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1.
Head Neck ; 45(9): 2274-2293, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37496499

RESUMO

INTRODUCTION: The aim of this study is to assess the impact of lymph node ratio (LNR) and number of positive lymph nodes (NPLN) on mortality and recurrence rates in patients with laryngeal squamous cell carcinoma. MATERIALS AND METHODS: We conducted a retrospective multicenter international study involving 24 Otorhinolaryngology-Head and Neck Surgery divisions. Disease-specific survival (DSS) and disease-free survival (DFS) were evaluated as the main outcomes. The curves for DSS and DFS according to NPLN and LNR were analyzed to identify significant variations and establish specific cut-off values. RESULTS: 2507 patients met the inclusion criteria. DSS and DFS were significantly different in the groups of patients stratified according to LNR and NPLN. The 5-year DSS and DFS based on LNR and NPLN demonstrated an improved ability to stratify patients when compared to pN staging. CONCLUSION: Our data demonstrate the potential prognostic value of NPLN and LNR in laryngeal squamous cell carcinoma.


Assuntos
Neoplasias de Cabeça e Pescoço , Linfonodos , Humanos , Linfonodos/patologia , Carcinoma de Células Escamosas de Cabeça e Pescoço/patologia , Estadiamento de Neoplasias , Metástase Linfática/patologia , Razão entre Linfonodos , Prognóstico , Estudos Retrospectivos , Neoplasias de Cabeça e Pescoço/patologia , Excisão de Linfonodo
2.
Endocrinol. diabetes nutr. (Ed. impr.) ; 66(8): 495-501, oct. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184143

RESUMO

Antecedentes y objetivo: El procedimiento de punción-aspiración con aguja fina ecoguiada de nódulos tiroideos con examen citológico in situ del material extraído puede reducir el número de citologías obtenidas de categoría Bethesda I. El objetivo del estudio ha sido evaluar nuestra experiencia del segundo año en dicha técnica para analizar la eficacia diagnóstica, la prevalencia y los factores predictores de los resultados de categoría Bethesda I. Pacientes y método: Estudio retrospectivo sobre 279 nódulos en 233 pacientes. La punción-aspiración se realizó según los criterios de 2015 de la American Thyroid Association. Una muestra de cada punción se fijó al aire y se procesó in situ mediante tinción con Diff-Quik y examen microscópico para valorar su idoneidad; en caso contrario, se repitió la punción hasta un total de 5veces. La eficacia diagnóstica se valoró en base a la sensibilidad y a la especificidad sobre las categorías citológicas Bethesda II y Bethesda VI. Resultados: La sensibilidad y la especificidad diagnóstica fueron del 100% en ambos casos. Obtuvimos un 5,4% de resultados de categoría Bethesda I y las variables independientemente asociadas fueron la edad (incremento del 4,7% por cada año de vida) y el volumen del nódulo (incremento del 2,3% por cada 1ml de volumen). Conclusiones: La punción-aspiración ecoguiada con aguja fina y examen citológico in situ del material extraído permite obtener una elevada eficacia diagnóstica y demuestra ser un procedimiento de gran validez por conseguir una tasa muy baja de resultados citológicos de categoría Bethesda I, cuyo riesgo ha sido superior en sujetos de mayor edad y en nódulos de mayor tamaño


Background and objective: Ultrasound-guided fine needle aspiration of thyroid nodules with on-site cytological examination may decrease the number of Bethesda category I cytologies. The study objective was to evaluate our second-year experience with this procedure to analyze diagnostic efficacy, prevalence, and factors predicting for Bethesda category I results. Patients and method: A retrospective study was conducted of 279 nodules from 233 patients. Ultrasound -guided fine needle aspiration was performed according to the 2015 criteria of the American Thyroid Association. A specimen of each aspiration was air-fixed on site before Diff-Quik staining and microscopic examination to assess its suitability; otherwise, nodule aspiration was repeated up to 5 times. Diagnostic efficacy was assessed based on sensitivity and specificity on the cytological categories Bethesda II and Bethesda VI. Results: Diagnostic sensitivity and specificity were both 100%, 5.4% Bethesda category I results were obtained, and variables independently associated were age (4.7% increase per year of life) and nodule volume (2.3% increase per each 1mL of volume). Conclusions: Ultrasound-guided fine needle aspiration of thyroid nodules with on-site cytological examination allows for a high diagnostic efficacy and has been shown to be a highly relevant procedure because it has a very low rate of cytological results of Bethesda category I, whose risk has been higher in older subjects and with larger nodules


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Biópsia por Agulha Fina/instrumentação , Nódulo da Glândula Tireoide/diagnóstico , Nódulo da Glândula Tireoide/epidemiologia , Valor Preditivo dos Testes , Biópsia por Agulha Fina/métodos , Nódulo da Glândula Tireoide/patologia , Glândula Tireoide/citologia , Estudos Retrospectivos , Sensibilidade e Especificidade
3.
Endocrinol Diabetes Nutr (Engl Ed) ; 66(8): 495-501, 2019 Oct.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30858021

RESUMO

BACKGROUND AND OBJECTIVE: Ultrasound-guided fine needle aspiration of thyroid nodules with on-site cytological examination may decrease the number of Bethesda categoryI cytologies. The study objective was to evaluate our second-year experience with this procedure to analyze diagnostic efficacy, prevalence, and factors predicting for Bethesda categoryI results. PATIENTS AND METHOD: A retrospective study was conducted of 279 nodules from 233 patients. Ultrasound -guided fine needle aspiration was performed according to the 2015 criteria of the American Thyroid Association. A specimen of each aspiration was air-fixed on site before Diff-Quik staining and microscopic examination to assess its suitability; otherwise, nodule aspiration was repeated up to 5times. Diagnostic efficacy was assessed based on sensitivity and specificity on the cytological categories BethesdaII and BethesdaVI. RESULTS: Diagnostic sensitivity and specificity were both 100%, 5.4% Bethesda categoryI results were obtained, and variables independently associated were age (4.7% increase per year of life) and nodule volume (2.3% increase per each 1mL of volume). CONCLUSIONS: Ultrasound-guided fine needle aspiration of thyroid nodules with on-site cytological examination allows for a high diagnostic efficacy and has been shown to be a highly relevant procedure because it has a very low rate of cytological results of Bethesda categoryI, whose risk has been higher in older subjects and with larger nodules.


Assuntos
Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico , Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/patologia , Nódulo da Glândula Tireoide/patologia , Adenocarcinoma Folicular/classificação , Adenocarcinoma Folicular/patologia , Adenoma/classificação , Adenoma/patologia , Fatores Etários , Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico/métodos , Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico/estatística & dados numéricos , Feminino , Humanos , Hiperplasia/classificação , Hiperplasia/patologia , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Sensibilidade e Especificidade , Câncer Papilífero da Tireoide/classificação , Câncer Papilífero da Tireoide/patologia , Neoplasias da Glândula Tireoide/classificação , Fatores de Tempo
4.
Acta otorrinolaringol. esp ; 61(5): 392-394, sept.-oct. 2010. ilus
Artigo em Espanhol | IBECS | ID: ibc-83123

RESUMO

La osteomalacia oncogénica es un síndrome infrecuente que se caracteriza por alteraciones en el metabolismo mineral producidas por la presencia de tumores fosfatúricos. La región de cabeza y cuello es la segunda localización más frecuente. Presentamos un caso de tumor mesenquimal fosfatúrico de fosa infratemporal que producía una osteomalacia oncogénica que se resolvió con la exéresis quirúrgica del mismo (AU)


Oncogenic osteomalacia is an uncommon syndrome characterized by phosphaturic tumours that produce mineral metabolism abnormalities. Head and neck is the second most frequent location of these tumours. We describe a case of a phosphaturic mesenchymal tumour in the infratemporal fossa that caused oncogenic osteomalacia, resolved by means of surgical excision (AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Osteomalacia/patologia , Neoplasias Infratentoriais/patologia , Mesenquimoma/patologia
5.
Acta Otorrinolaringol Esp ; 61(5): 392-4, 2010.
Artigo em Espanhol | MEDLINE | ID: mdl-20172500

RESUMO

Oncogenic osteomalacia is an uncommon syndrome characterized by phosphaturic tumours that produce mineral metabolism abnormalities. Head and neck is the second most frequent location of these tumours. We describe a case of a phosphaturic mesenchymal tumour in the infratemporal fossa that caused oncogenic osteomalacia, resolved by means of surgical excision.


Assuntos
Neoplasias de Cabeça e Pescoço/complicações , Hipofosfatemia Familiar/complicações , Feminino , Humanos , Neoplasias Hepáticas/complicações , Mesenquimoma/complicações , Pessoa de Meia-Idade , Neoplasias de Tecido Conjuntivo/etiologia , Osteomalacia , Síndromes Paraneoplásicas , Zigoma
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