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Aggressive differentiated thyroid cancer in the geriatric patient

June 20, 2017  |  Kourosh Parham, MD, PhD, FACS; Karen M. Kost, MD, FRCSC

Although differentiated thyroid cancer is typically considered a relatively indolent disease, this is not the case in older adults.

Quality-of-life outcomes in Graves disease patients after total thyroidectomy

April 30, 2017  |  Lukas H. Kus, MD; Wilma M. Hopman, MA; Ian J. Witterick, MD; Jeremy L. Freeman, MD

Abstract

Historically, research into surgical treatment of Graves disease has assessed subtotal rather than total thyroidectomy. Most clinicians now recommend total thyroidectomy, but little information is available regarding quality-of-life (QOL) outcomes for this procedure. Our aim...

Thyroglossal duct cyst

February 20, 2017  |  Lester D. Thompson, MD

Most patients present with a mobile, painless midline neck mass, usually inferior to the hyoid bone, showing movement with tongue protrusion.

Atypical parathyroid adenoma with diffuse fibrosis

February 20, 2017  |  Christine M. Clark, BA; Sakeena J. Payne, MD; Joshua I. Warrick, MD; David Goldenberg, MD, FACS

Atypical parathyroid adenomas are infrequently encountered and can present a diagnostic challenge, as they share overlapping clinical and histologic features with parathyroid carcinoma.

Risk of thyroid malignancy following an index head and neck squamous cell carcinoma: A population-based study

December 7, 2016  |  Jason Y. Chan, MBBS; Zhen Gooi, MBBS; Wojciech K. Mydlarz, MD; Nishant Agrawal, MD

Abstract

To evaluate the incidence of a subsequent primary thyroid malignancy in patients with an index head and neck squamous cell carcinoma (HNSCC), we analyzed the National Cancer Institute's Surveillance, Epidemiology, and End Results database to identify a cohort of patients who...

End-of-life decision making in geriatric terminal head and neck cancer

December 7, 2016  |  Kourosh Parham, MD, PhD, FACS; Karen M. Kost, MD, FRCSC

In the oncogeriatric setting, the comprehensive geriatric assessment has been recognized as providing useful information supplementary to what can be obtained via standard oncology status assessments.

Breast cancer metastasis to the thyroid gland

October 25, 2016  |  Michael Goldenberg, MA; Joshua Warrick, MD; Mariano Russo, BS; Darrin V. Bann, MD, PhD

It is important to distinguish between metastatic disease and a second primary thyroid malignancy, which is more common than thyroid gland metastasis.

Postoperative hypofunctioning of the thyroid gland after total laryngectomy

August 21, 2016  |  Sirshak Dutta, MS, DLO; Kaustuv Das Biswas, MS, DLO; Soumya Ghatak, MS; Dibakar Haldar, MD; Indranil Sen, MS; Ramanuj Sinha, MS, DNB

Abstract

Primary laryngeal carcinoma is a common cancer, predominantly affecting males. Hypothyroidism is an undesirable sequela of both surgery and radiotherapy, the two most commonly used modalities of treatment. For advanced cases, standard treatment protocol includes total...

Spontaneous bleeding from a thyroid adenoma

July 18, 2016  |  Tsung-Jung Liang, MD; Shiuh-Inn Liu, MD, PhD

Massive thyroid hemorrhage with airway obstruction warrants urgent management, and the importance of definite airway establishment for ventilation and oxygenation cannot be overemphasized.

Phonatory symptoms and impact on quality of life in female patients with goiter

July 18, 2016  |  Abdul-latif Hamdan, MD, MPH, FACS; Alexander Dowli, MD; Jad Jabbour, BS; Alain Sabri, MD; Sami T. Azar, MD, FACP

Abstract

Our objective is to report on the prevalence of phonatory symptoms and impact on quality of life in a group of female patients with goiter who had not been selected for surgery or who had not presented to the emergency room with respiratory distress. A total of 40 patients with...

Hyperthyroidism in patients with thyroid cancer

June 14, 2016  |  Sunil Dutt Sharma, MBBS, BSc(Hons), MRCS; Gaurav Kumar, MBBS, MS(ENT), DNB; Karen Guner, CNS; Hesham Kaddour, MBBCh, DLO, FRCS(OTO)

Abstract

We present a retrospective case series of patients with hyperthyroidism and thyroid cancer. Our goal was to look at their clinical characteristics and outcomes to determine which patients would require further investigation. We reviewed the case notes of all patients with a...

The rare fourth branchial cleft anomaly

April 30, 2016  |  Jonathan A. Harounian, MD; David Goldenberg, MD; Jason G. May, MD

The treatment for fourth branchial anomalies is complete surgical excision because of the risk of infection and life-threatening abscesses.

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