Management of a giant cervical lipoma: case report and literature review

xlomafota13 shared this article with you from Inoreader Management of a giant cervical lipoma: case report and literature review Via oto-rhino-laryngologie Pan Afr Med J. 2021 Jun 3;39:100. doi: 10.11604/pamj.2021.39.100.12727. eCollection 2021. ABSTRACT Lipoma is the most common of soft tissue tumours. It rarely occurs in the head and neck. Patients with fast-growing large sized lesion (> 10cm) should be suspected to have a cancer. We here report the case of a patient presenting with unusual cervical lipoma (size: approximately 46cm), diagnosed based on imaging tests, including computed tomography (CT) scan. Patient´s management was based on surgery. PMID:34466202 | PMC:PMC8379405 | DOI:10.11604/pamj.2021.39.100.12727 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Favorable Early Outcomes With Thyroid Lobectomy for Low-Risk Papillary Thyroid Cancer: The Mayo Clinic Experience

xlomafota13 shared this article with you from Inoreader Favorable Early Outcomes With Thyroid Lobectomy for Low-Risk Papillary Thyroid Cancer: The Mayo Clinic Experience Via radioactive iodine Am Surg. 2021 Sep 1:31348211038557. doi: 10.1177/00031348211038557. Online ahead of print. ABSTRACT BACKGROUND: Until 2015, standard of care for low-risk papillary thyroid cancer (PTC) >1 cm was a total or near-total thyroidectomy. Despite changes in guidelines and surgical management of low-risk PTC since 2015, little data are available regarding the effect on the need for additional surgery or risk for development of lymph node metastases. Our aim was to determine outcomes in patients who underwent initial thyroid lobectomy for low-risk PTC at a high-volume tertiary care institution. METHODS: Retrospective review of patients ≥18 years old with biopsy proven low-risk PTC 1-4 cm who underwent partial thyroidectomy (eg, lobectomy/isthmusectomy) at Mayo Clinic, Rochester, MN, between March 2016 and June 30, 2019. RESULTS: From 1481 thyroidectomies performed during study period, 940 contained PTC on final pathology. Of these, 87 (of 123) patients who had an initial thyroid lobectomy met inclusion criteria. Five (6%) of these patients proceeded to completion thyroidectomy (CT), with 3 requiring CT and radioactive iodine in the first postoperative year and 2 undergoing only CT in the second postoperative year. No postoperative complications were reported. No patient in this cohort required additional surgery or treatment for newly discovered lymph node metastases during the follow-up period. 43 (of 72, 60%) patients not on thyroxine therapy preope ratively were started on thyroxine therapy postoperatively. CONCLUSIONS: Early outcomes for those undergoing thyroid lobectomy for low-risk PTC at our institution have been favorable. These results support the 2015 American Thyroid Association guidelines to offer lobectomy for those with low-risk PTC 1-4 cm. PMID:34468234 | DOI:10.1177/00031348211038557 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Macroscopic and microscopic changes of the vestibulocochlear nerve after Gamma Knife treatment

xlomafota13 shared this article with you from Inoreader Macroscopic and microscopic changes of the vestibulocochlear nerve after Gamma Knife treatment Via hno HNO. 2021 Sep 1. doi: 10.1007/s00106-021-01104-2. Online ahead of print. ABSTRACT We report on a case in which macroscopic and microscopic changes of the vestibulocochlear nerve could be observed after radiosurgery of an intrameatal vestibular schwannoma. This case shows for the first time a morphological correlate for undesirable effects after radiosurgical treatment of a vestibular schwannoma and indicates that despite a certain distance to the actual tumor, degenerative c hanges in neural structures can be expected. PMID:34468776 | DOI:10.1007/s00106-021-01104-2 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.