Subject(s)
Carcinoma, Renal Cell , Carcinoma , Humans , Kidney Neoplasms , Pattern Recognition, Visual , Repression, PsychologyABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Thyroid Neoplasms , Carcinoma/surgery , Prognosis , Incidental Findings , Neoplasm Metastasis/therapyABSTRACT
Antecedentes y objetivo: El cáncer tiroideo puede manifestarse clínicamente por la presencia de un nódulo cervical, o constituir un hallazgo casual en el estudio histológico de la glándula extirpada con diagnóstico, a priori, benigno. El objetivo del presente estudio fue estudiar las diferencias clínicas, de manejo quirúrgico y curso evolutivo entre los tumores tiroideos incidentales y los tumores detectados clínicamente. Material y métodos: Estudio retrospectivo de pacientes intervenidos por enfermedad tiroidea, ya fuese benigna o maligna, en el período comprendido entre enero de 2000 y marzo de 2014. De 1.415 pacientes que se sometieron a algún tipo de cirugía tiroidea se identificaron un total de 264 neoplasias, de las cuales 170 fueron incidentales. Se realizó comparación entre carcinomas incidentales versus no incidentales. Además, entre los incidentales se compararon los casos cuya indicación quirúrgica fue enfermedad de Graves frente a bocio multinodular. Resultados: Los carcinomas incidentales presentaron estadios más precoces y requirieron cirugía menos agresiva. No se observaron diferencias en las complicaciones quirúrgicas entre ambos grupos, aunque tanto la mortalidad como las tasas de recidiva fueron notablemente mayores en el grupo de no incidentales (4,4% vs 0% y 13,2% vs 4,8% respectivamente). Los carcinomas desarrollados sobre enfermedad de Graves no mostraron diferencias respecto al resto de los tumores incidentales, respecto a complicaciones, mortalidad o recidiva tras la cirugía. Conclusiones: El cáncer tiroideo en estadios iniciales presenta mayor supervivencia y mejor respuesta al tratamiento quirúrgico (AU)
Background and objective: Thyroid cancer may be clinically evident as a tumor mass in the neck or as a histopathological incidental finding after thyroid surgery for an apparent benign condition. Our objective was to assess the differences in clinical signs, surgical management, and course between incidental and clinically diagnosed thyroid tumors. Methods: A retrospective study was conducted on patients operated on for benign or malignant thyroid disease from January 2000 to March 2014. Among the 1415 patients who underwent any thyroid surgery, 264 neoplasms were found, of which 170 were incidental. A comparison was made of incidental versus non-incidental carcinomas. Among incidental carcinomas, cases whose indication for surgery was Graves disease were compared to those with multinodular goiter. Results: Incidental carcinomas were in earlier stages and required less aggressive surgery. There were no differences in surgical complications between incidental and clinical tumors, but mortality and relapses were markedly higher in non-incidental cancers (4.4% vs 0% and 13.2% vs 4.8% respectively). Carcinomas developing on Graves disease showed no differences from all other incidental tumors in terms of complications, mortality, or relapse after surgery. Conclusions: Early stage thyroid cancer has better survival and prognosis after surgical treatment (AU)
Subject(s)
Humans , Thyroid Neoplasms/diagnosis , Thyroid Carcinoma, Anaplastic/diagnosis , Incidental Findings , Prognosis , Early Detection of CancerABSTRACT
BACKGROUND AND OBJECTIVE: Thyroid cancer may be clinically evident as a tumor mass in the neck or as a histopathological incidental finding after thyroid surgery for an apparent benign condition. Our objective was to assess the differences in clinical signs, surgical management, and course between incidental and clinically diagnosed thyroid tumors. METHODS: A retrospective study was conducted on patients operated on for benign or malignant thyroid disease from January 2000 to March 2014. Among the 1415 patients who underwent any thyroid surgery, 264 neoplasms were found, of which 170 were incidental. A comparison was made of incidental versus non-incidental carcinomas. Among incidental carcinomas, cases whose indication for surgery was Graves' disease were compared to those with multinodular goiter. RESULTS: Incidental carcinomas were in earlier stages and required less aggressive surgery. There were no differences in surgical complications between incidental and clinical tumors, but mortality and relapses were markedly higher in non-incidental cancers (4.4% vs 0% and 13.2% vs 4.8% respectively). Carcinomas developing on Graves' disease showed no differences from all other incidental tumors in terms of complications, mortality, or relapse after surgery. CONCLUSIONS: Early stage thyroid cancer has better survival and prognosis after surgical treatment.
Subject(s)
Adenocarcinoma, Follicular/epidemiology , Carcinoma, Papillary/epidemiology , Thyroid Neoplasms/epidemiology , Thyroidectomy , Adenocarcinoma, Follicular/diagnosis , Adenocarcinoma, Follicular/surgery , Adult , Carcinoma, Papillary/diagnosis , Carcinoma, Papillary/surgery , Comorbidity , Female , Goiter, Nodular/epidemiology , Goiter, Nodular/surgery , Graves Disease/epidemiology , Graves Disease/surgery , Humans , Incidental Findings , Male , Middle Aged , Postoperative Complications/epidemiology , Prognosis , Retrospective Studies , Thyroid Neoplasms/diagnosis , Thyroid Neoplasms/surgeryABSTRACT
Chyle leak following axillary lymph node clearance is a rare yet important complication. The treatment of postoperative chyle fistula still remains unclear. Conservative management is the first line of treatment. It includes axillary drains on continuous suction, pressure dressings, bed rest, and nutritional modifications. The use of somatostatin analogue is well documented as a treatment for chylous fistulas after neck surgery. We present a case of chylous fistula after axillary surgery resolved with the use of octreotide.
ABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Adenocarcinoma/diagnosis , Appendiceal Neoplasms/complications , Appendiceal Neoplasms/surgery , Appendiceal Neoplasms , Colectomy/methods , Appendix/pathology , Appendix/surgery , AppendixABSTRACT
Adenocarcinoid tumour of the appendix is a rare entity characterised by the presence of a double component (neuroendocrine and glandular). It originates in the neuroendocrine cells of the appendicular mucosa. A preoperative diagnosis of a primary appendiceal tumour is uncommon and more so one suggesting an adenocarcinoid pathology. Optimal treatment is debated between a simple appendectomy and a more extensive resection, which occasionally includes hysterectomy and bilateral ovariectomy. Our aim is to report this rare entity and conduct a review of the literature on the different treatment options.
Subject(s)
Adenocarcinoma/surgery , Appendiceal Neoplasms/surgery , Appendix/surgery , Adenocarcinoma/pathology , Appendectomy , Appendiceal Neoplasms/pathology , Appendix/pathology , Colectomy , Female , Humans , Middle AgedABSTRACT
No disponible
