Use Of A One-way Flutter Valve Drainage System In The Postoperative Period Following Lung Resection [utilização Da Válvula Unidirecional De Tórax Como Sistema De Drenagem No Pós-operatório De Ressecç ões Pulmonares]

Objective: To evaluate pleural drainage using a one-way flutter valve following elective lung resection. Methods: This was a prospective study, with descriptive analysis, of 39 lung resections performed using a one-way flutter valve to achieve pleural drainage during the postoperative period. Patients less than 12 years of age were excluded, as were those submitted to pneumonectomy or emergency surgery, those who were considered lost to follow-up and those in whom water-seal drainage was used as the initial method of pleural drainage. Lung expansion, duration of the drainage, hospital stay and postoperative complications were noted. Results: A total of 36 patients were included and analyzed in this study. The mean duration of pleural drainage was 3.0 ± 1.6 days. At 30 days after the surgical procedure, chest X-ray results were considered normal for 34 patients (95.2%). Postoperative complications occurred in 8 patients (22.4%) and were related to the drainage system in 3 (8.4%) of those. Conclusions: The use of a one-way flutter valve following elective lung resection was effective, was well tolerated and presented a low rate of complications.348559566Kenyon, J.H., Traumatic Hemothorax: Siphon drainage (1916) Ann Surg, 64, pp. 728-729Lilienthal, H., Resection of the lung for suppurative infections with a report based on 31 operative cases in which resection was done or intended (1922) Ann Surg, 75 (3), pp. 257-320Heimlich, H.J., Valve drainage of the pleural cavity (1968) Dis Chest, 53 (3), pp. 282-287Waller, D.A., Edwards, J.G., Rajesh, P.B., A physiological comparison of flutter valve drainage bags and underwater seal systems for postoperative air leaks (1999) Thorax, 54 (5), pp. 442-443Lima, A.G., Rocha, E.R., Santos, N.A., Seabra, J.C., Mussi, R.K., Santos, J.G., Avalia̧ão do uso da bra̧adeira ou "clamp" na drenagem pleural fechada subaquática. Estudo prospectivo aleatorizado. (2007) J Bras Pneumol, 33 (SUPL 1R), pp. R13Vuorisalo, S., Aarnio, P., Hannukainen, J., Comparison between flutter valve drainage bag and underwater seal device for pleural drainage after lung surgery (2005) Scand J Surg, 94 (1), pp. 56-58Graham, A.N., Cosgrove, A.P., Gibbons, J.R., McGuigan, J.A., Randomised clinical trial of chest drainage systems (1992) Thorax, 47 (6), pp. 461-462Bar-El, Y., Lieberman, Y., Yellin, A., Modified urinary collecting bags for prolonged underwater chest drainage (1992) Ann Thorac Surg, 54 (5), pp. 995-996Ortega, H.A.V., Lima, M.P., Denadai, J.O., Válvula unidirecional aplicada ao tratamento ambulatorial do pneumotórax. (1996) J Pneumol, 22 (4), pp. 177-180Figueiredo Pinto, J.A., Leite, A.G., Cavalet, D., Drenagem torácica: Princípios básicos (2001) Manual de cirurgia torácica, pp. 109-125. , Pinto Filho DR, Cardoso PF, Figueiredo Pinto JA, Scheineider A, editors, Rio de Janeiro: Revinter;Gŕgoire, J., Deslauries, J., Closed drainage and suction systems (2002) Thoracic Surgery, pp. 1281-1297. , Pearson FG, Deslauries J, Ginsberg RJ, Hiebert CA, Mckneally MF, Urschel HC, editors, New York: Churchill Livingstone;Marshall, M.B., Deeb, M.E., Bleier, J.I., Kucharczuk, J.C., Friedberg, J.S., Kaiser, L.R., Suction vs water seal after pulmonary resection: A randomized prospective study (2002) Chest, 121 (3), pp. 831-835McKenna Jr, R.J., Fischel, R.J., Brenner, M., Gelb, A.F., Use of the Heimlich valve to shorten hospital stay after lung reduction surgery for emphysema (1996) Ann Thorac Surg, 61 (4), pp. 1115-1117Okamoto, J., Okamoto, T., Fukuyama, Y., Ushijima, C., Yamaguchi, M., Ichinose, Y., The use of a water seal to manage air leaks after a pulmonary lobectomy: A retrospective study (2006) Ann Thorac Cardiovasc Surg, 12 (4), pp. 242-244Cerfolio, R.J., Bass, C., Katholi, C.R., Prospective randomized trial compares suction versus water seal for air leaks (2001) Ann Thorac Surg, 71 (5), pp. 1613-1617Antanavicius, G., Lamb, J., Papasavas, P., Caushaj, P., Initial chest tube management after pulmonary resection (2005) Am Surg, 71 (5), pp. 416-419Lima, A.G., Contrera Toro, I.F., Tincani, A.J., Barreto, G., A drenagem pleural pré-hospitalar: Apresentação de mecanismo de válvula unidirecional. (2006) Rev Col Bras Cir, 33 (2), pp. 101-106Ponn, R.B., Silverman, H.J., Federico, J.A., Outpatient chest tube management (1997) Ann Thorac Surg, 64 (5), pp. 1437-1440Campisi, P., Voitk, A.J., Outpatient treatment of spontaneous pneumothorax in a community hospital using a Heimlich flutter valve: A case series (1997) J Emerg Med, 15 (1), pp. 115-119Williams, J.G., Riley, T.R., Moody, R.A., Resuscitation experience in the Falkland Islands campaign (1983) Br Med J (Clin Res Ed), 286 (6367), pp. 775-777Schweitzer, E.J., Hauer, J.M., Swan, K.G., Bresch, J.R., Harmon, J.W., Graeber, G.M., Use of the Heimlich valve in a compact autotransfusion device (1987) J Trauma, 27 (5), pp. 537-542Beyruti, R., Villiger, L.E., Campos, J.R., Silva, R.A., Fernandez, A., Jatene, F.B., A válvula de Heimlich no tratamento do pneumotórax. (2002) J Pneumol, 28 (3), pp. 115-119Mainini, S.E., Johnson, F.E., Tension pneumothorax complicating small-caliber chest tube insertion (1990) Chest, 97 (3), pp. 759-760Lodi, R., Stefani, A., A new portable chest drainage device (2000) Ann Thorac Surg, 69 (4), pp. 998-1001Sanches, P.G., Vendrame, G.S., Madke, G.R., Pilla, E.S., Camargo, J.J., Andrade, C.F., (2006) Lobectomy for treating bronchial carcinoma: Analysis of comorbidities and their impact on postoperative morbidity and mortality J Bras Pneumol, 32 (6), pp. 495-504Lang-Lazdunski, L., Chapuis, O., Bonnet, P.M., Pons, F., Jancovici, R., Videothoracoscopic bleb excision and pleural abrasion for the treatment of primary spontaneous pneumothorax: Long-term results (2003) Ann Thorac Surg, 75 (3), pp. 960-965Russo, L., Wiechmann, R.J., Magovern, J.A., Szydlowski, G.W., Mack, M.J., Naunheim, K.S., Early chest tube removal after video-assisted thoracoscopic wedge resection of the lung (1998) Ann Thorac Surg, 66 (5), pp. 1751-1754Watanabe, A., Watanabe, T., Ohsawa, H., Mawatari, T., Ichimiya, Y., Takahashi, N., Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung (2004) Eur J Cardiothorac Surg, 25 (5), pp. 872-876Molins, L., Fibla, J.J., Ṕrez, J., Sierra, A., Vidal, G., Siḿn, C., Outpatient thoracic surgical programme in 300 patients: Clinical results and economic impact (2006) Eur J Cardiothorac Surg, 29 (3), pp. 271-275Tang, A.T., Velissaris, T.J., Weeden, D.F., An evidence-based approach to drainage of the pleural cavity: Evaluation of best practice (2002) J Eval Clin Pract, 8 (3), pp. 333-34

Melanoma Ganglionic Metastasis 30 Years After Treatment Of The Primary Tumor--a Case Report.

The recurrence of melanoma in patients is well-documented, and is dependent on a number of factors. We report a case in which a patient had a case of ganglionar metastasis in the neck after a 30-year disease-free interval following primary treatment.11421131113

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Thyroidectomy And Hypoparathyroidism In Patients With Pharyngoesophageal Tumors

Background. Total pharyngolaryngoesophagectomy and gastric transposition (TPLEGT) for pharyngoesophageal (PE) tumors may require thyroidectomy (with or without removal of the parathyroid glands) to obtain adequate margins around the tumor. As a result, a considerable number of patients may have hypoparathyroidism (HP) develop. The objective of this article is to report our experience with different types of thyroidectomy and to describe the relationship of thyroidectomy to HP in TPLETG. These results are compared with data in the literature. Methods. From 1985 to 2001, 40 patients underwent TPLEGT, with main index tumors in the esophagus (n = 17), hypopharynx (n = 17), and larynx (n = 6). All patients had advanced cTNM or pTNM stages (III or IV). Postoperative HP was diagnosed based primarily on the symptoms and calcium and phosphorus analysis but not on parathyroid hormone (PTH) levels. Results. Total thyroidectomy (TT) was done in 12 (30%) patients and 11 (91.6%) had permanent HP develop. In none of these patients was the parathyroid separated and implanted (fear of a tumor implant). Partial thyroidectomy (PT) (lobectomy and isthmus) was done in 25 (62.5%) patients, and permanent HP occurred in 11 (44%) patients. The thyroid was preserved in three patients, and none had HP develop. Of the 40 patients, 13 (32.5%) had no HP, five (12.5%) had temporary HP, and 22 (55%) had permanent HP. There was a correlation between the type of thyroidectomy, location of primary tumors, and development of HP. Only seven reports in the past 30 years have dealt with TPLEGT, thyroidectomy, and HP. HP occurred in 32.5% of the cases of TT and in 19.5% of the cases of PT. Conclusions. Permanent HP was very frequent (55%) in our series. In patients who underwent TPLEGT, HP was almost certain when TT was done (91.6%). PT was no guarantee that HP would not occur (44% permanent HP). The frequency of permanent HP based on primary index tumors was 47%, 59%, and 66.6% for esophageal, hypopharyngeal, and laryngeal cancer, respectively. © 2005 Wiley Periodicals, Inc.282135141Ong, G.B., Lee, T.C., Pharyngogastric anastomosis after oesophagopharyngectomy for carcinoma of the hypopharynx and cervical oesophagus (1960) Br J Surg, 48, pp. 193-200Buchanan, G., West, T.E., Woodhead, J.S., Lowy, C., Hypoparathyroidism following pharyngolaryngo-oesophagectomy (1975) Clin Oncol, 1, pp. 89-96Harrison, D.F.N., Surgical management of hypopharyngeal cancer. Particular reference to the gastric pull-up operation (1979) Arch Otolaryngol, 105, pp. 149-152Lam, K.H., Ong, J., Lim, S.T.K., Ong, G.B., Pharyngogastric anastomosis following pharyngolaryngoesophagectomy: Analysis of 157 cases (1981) World J Surg, 5, pp. 509-516Spiro, R.H., Shah, J.P., Strong, E.W., Gerold, F.P., Bains, M.S., Gastric transposition in head and neck surgery, indications, complications, expectations (1983) Am J Surg, 146, pp. 483-487Collin, C.F., Spiro, R.H., Carcinoma of the cervical esophagus: Changing therapeutic trends (1984) Am J Surg, 148, pp. 460-465Wei, W.I., Lam, K.L., Choi, S., Wong, J., Late problems after pharyngolaryngoesophagectomy and pharyngogastric anastomosis for cancer of the larynx and hypopharynx (1984) Ann J Surg, 14, pp. 509-513Krespi, Y.P., Wurster, C.F., Wang, T.D., Stone, D.M., Hypoparathyroidism following total pharyngolaryngoesophagectomy and gastric pull-up (1985) Laryngoscope, 10, pp. 1184-1187Orringer, M.B., Transhiatal esophagectomy without thoracotomy for carcinomas of the esophagus (1986) Adv Surg, 19, pp. 1-49Pradhan, S.A., Post-cricoid cancer: An overview (1989) Semin Surg Oncol, 5, pp. 331-336Spiro, R.H., Bains, M.S., Shah, J.P., Strong, E.W., Gastric transposition for head and neck cancer: A critical update (1991) Am J Surg, 162, pp. 348-352Orringer, M.B., Anterior mediastinal tracheostomy with and without cervical exenteration (1992) Ann Thorac Surg, 54, pp. 628-637Cahow, C.E., Sasaki, C.T., Gastric pull-up reconstruction for pharyngo-laryngo-esophagectomy (1994) Arch Surg, 129, pp. 425-430Wei, W.I., Lam, K.L., Yuen, P.W., Current status of pharyngolaryngo-esophagectomy and pharyngogastric anastomosis (1998) Head Neck, 20, pp. 240-244Martins, A.S., Gastric transposition for pharyngoesophageal tumors: Unicamp experience (2000) J Laryngol Otol, 114, pp. 682-689Martins, A.S., Multicentricity in pharyngoesophagic tumors: Argument for total pharyngolaryngoesophagectomy (2000) Head Neck, 22, pp. 156-163Martins, A.S., Neck and mediastinal node dissection in pharyngoesophageal tumors (2001) Head Neck, 23, pp. 772-779Schobinger, R., The use of long anterior skin flap in radical neck dissection (1957) Ann Surg, 146, pp. 221-223Eckert, C., Byars, L.T., The surgery of papillary carcinoma of the thyroid gland (1952) Ann Surg, 136, pp. 83-89Isaacson, S.R., Snow, J.B., Etiologic factors in hypocalcemia secondary to operations for carcinoma of the pharynx and larynx (1978) Laryngoscope, 88, pp. 1290-1297Paloyan, E., Lawrence, A.M., Paloyan, D., Successful autotransplantation of the parathyroid glands during total thyroidectomy for carcinoma (1977) Surg Gynecol Obstet, 145, pp. 364-368Wells, A.S., Ross, A.J., Dale, J.K., Gray, R.S., Transplantation of the parathyroid gland: Current status (1979) Surg Clin North Am, 59, pp. 167-177. , Symposium on Endocrine SurgeryThompson, N.W., Harness, J.K., Complications of total thyroidectomy for carcinoma (1970) Surg Gynecol Obstet, 15, pp. 861-868Perzik, S.L., Catz, B., The place of total thyroidectomy in the management of thyroid disease (1967) Surgery, 62, pp. 436-44

How To Overcome Limitations Of Fine Needle Aspiration And Frozen Section Biopsy During Operations For Salivary Gland Tumors

[No abstract available]116117Batsakis, J.G., Sneige, N., el-Naggar, A.K., Fine-needle aspiration of salivary glands: its utility and tissue effects (1992) Ann Otol Rhinol Laryngol, 101, pp. 185-188Heller, K.S., Attie, J.N., Dubner, S., Accuracy of frozen section in the evaluation of salivary tumors (1993) Am J Surg, 166, pp. 424-427Heller, K.S., Dubner, S., Chess, Q., Attie, J.N., Value of fine needle aspiration biopsy of salivary gland masses in clinical decision-making (1992) Am J Surg, 164, pp. 667-670Tincani, A.J., Martins, A.S., Altemani, A., Scanavini Jr, R.C., Barreto, G., Lage, H.T., Valerio, J.B., Molina, G., (1999) Parapharyngeal space tumors: considerations in 26 cases. Sao Paulo Med J, 117, pp. 34-37Tincani, A.J., Del Negro, A., Araujo, P.P., Akashi, H.K., Martins, A.S., Altemani, A.M., Barreto, G., (2006) Management of salivary gland adenoid cystic carcinoma: institutional experience of a case series. Sao Paulo Med J, 124, pp. 26-30Tincani, A.J., Altemani, A., Martins, A.S., Barreto, G., Valério, J.B., Del Negro, A., Araújo, P.P., Polymorphous low-grade adenocarcinoma at the base of the tongue: an unusual location (2005) Ear Nose Throat J, 84, p. 794795. , 799Hughes, J.H., Volk, E.E., Wilbur, D.C., Cytopathology Resource Committee College of American Pathologists Pitfalls in salivary gland fine-needle aspiration cytology: lessons from the College of American Pathologists Interlaboratory Comparison Program in Nongynecologic Cytology (2005) Arch Pathol Lab Med, 129, pp. 26-31Arabi Mianroodi, A.A., Sigston, E.A., Vallance, N.A., Frozen section for parotid surgery: should it become routine? (2006) ANZ J Surg, 76, pp. 736-739Seethala, R.R., LiVolsi, V.A., Baloch, Z.W., Relative accuracy of fineneedle aspiration and frozen section in the diagnosis of lesions of the parotid gland (2005) Head Neck, 27, pp. 217-22

Occurrence Of Fat Embolism After Liposuction Surgery With Or Without Lipografting: An Experimental Study

Background: Liposuction in plastic surgery consists of the removal of excess fatty tissue in healthy individuals. In recent decades, this procedure has become more common worldwide. Associated with liposuction, lipografting has also been used for improving body contours, and has become known as liposculpture. Liposuction sometimes causes complications, including fat embolism, as described in the medical literature. The present study aims at ascertaining whether there is intravascular mobilization of fat after mechanical liposuction surgery and/or fat graft when carried out using one of the most common specific procedures used for liposuction, the superwet technique. Methods: A total of 30 Wistar rats were included in this study. Before the surgery, the animals were placed in the supine position and anesthetized with thiopental for 50 to 60 minutes, as it is generally performed in clinical practice. The animals were divided in the following 3 groups. Group A, consisting of 10 rats, served as controls, and were only anesthetized. Group B consisted of 10 rats, which underwent only liposuction. Group C also comprised 10 rats, which were liposuctioned and then lipografted in the dorsal region. Blood was collected just before and again, 48 hours after the procedure. After 48 hours, the animals were killed, and the lungs, kidneys, liver, and brain were histologically examined. Results: All the collected samples were analyzed microscopically with 2 different stains, namely, hematoxylin and eosin, and Sudan black. Fat particles were found in the lungs of 3 animals in group B (those that underwent only liposuction) and in 6 animals of group C (liposuction and lipografting). No fat particles were found in any organ of the control group. Conclusions: With this experiment, the authors showed that there is a risk of systemic mobilization of fat after liposuction surgery and that this risk is even higher when fat grafts are also carried out. Copyright © 2011 by Lippincott Williams & Wilkins.672101105(2009) Plastic Surgery Statistics, , www.plasticsurgery.org/Documents/Media/2006-Top-Five-Surgical-Cosmetic- Procedures.pdf, American Society of Plastic Surgeons. Available at(2006), www.cirurgiaplastica.org.br, Brazilian Society of Plastic Surgery-Institute DATAFOLHA Available atSouto, A.M., Freitas, L.F., Merheb, G.M., (2005) Book of Brazilian Society of Plastic Surgery, pp. 757-765. , In: Carreirão S, Cardin V, Goldenberg D. (SBCP) São Paulo, Brazil: AtheneuKenkel, J.M., Brown, S.A., Love, E.J., Waddle, J.P., Krueger, J.E., Noble, D., Robinson Jr., J.B., Rohrich, R.J., Hemodynamics, electrolytes, and organ histology of larger-volume liposuction in a porcine model (2004) Plastic and Reconstructive Surgery, 113 (5), pp. 1391-1399. , DOI 10.1097/01.PRS.0000112748.48243.62Ross, R.M., Johnson, G.W., Fat embolism after liposuction (1988) Chest., 93, pp. 1294-1295El-Ali, K.M., Gourlay, T., Assessment of the risk of systemic fat mobilization and fat embolism as a consequence of liposuction: Ex vivo study (2006) Plastic and Reconstructive Surgery, 117 (7), pp. 2269-2276. , DOI 10.1097/01.prs.0000218715.58016.71, PII 0000653420060600000026Grazer, F.M., De Jong, R.H., Fatal outcomes from liposuction: Census survey of cosmetic surgeons (2000) Plastic and Reconstructive Surgery, 105 (1), pp. 436-446Laub Jr., D.R., Laub, D.R., Fat embolism syndrome after liposuction: A case report and review of the literature (1990) Annals of Plastic Surgery, 25 (1), pp. 48-52. , DOI 10.1097/00000637-199007000-00011Costa, A.N., Mendes, D.M., Toufen, C., Adult respiratory distress syndrome due to fat embolism in the postoperative period following liposuction and fat grafting (2008) J Bras Pneumol., 34, pp. 622-625Dillerud, E., Re: Fat embolism after liposuction (1991) Ann Plast Surg., 26, p. 293Senen, D., Atakul, D., Erten, G., Evaluation of the risk of systemic fat mobilization and fat embolus following liposuction with dry and tumescent technique: An experimental study on rats (2009) Aesthetic Plast Surg., 33, pp. 730-737Toledo, L.S., Syringe liposculpture: A two-year experience (1991) Aesthetic Plast Surg., 15, pp. 321-326Flecknell, P., Local and regional anaesthesia in laboratory animals (1996) Laboratory Animal Anaesthesia, pp. 69-70. , 2nd ed. London, UK: Academic PressWixson, S.K., Smiler, K.L., Anesthesia and analgesia in rodents (1997) Anesthesia and Analgesia in Laboratory Animals, pp. 165-203. , In: Kohn DF, ed. London, UK: Academic PressBallaux, P.K.E.W., Gourlay, T., Ratnatunga, C.P., Taylor, K.M., A literature review of cardiopulmonary bypass models for rats (1999) Perfusion, 14 (6), pp. 411-41

Papillary Carcinoma In A Thyroglossal Duct: Case Report.

CONTEXT: Thyroglossal duct cysts are the most common congenital cervical abnormality in childhood. Malignant lesions are rare in thyroglossal duct cysts (about 1%). OBJECTIVE: To report a case of papillary carcinoma in thyroglossal duct cysts. DESIGN: Case report. CASE REPORT: The patient was a 21-year-old female with a four-month history of an anterior midline neck mass but without other symptoms. The physical examination revealed a 4.0 cm diameter, smooth, painless, cystic nodule at the level of the hyoid bone. The thyroid gland was normal by palpation and no neck lymph nodes were found. Indirect laryngoscopy, fine-needle biopsy aspiration and cervical ultrasound were normal and compatible with the physical findings of a thyroglossal duct cyst. The patient underwent surgery with this diagnosis, under general anesthesia, and the mass was resected by the usual Sistrunk procedure. There were no local signs of invasion of the tissue surrounding the cyst or duct at surgery. The patient was discharged within 24 hours. Histopathological examination of the specimen showed a 3.5 x 3.0 x 3.0 cm thyroglossal cyst, partially filled by a solid 1.0 x 0.5 cm brownish tissue. Histological sections showed a papillary carcinoma in the thyroid tissue of a thyroglossal cyst, with normal thyroid tissue at the boundary of the carcinoma. There was no capsule invasion and the margins were negative. The follow-up of the patient consisted of head and neck examinations, ultrasonography of the surgical region and thyroid, and total body scintigraphy. The patient has been followed up for two years with no further evidence of disease.117624825

Commonly Used Prognostic Scoring Systems Are Not Adequate To Predict The Outcome Of Papillary Microcarcinomas Of The Thyroid

[No abstract available]50612881289Oommen, P.T., Romahn, A., Linden, T., UICC-2002 TNM classification is not suitable for differentiated thyroid cancer in children and adolescents (2007) Pediatr Blood Cancer 2007Published Online, , 31 Oct DOI: 10.1002/pbc.21385Varandas VM, Coelho SM, Soeiro AP, et al. Clinical repercussion of the 6th edition TNM staging system classification on differentiated thyroid carcinoma. Arq Bras Endocrinol Metabol 2007;51:825-831Lang B, Lo CY, Chan WF, et al. Restaging of differentiated thyroid carcinoma by the sixth edition AJCC/UICC TNM staging system: Stage migration and predictability. Ann Surg Oncol 2007;14:1551-1559Lang, B.H., Chow, S.M., Lo, C.Y., Staging systems for papillary thyroid carcinoma: A study of 2 tertiary referral centers (2007) Ann Surg, 46, pp. 114-121Lang, B.H., Lo, C.Y., Chan, W.F., Staging systems for papillary thyroid carcinoma: A review and comparison (2007) Ann Surg, 245, pp. 366-37