Pub Date : 2022-07-16DOI: 10.5005/jp-journals-10002-1420
Anil Agarwal, G. Chand, S. Kumar, P. Mishra, S. Khuba, Pratibha Singh, S. Gautam
{"title":"Study for the Incidence of Postsurgical Neuropathic Pain Following Bilateral Axillo-breast Approach of Endoscopic Thyroidectomy: A Pilot Observational, Prospective Study","authors":"Anil Agarwal, G. Chand, S. Kumar, P. Mishra, S. Khuba, Pratibha Singh, S. Gautam","doi":"10.5005/jp-journals-10002-1420","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1420","url":null,"abstract":"","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43906467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.5005/jp-journals-10002-1411
R. Muhammad, S. Othman, Zahari Othman, Nor Faezan A Rashid, S. N. Suhaimi
{"title":"Intraoperative Nerve Monitoring Improves Junior Surgeon Detection Rate of Recurrent Laryngeal Nerve","authors":"R. Muhammad, S. Othman, Zahari Othman, Nor Faezan A Rashid, S. N. Suhaimi","doi":"10.5005/jp-journals-10002-1411","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1411","url":null,"abstract":"","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47854607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.5005/jp-journals-10002-1416
S. Liew, N. Ahmad, Sarinah Basro, Anita Baghawi, N. H. Abdullah
{"title":"Survival and Prognosis of Anaplastic Thyroid Cancer: A 15-year Observation at a Single Asian Institute","authors":"S. Liew, N. Ahmad, Sarinah Basro, Anita Baghawi, N. H. Abdullah","doi":"10.5005/jp-journals-10002-1416","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1416","url":null,"abstract":"","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47457013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.5005/jp-journals-10002-1413
R. Parameswaran, J. W. Lee, L. Tan, H. Muthiah, Thomas KS Loh
{"title":"Challenges in the Treatment of Retrosternal Goiter via Mediastinal Access","authors":"R. Parameswaran, J. W. Lee, L. Tan, H. Muthiah, Thomas KS Loh","doi":"10.5005/jp-journals-10002-1413","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1413","url":null,"abstract":"","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45053485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.5005/jp-journals-10002-1414
G. Bhat, Kulranjan Singh, C. Rana, Anshuman Mishra, P. Ramakant, Upander Kumar, N. Raja, Rizhin Sooraj, Poorvi Mathur
Aim: To manage a rare case of paraspinal paraganglioma in an 8-year-old female. Background: Functional paraspinal paragangliomas are exceptionally rare entities in both adult and pediatric age groups. These tumors are closely associated with major vascular structures like the aorta and are in close proximity to the spinal nerves and threatened with deadly vascular complications (e.g., hemorrhagic shock) and neurological complications (e.g., paralysis or paresis of the lower limb). So managing pediatric patients with safe outcomes is a challenge. Case description: An 8-year-old female child presented with a two years history of headache, palpitations, sweating, and high blood pressure with no neurological deficit. On evaluation, she was found to have elevated urinary normetanephrine levels and a left lateral paraspinal mass located at the level of T7–T11 vertebral bodies on imaging. She was managed with preoperative alpha-adrenergic blockade followed by complete tumor resection. Conclusion: Biochemical evaluation, perioperative care with adequate α-blockade, and timely follow-up is necessary for best outcomes in functional paraspinal paraganglioma. Clinical significance: High suspicion of an index and multidisciplinary teamwork were key in diagnosing and managing this rare tumor.
{"title":"A Child with Paraspinal Paraganglioma: A Rare Case Presentation","authors":"G. Bhat, Kulranjan Singh, C. Rana, Anshuman Mishra, P. Ramakant, Upander Kumar, N. Raja, Rizhin Sooraj, Poorvi Mathur","doi":"10.5005/jp-journals-10002-1414","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1414","url":null,"abstract":"Aim: To manage a rare case of paraspinal paraganglioma in an 8-year-old female. Background: Functional paraspinal paragangliomas are exceptionally rare entities in both adult and pediatric age groups. These tumors are closely associated with major vascular structures like the aorta and are in close proximity to the spinal nerves and threatened with deadly vascular complications (e.g., hemorrhagic shock) and neurological complications (e.g., paralysis or paresis of the lower limb). So managing pediatric patients with safe outcomes is a challenge. Case description: An 8-year-old female child presented with a two years history of headache, palpitations, sweating, and high blood pressure with no neurological deficit. On evaluation, she was found to have elevated urinary normetanephrine levels and a left lateral paraspinal mass located at the level of T7–T11 vertebral bodies on imaging. She was managed with preoperative alpha-adrenergic blockade followed by complete tumor resection. Conclusion: Biochemical evaluation, perioperative care with adequate α-blockade, and timely follow-up is necessary for best outcomes in functional paraspinal paraganglioma. Clinical significance: High suspicion of an index and multidisciplinary teamwork were key in diagnosing and managing this rare tumor.","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48747038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.5005/jp-journals-10002-1412
R. Singaporewalla, A. D. Rao, Bryan Wei S Seet, Venkateswaran Kotamma
{"title":"A 3-year Comparative Audit of Thyroid Nodule Ultrasound and Cytology Using TIRADS and Bethesda Scoring Systems","authors":"R. Singaporewalla, A. D. Rao, Bryan Wei S Seet, Venkateswaran Kotamma","doi":"10.5005/jp-journals-10002-1412","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1412","url":null,"abstract":"","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41317679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.5005/jp-journals-10002-1415
Tzu-Yi Arron Chuang, Z. Lu, Justin S. Gundara
Background: Hypercalcemia and associated primary hyperparathyroidism (pHPT) are relatively common but are likely to be under-recognized and undertreated. This study aimed to assess the prevalence of incidental hypercalcemia, investigation
{"title":"A Retrospective Study of Incidental Primary Hyperparathyroidism in an Acute Hospital Population and Review of the Literature","authors":"Tzu-Yi Arron Chuang, Z. Lu, Justin S. Gundara","doi":"10.5005/jp-journals-10002-1415","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1415","url":null,"abstract":"Background: Hypercalcemia and associated primary hyperparathyroidism (pHPT) are relatively common but are likely to be under-recognized and undertreated. This study aimed to assess the prevalence of incidental hypercalcemia, investigation","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46499690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-31DOI: 10.5005/jp-journals-10002-1409
Anita Skandarajah, M. Bozin, J. Callahan, E. Drummond, M. Henderson
determine if maximum standardized uptake value (SUV-max), representing the maximum uptake of 18-FDG, used a surrogate Aim and objective: Concomitant thyroid nodules and cancer found incidentally on 18-fluorodeoxyglucose (FDG) positron-emission tomography (PET-CT) in patients imaged for investigation or staging of malignancy have been progressively encountered. Maximum SUV (SUV-max) may aid diagnosis of concomitant thyroid malignancy. Materials and methods: PET/CT scans were reviewed between 2009 and 2014 in which FDG-avid thyroid incidentalomas were included. Patients who were investigated with biopsy or surgery were further assessed to determine the utility of SUV-max, mean, and nodule size as a determinate of malignancy. Results: A total of 325 of 35,586 patients were identified with FDG-avid thyroid incidentalomas (TI)–99 were investigated. The incidence was 0.88%. Forty nine were malignant, with a median SUV-max of 14.5 (range 2.7–60.4). Malignant nodules had higher median SUV-max than benign nodules at a threshold of 5 ( p < 0.0001). Receiver operator curve (ROC) analysis demonstrated an area under the curve of 0.66 (95%CI 0.55–0.77, p = 0.005). The sensitivity and specificity were 73.4 and 46.9, respectively. The positive and negative likelihood ratio was 3.12 (95%CI 1.80–5.50) and a negative likelihood ratio of 0.38. Conclusion: As FDG-avid TI can demonstrate variable uptake, SUV-max is not a useful tool to discriminate benign from malignant TI. SUV-max should remain a theoretical adjunctive tool for predicting thyroid cancer. Clinical significance: The threshold for investigating PET-avid thyroid nodules with ultrasound and FNAC (in the context of primary nonthyroidal malignancy) should be determined by the prognosis of the primary malignancy.
{"title":"Predicting Malignancy in FDG-avid Thyroid Nodules based on Standardized Uptake Value in Oncology Patients","authors":"Anita Skandarajah, M. Bozin, J. Callahan, E. Drummond, M. Henderson","doi":"10.5005/jp-journals-10002-1409","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1409","url":null,"abstract":"determine if maximum standardized uptake value (SUV-max), representing the maximum uptake of 18-FDG, used a surrogate Aim and objective: Concomitant thyroid nodules and cancer found incidentally on 18-fluorodeoxyglucose (FDG) positron-emission tomography (PET-CT) in patients imaged for investigation or staging of malignancy have been progressively encountered. Maximum SUV (SUV-max) may aid diagnosis of concomitant thyroid malignancy. Materials and methods: PET/CT scans were reviewed between 2009 and 2014 in which FDG-avid thyroid incidentalomas were included. Patients who were investigated with biopsy or surgery were further assessed to determine the utility of SUV-max, mean, and nodule size as a determinate of malignancy. Results: A total of 325 of 35,586 patients were identified with FDG-avid thyroid incidentalomas (TI)–99 were investigated. The incidence was 0.88%. Forty nine were malignant, with a median SUV-max of 14.5 (range 2.7–60.4). Malignant nodules had higher median SUV-max than benign nodules at a threshold of 5 ( p < 0.0001). Receiver operator curve (ROC) analysis demonstrated an area under the curve of 0.66 (95%CI 0.55–0.77, p = 0.005). The sensitivity and specificity were 73.4 and 46.9, respectively. The positive and negative likelihood ratio was 3.12 (95%CI 1.80–5.50) and a negative likelihood ratio of 0.38. Conclusion: As FDG-avid TI can demonstrate variable uptake, SUV-max is not a useful tool to discriminate benign from malignant TI. SUV-max should remain a theoretical adjunctive tool for predicting thyroid cancer. Clinical significance: The threshold for investigating PET-avid thyroid nodules with ultrasound and FNAC (in the context of primary nonthyroidal malignancy) should be determined by the prognosis of the primary malignancy.","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47302324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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