[The role of ultrasonography in detection of metastases in patients with lung carcinoma]. / Znacenje ultrazvuka u otkrivanju metastaza u bolesnika s karcinomom pluca.

Lung carcinoma is one of the most common tumors and the leading cause of malignancy mortality in both men and women. The treatment and prognosis of patients with lung carcinoma depend on the histology type and tumor stage at the time of diagnosis. Supraclavicular lymph node metastases are frequently present in these patients. Neck ultrasonography (US) is not included in the guidelines for the management of patients with lung carcinoma. The aim of the study was to evaluate the role of neck US in the detection of metastases in patients with proven or suspected lung carcinoma. Neck US was performed in 51 patients. US guided fine needle aspiration biopsy (FNAB) with cytology was obtained in 32 patients with enlarged supraclavicular lymph nodes with US characteristics suggestive of malignancy. Cytology was positive for malignancy in 17 patients. In 6 patients the diagnosis of neck metastases was the first evidence of lung carcinoma. Dissemination of the disease into supraclavicular lymph nodes was detected in 11 patients with known lung carcinoma, whereas metastases of other tumors were identified in 8 patients. Cytology was negative for malignancy in 7 patients. Our study demonstrated neck US to be a useful and reliable method for the evaluation of patients with lung carcinoma. Neck US combined with US-guided FNAB and cytologic analysis of suspected supraclavicular enlarged lymph nodes enabled us to detect lung carcinoma and metastases. We propose that neck US be included in the guidelines for the management of patients with proven or suspected lung carcinoma before other invasive diagnostic methods.

[Croatian Thyroid Society guidelines for rational detection of thyroid dysfunction]. / Smjernice hrvatskog drustva za stitnjacu za racionalnu dijagnostiku poremecaja funkcije stitnjace.

Thyroid dysfunction is common in the population, especially in women, and thyroid diagnostic tests are among the most often used diagnostic procedures nowadays. Many thyroid societies developed guidelines for the detection of thyroid dysfunction. An interdisciplinary team of experts from the Croatian Thyroid Society studied guidelines of other thyroid societies and international publications, and according to our tradition and clinical practice developed guidelines for rational detection of thyroid dysfunction; hypothyroidism and hyperthyroidism. The aim of these guidelines is to recommend evidence-based and rational approach to the detection of thyroid dysfunction.

Mandibular Caffey's disease--case report.

The case of a six-month-old boy with mandibular Caffey's disease is described. Emphasis is placed on the role of bone scintigraphy, as a diagnostic method which would be, because of the clinical picture and the beginning of the disease (suspected osteomyelitis), one of the first methods performed. Highly characteristic scintigraphic image, when the mandible is involved, can play the most important role in further treatment, and its recognition can also spare many unnecessary procedures.