Search results for "thyroid."
showing 10 items of 797 documents
Esophageal motility changes after thyroidectomy: possible associations with postoperative voice and swallowing disorders
2012
Thyroid metastases from renal cell carcinoma. Report of a case and review of the literature
2018
Metastases to thyroid gland are a rare occurrence in surgical practice. The most frequent primitive tumor is renal cell carcinoma. We report a case of thyroid metastasis from renal cell carcinoma in a 70-year-old man who underwent left nephrectomy ten years earlier, presented with a diagnosis of multinodular goiter, associated with thyroiditis and right laterocervical lymphadenopathy. A total and the surgical excision of laterocervical lymph node were performed. The results, according to the histological examination, were metastases from renal cell carcinoma, involving both the thyroid gland and the lymph node. Therefore, since the delay of presentation and the difficulties of diagnosis, we…
Reoperation for persistent or recurrent secondary hyperparathyroidism
2017
Background: Secondary hyperparathyroidism is a common acquired disorder seen in chronic renal failure. Its pathophysiology is mainly due to hyperphosphatemia and vitamin D deficiency and resistance. When medical treatment fails, subtotal and total parathyroidectomy with autotransplantation are the standard procedures, although both are associated with high recurrence rates.Methods and Results: 4 patients experienced persistence and 9 relapse. The first 4 were subjected to reoperation after 6 months for the persistence of symptoms due to the finding of a supernumerary adenomatous gland while the remaining patients at the reoperation showed in 5 cases 2 more glands in over thymic position, an…
Struma ovarii. Case report and revision of the literature
2011
Struma ovarii is a rare form of ovarian neoplasm, entirely or predominantly composed of thyroid tissue. This tumour generally has a benign biological behavior, although some cases of malignant transformation have been reported (5-10%). The tumour usually presents as an asymptomatic mature mass that may measure as much as 10 cm in diameter. The presence of ascites is possible (15-20%), and in a few cases the association of ascites and hydrothorax has been recorded (Pseudo-Meigs Syndrome); a close relationship between ascites and high levels of Ca-125, that may wrongly induce to a diagnosis of ovarian carcinoma is present. Other possible clinical consequences are compressive symptoms on adjac…
Neck node dissection in thyroid cancer. A review.
2010
INTRODUCTION: thyroid cancer recurs most commonly in one or more cervical lymph nodes. Surgical treatment for differentiated or medullary thyroid carcinoma consists of total thyroidectomy (TT). The aim is to elucidate the potential benefits and drawbacks of neck dissection TT related. MATERIALS AND METHODS: differences between therapeutic and prophylactic neck dissection were analysed to prevent post-operative morbidity, neck recurrences and improve survival. DISCUSSION: there is considerable controversy regarding the treatment of patients with cervical node metastases specially in differentiated thyroid cancer. Considering that a neck dissection might help to reduce local recurrence, espec…
RECURRENT RENAL CARCINOMA MIMICKING A GOITRE: A CASE REPORT
2013
Although the thyroid is a high vascularised gland, it is not common terget of metastases from extraglandular cancer. We reported a case of a 70 year-old woman who underwnt total thyroidectomy for multinodular goitre. In the patient's clinical hystory a nephrectomy was carried out 2 years before due to unspecified causes. The histopathological examination of the thyiroid showed a pattern compatible with clear cell renal carcinoma metastasis. The patient's relatives revealed, when questioned again, that the nephrectomy was due to the presence of a clear renal cell carcinoma keep concealed to the patients. Thanks to a timely intervention, the mass was removed and a better survival was guarante…
Skull-Cervico-Mandibular Unit: Correlation between Hyoid Bone, Thyroid Gland and Posture
2010
Purpose: The aim of this study is to evaluate the postural control of the patient with pathology or surgery of the neck area. We have examined a group of subjects with thyroid pathology and destined to total thyroidectomy. Method: Our sample comprised 10 patients (7 female and 3 male; mean age 50,9±15,8). They have been submitted to postural examination, before and after total thyroidectomy, using the baropodometric platform, the scoliosismeter and the ocular convergence test. All the values obtained from the baropodometric tests executed before and after thyroidectomy have been compared using a statistical analysis. The T Student test and a significant level of 5% (a=0,05;p£,05) have been …
Azione antalgica di Hydrogel nell'orbitopatia basedowiana
2007
La terapia dell'orbitopatia,nella fase acuta,si basa oltre che sulla correzione della turba endocrinologica,sulla protezione della cornea e sull'uso dei corticosteroidi ad alto dosaggio o di farmaci immunosoppressori o, in alternativa,sulla radioterapia orbitaria.Per attenuare la sintomatologia dolorosa,frequente nella fase acuta e che può inficiare la qualità della vita,data la componente flogistica,abbiamo voluto valutare gli effetti di una terapia antalgica mediante appliocazione sulla superficie palpebrale di un gel chirurgico criogenico decongestinante ( a contenuto di estratto di ananas più acido betaglicirretico),ad oggi utilizzato con risultati soddisfacenti in soggetti sottoposti a…
Evaluation of the anti-inflammatory and analgesic action of hydrogel in thyroid orbitopathy.
2011
Purpose: To evaluate the analgesic efficacy of applying on the eyelid surface sterile hydrogel dressings containing substances such as pineapple extract which has anti-inflammatory and antioedema properties, and 18 beta-glycyrrhetinic acid. Design: Randomized prospective clinical trial. Methods: 50 patients (16 males and 34 females) affected with thyroid-associated orbitopathy in acute phase equally distributed in two groups. The level of patient satisfaction of the treatment was measured by answering a questionnaire before and after the treatment phase. Results: While 24 patients of study group reported an reduction in the pain only 2 of control group did. In the study group questionnaire’…