Surgical management and prognosis of thyroid carcinomas invading adjacent structures

Objectives: To evaluate the surgical approaches and prognosis of thyroid carcinomas invading the adjacent structures

Methods: The medical records of 197 patients with a pathology diagnosis of thyroid cancer were retrospectively reviewed

Results: Seventeen patients [9%] with thyroid carcinoma invading surrounding structures were included. Patients were initially divided into two groups on the basis of tumor histology: papillary [Group A] and nonpapillary [Group B]. Then patients were divided into three groups Group 1: patients who underwent total thyroidectomy Group 2: patients who underwent total thyroidectomy with shaving resection Group 3: patients who underwent total thyroidectomy with extensive surgery. All patients who didn't survive were more than 45 years old. The survival rate was statistically better in group A compared to group B [92% versus 20%]. The survival rate decreased from Group 1 through Group 3, without reaching statistical significance

Conclusions: Age and histologic type are important in determining the prognosis of locally invading thyroid cancer

[Regional analgesia and breast cancer surgery]

Breast cancer surgery is frequently associated with postoperative nausea, vomiting, pain and painful restricted movement. It is well established that thoracic paravertebral block with or without general anesthesia provides better postoperative analgesia and reduces the risk of nausea and vomiting after breast surgery as well as the incidence of chronic pain. Paravertebral block improves the quality of recovery after breast cancer surgery and provides the patient with the option of ambulatory discharge