goiter is a disorder affecting the entire gland, even when alterations mostl...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Basili G,Biagini C,Manetti A,Martini F,Biliotti G

    更新日期:2003-06-01 00:00:00

  • [Verneuil's suppurative hidradenitis. A case report].

    abstract::The Authors reports a case of Verneuil's disease in a perineal location. They focus on etiopathogenetic aspects and problems of differential diagnosis, before reviewing the various therapeutic options. Surgery is the only effective therapy and takes the form of an extensive excision of the cutaneous zone affected with...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Ammaturo C,Bruzzese E,Pascotto R,Morra C,Formato M,Romano C

    更新日期:1992-06-30 00:00:00

  • [Carcinoid tumors of the appendix. Review of the literature and two case reports].

    abstract::Gastrointestinal carcinoids are infrequent but at the same time hardly rare tumours. They are often chance findings but, as is clearly reported in the literature, their potential malignancy should not be overlooked. They are most commonly localised in the appendix. The authors describe two case reports of carcinoid tu...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Saviano MS,Beghi M,Ricchi E,Carriero A,Ferrara F

    更新日期:1993-03-15 00:00:00

  • [Various types of small intestine occlusion. Case contribution].

    abstract::The Authors examine retrospectively all the cases of obstruction of the small bowel operated at the surgical department of the Verbania Hospital in the last twenty years. The records of 341 cases, 1.4% of the total amount of the surgical operations carried out in the same space of time, were retrospectively reviewed. ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Finocchiaro GB,Perovani-Vicari P,Togna A,Mazza S,Galimberti GB

    更新日期:1992-12-01 00:00:00

  • [Surgical treatment of toxic megacolon].

    abstract::After an introduction on the various aetiological factors involved in toxic megacolon, its onset, medical treatment and indications to surgery, the paper describes personal experience with seven cases. The report highlights the importance of medical treatment which is recommended as the appropriate initial therapeutic...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Falco E,Nardini A,Celoria G,Battistini M,Gadducci G,Stefani R,Zappia F,Rollandi R,Montrucchio E,Stefanini T

    更新日期:1993-07-01 00:00:00

  • [Injuries due to seat belts. Comments on a clinical case].

    abstract::The authors report a case of associated injuries (thoracoabdominal trauma with multiple rib and sternum fractures, perforation of the small intestine, abdominal cutaneous ecchymosis) caused by a seat belt, and describe the possible seat-belt mechanisms of lesion in road accidents. Some clinical aspects are discussed; ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Orsi O,Sforza F,Zuppichini F,Lazzarin G,Rotta L

    更新日期:1993-05-15 00:00:00

  • [Traditional cutaneous suture and synthesis with Fasterzip. Comparative esthetic results].

    abstract::A group of 20 patients underwent plastic surgery for inguinal hernia. In 10 cases the incision was sutured using a traditional technique, whereas in 10 cases the wound was joined using Fasterzip. The cosmetic appearance of the wound in the two groups was compared at 8, 30, 60 and 90 days after surgery. It was found th...

    journal_title:Minerva chirurgica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Boltri M

    更新日期:1998-05-01 00:00:00

  • [Experimental study of the use of tissue adhesives in colonic surgery].

    abstract::The authors report the own experience about the experimental use of tissue adhesive in the colonic surgery, on 14 rabbits, with quite satisfactory result. Therefore they evince that this tissue adhesive, althought it can't replace the surgical suture, yet it can help the surgeon out of a hard colonic anastomosis. ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Bertolotto E,Torelli P,Buscaglia M,Steinweg M,Longo A

    更新日期:1980-05-15 00:00:00

  • [Venous microanastomoses by fibrin glue versus standard technique].

    abstract:BACKGROUND:The goal of this study is to compare the usual surgical technique with the use of fibrin glue, which is faster to perform and has few histological alterations in the anastomosis. METHODS:We performed 70 microanastomoses on the internal jugular vein of the Sprague-Dawley rats, and we estimated: immediate and...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Pelayo Salas,Perez Ruiz L,Marco Estarreado L,Guidolin D,Del Carmen Garcés Guallart M

    更新日期:2002-08-01 00:00:00

  • Practical management of liver transplant recipients for hepatitis C.

    abstract::Hepatitis C is one of the leading indications for liver transplantation. Recipients can expect at least a short-term survival equivalent to other indications for liver transplantation. However, the rates of cirrhosis and decompensation development is substantially faster than those rates seen in non-transplant setting...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Saab S,Busuttil RW

    更新日期:2003-08-01 00:00:00

  • [Autotransfusion in vascular surgery].

    abstract::This report describes 51 vascular patients with peripheral vascular disease treated intraoperatively by means of the autotransfusion apparatus with a minimum of 750 cc of reinfused blood. An early decrease of Hct, Hb, RBC, fibrinogen and Plt count was observed without any significant coagulation disorder. ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Tola M,Portoghese A,Talloru M,Cocco G,De Giudici A,Brotzu G

    更新日期:1990-11-01 00:00:00

  • [Use of chlorhexidine in surgery].

    abstract::The extensive literature on the efficacy of chlorhexidine is reviewed. Personal experience with the substance in the daily and preoperative disinfection of the hands of medical and paramedical personnel in a surgical department, and the medication of surgical wounds, over a period of one year confirmed its low toxicit...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Zabbia V

    更新日期:1977-10-31 00:00:00

  • [Biliodigestive anastomosis: case series and technical notes].

    abstract:AIM:Biliodigestive anastomoses are widely used in the treatment of biliary obstruction. METHODS:A survey is presented of the personal case series treated during the last 5 years. Thirty biliodigestive anastomose have been performed both for neoplastic disease and for benign lesions. RESULTS:The biliodigestive anastom...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Meccariello R,Damiano I,Pelosio L,Rizzo GM,Ansalone M,D'Aniello F

    更新日期:2006-02-01 00:00:00

  • [A case of appendiceal mucocele associated with cancer of the colon].

    abstract::Mucocele of the appendix is a rare lesion (only 0;2-0.3% of all appendicectomies). It is characterized by distension of the lumen within mucus. Mucoceles are often asymptomatic and are discovered as an incidental finding either at surgery or during barium edema. There have been reports of other tumors associated with ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Zullo A,Botto G,Pastormerlo M

    更新日期:1995-12-01 00:00:00

  • [Laparoscopic treatment of Mirizzi's syndrome].

    abstract::The Mirizzi syndrome is an unusual benign obstructive jaundice due to extrinsic mechanical compression of the common hepatic duct by gallstone impacted within the neck or cystic duct of the gallbladder. This syndrome is described either as an acute form due only to extrinsic compression of the common bile duct (type I...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Berta R,Pansini GC,Zamboni P,Navarra G,Bertasi M,Vasquez G,Liboni A

    更新日期:1995-06-01 00:00:00

  • [Massive inguinoscrotal hernia of the bladder].

    abstract::A rare case of massive inguinoscrotal hernia of the bladder in an obese 73-year-old man is described. The condition was successfully treated by simple repositioning of the bladder followed by abdominal wall repair. ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Rustichelli G,Balli C,Mengoli M

    更新日期:1989-08-31 00:00:00

  • [Renal oncocytoma: 2 clinical cases].

    abstract::Renal oncocytoma is an uncommon benign neoplasm of tubular epithelial origin. It usually occurs as single mass and clinically may be confused with renal cell carcinoma. Angiographic, CT and ultrasound studies may suggest the diagnosis but they are not pathognomonic. The clinical, diagnostic and anatomopathological fea...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Mazzoni M,Boschi L,Zamboni W,Mandrioli M

    更新日期:1990-05-31 00:00:00

  • [Filling materials in the repair and esthetic surgery of the breast. Historical notes].

    abstract::The biological and synthetic materials employed over the years for filling breasts after mastectomy or for congenital malformations are reviewed. At the start of the century, breast shape and volume were changed by adipose tissue grafts. In the 50s and 60s dermo-fibro-adipose grafts and later auto-grafts and grafts of...

    journal_title:Minerva chirurgica

    pub_type: 历史文章,杂志文章

    doi:

    authors: Elia L,Feliciano S,Eleuteri M,Serafini P,Marcasciano M

    更新日期:1989-09-30 00:00:00

  • [Biofragmentable anastomosis ring (BAR) in surgery of the digestive system].

    abstract::Twenty-six patients submitted to surgery using BAR in intestinal anastomosis have been studied. The results were compared with data of the literature concerning this device of anastomosis and about mechanical staplers and manual suture. The following data were taken into consideration: type of operation, type of anast...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Bandettini L,Gattai R,Pace M

    更新日期:1999-10-01 00:00:00

  • VATS for congenital lobar emphysema: a case report.

    abstract:UNLABELLED:Congenital lobar emphysema (CLE) is a rare congenital lung disease consisting in overinflation of a pulmonary lobe. Adult onset of CLE is therefore unusual, often presented with mild symptoms. The authors report a very uncommon case of congenital segmental emphysema diagnosed in a 21-year-old non-smoking man...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Granato F,Voltolini L,Spina D,Paladini P,Gallazzi M,Gotti G

    更新日期:2009-02-01 00:00:00

  • [Criteria for training in laparoscopic gastric surgery: guidelines and experience of 30 cases].

    abstract:AIM:Although many studies on laparoscopic surgery of the stomach have been conducted so far, yet they have not provided surgeons with criteria for gradual and safe training with this technique. The results of gastric surgery with 30 patients operated on by laparoscopic approach are hereby described. The aim of this iss...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Pugliese R,Maggioni D,Sansonna F,Scandroglio I,Ferrari GC,Di Lernia S,Boniardi M,Costanzi A,Pauna J

    更新日期:2005-02-01 00:00:00

  • [Cancer of the extrahepatic bile ducts. Clinical experience and anatomic/surgical considerations].

    abstract::Cancer of the extrahepatic biliary tract is a rare disease related to a severe prognosis. The resection of the extrahepatic biliary tract is a complex procedure and the preoperative assessment of resectability is made difficult because of the malignancies. Biliary cancer resection can be curative in some patients but ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: La Greca G,Puleo S,Li Destri G,Di Carlo I,Lombardo R,Rodolico M,Di Cataldo A,Licata A

    更新日期:1997-01-01 00:00:00

  • Palliative care in advanced cancer.

    abstract::Palliative care represents a new field among clinical approaches to patients with advanced or terminal cancer. The modern concept of palliative care can be considered in several ways: 1) the relationship between palliative care and primary treatments of cancer (surgery, radiotherapy or chemotherapy); 2) the treatment ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Amadori D,Tassinari D,Maltoni M

    更新日期:2005-08-01 00:00:00

  • The management of acute limb ischemia.

    abstract::Acute limb ischemia (ALI) is one of the most common vascular emergencies and characterized by sudden worsening of limb perfusion mainly caused by embolization of thrombotic masses or acute graft occlusion. It is a serious condition with potential thread to limb viability accompanied by significant mortality, morbidity...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Trummer G,Brehm K,Siepe M,Heilmann C,Schlensak C,Beyersdorf F

    更新日期:2010-06-01 00:00:00

  • [Acute appendicitis in aged patients].

    abstract::Over the course of 12 years (1977-1989) 40 patients aged over 50 (mean age 67 years) with acute appendicitis (Group I) were admitted to and operated in the Department of Surgery at Casalpusterlengo Hospital. Diagnosis was always confirmed by pathological examination. The following data were taken into account: the int...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Pricolo R,Voltolini F,Croce P

    更新日期:1991-03-15 00:00:00

  • [Laparocele. A late complication of bariatric surgery].

    abstract::In this paper the authors consider the problem of incisional hernias as late complications of bariatric surgery. After a description of relationships between obesity and incisional hernias they report their experience on this topic, consisting of 56 patients submitted to bilio-pancreatic diversion between March 1989 a...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Bajardi G,Ricevuto G,Mastrandrea G,Latteri M,Pischedda G,Rubino G,Valenti D,Florena M

    更新日期:1993-04-15 00:00:00

  • [Current indications for lumbar ganglionectomy. Analysis of a series of cases].

    abstract::Data concerning a personal surgical series covering the last 10 years have been collected as far as cases regarded lumbar gangliectomy. The operative indication and incidence of this type of operation, performed for sclerotic obliterating arteriopathy of the lower extremities, out of total admissions and out of total ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Biasi G,Mattioli A,Fiori F,De Amicis P

    更新日期:1981-06-30 00:00:00

  • [Pheochromocytoma. A case report].

    abstract::The pheochromocytoma is a catecholamine-secreting tumor, localized in the adrenal gland in 90% of the cases and in extra-adrenal site in the remaining 10%. It can be single or associated with other endocrine neoplasms. On the basis of the case presented, the several clinical manifestations, the treatment of the diseas...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Garritano A,Ceraudo E,De Rose F,Jantosca F,Santarelli E,Taccaliti F

    更新日期:1999-04-01 00:00:00

  • [Surgical treatment and prognostic factors in colorectal cancer].

    abstract:AIM:The aim of this study was to make a contribution to improve the care of patients with colorectal cancer by optimizing times and methods of the follow-up; particular attention is given to factors which may be important for the prognosis and for the quality of life in the immediate postoperative period. METHODS:The ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Antonino A,Formisano G,Guida F,Esposito D,Conte P,Di Maio V,Delli Carpini C,Donisi M,Salvati V,Aprea G,Avallone U

    更新日期:2007-06-01 00:00:00

  • [Surgical treatment of subclavian steal syndrome and innominate steal syndrome. Long-term results].

    abstract::Thirty-four patients who underwent carotid-subclavian bypass (64.7%), aorto-carotid bypass (17.6%), endarterectomy of subclavian artery (5.8%) or endarterectomy of innominate artery for "subclavian" or "innominate steal" syndromes, had a follow-up studies 3-8 years since surgery. All patients demonstrated originally a...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Deriu GP,Ballotta E,Maruotti R,Fiore D,Feltrin GP

    更新日期:1980-08-15 00:00:00