ABSTRACT
We reviewed the records of 33 patients who underwent surgery for removal of a thyroglossal duct cyst at the Bordet Institute between 1970 and 1983. All patients had complete resection of a midline cervical lesion. In 27 cases the provisional diagnosis at presentation was confirmed by histological examination after surgery. The surgical procedure performed at the Bordet Institute and its results are analysed. We emphasize the need of resecting the central portion of the hyoid bone as well as the proximal tract of the thyroglossal duct. Twenty-six patients have been cured using this technique.
Subject(s)
Thyroglossal Cyst/surgery , Adolescent , Adult , Aged , Child , Diagnostic Techniques, Surgical , Humans , Methods , Middle Aged , Recurrence , Reoperation , Thyroglossal Cyst/diagnosisABSTRACT
Four cases with intra-thyroid metastases which simulate a primary tumor of the gland are reported. These metastatic lesions are probably more frequent than generally accepted. Their clinical discovery is quite frequent in patients with a renal neoplasm and is in those cases often the presenting feature of the primary tumor. Ablation of the thyroid gland is often necessary to make a correct diagnosis and to prevent local compression symptoms. This intervention is indicated whenever deemed necessary unilateral thyroid lobectomy is preferable to total ablation since it achieves its goal with a lower mortality. Postoperative radio- and chemotherapy might be added as indicated.
Subject(s)
Thyroid Neoplasms/secondary , Adenocarcinoma/secondary , Adult , Aged , Bone Neoplasms , Breast Neoplasms , Carcinoma, Bronchogenic/secondary , Carcinoma, Intraductal, Noninfiltrating/secondary , Female , Humans , Kidney Neoplasms , Lung Neoplasms , Lymphoma, Large B-Cell, Diffuse/secondary , Male , Middle Aged , Thyroid Neoplasms/surgeryABSTRACT
80 patients with histologically proven malignant melanoma were submitted to laparoscopy. 44 had advanced disease and 36 were clinically locoregional (23 stage I, 13 stage IIb). Results of a liver scan and liver function tests were available before starting this procedure. In all cases, biopsies were obtained through the laparoscope using a Menghini liver biopsy needle, specimens, being taken under visual control from the macroscopically suspected area. If no lesions was seen, two needle biopsies were taken at random from the anterior and posterior areas of both lobes. The liver was invaded in 11% of the patients with advanced disease, and in 23% of those with stage IIb. All the positve laparscopies occurred with biochemistry and/or liver scan were also abnormal, and biopsies taken at random in normal-looking livers were all negatives. Benign tumors were found in 13% of the cases. Some of these were indistinguishable from metastatic melanoma on the basis of their maroscopic aspect alone.
