{"title":"Image of an Unusual Thyroid Nodule","authors":"R. Parameswaran, M. D. de Jong, Wan Xin Yew","doi":"10.5005/jp-journals-10002-1404","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1404","url":null,"abstract":"A CT scan of the neck was performed, which showed a lesion contiguous with the esophagus and with presence of air centrally, features suggestive of a Killian-Jamieson diverticulum (KJD). She was subsequently referred for an esophagogastroduodenoscopy for further evaluation. KJD is an uncommon form of esophageal diverticulum resulting from herniation through a weakness in the anterolateral wall of the proximal cervical esophagus, just caudal of the cricopharyngeus. Its incidence is about 0.025% of the population, typically affecting the elderly,1 and could initially be mistaken for a thyroid nodule,2,3 due to the proximity of the upper esophagus to the thyroid gland. Due to presence of food particles and air bubbles within the diverticulum, a heterogeneous internal echo with strong echogenic foci may be seen on ultrasound and may be mistaken to be suspicious microcalcifications of thyroid cancer. Observing for changes of the size and contents of the lesion during swallowing of water or compression with the ultrasound probe can help to raise suspicion that the nodule is not of thyroid origin.3 ca s e De s c r i p t i o n","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":"44096400","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}
Senthil K Azhisoor Chandrashekhar, Pallavi B Kothe, Muthuvel Esakki, Rajalakshmi K Venkatraju, Priya Venugopalan
{"title":"A Rare Case of Bilateral Pheochromocytoma","authors":"Senthil K Azhisoor Chandrashekhar, Pallavi B Kothe, Muthuvel Esakki, Rajalakshmi K Venkatraju, Priya Venugopalan","doi":"10.5005/jp-journals-10002-1400","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1400","url":null,"abstract":"","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":"44708676","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}
P. Angelos, E. Kaplan, R. Grogan, Megan K. Applewhite, M. G. White
{"title":"Failure to Intervene on Thyroid Cancer: A Study of the National Cancer Database","authors":"P. Angelos, E. Kaplan, R. Grogan, Megan K. Applewhite, M. G. White","doi":"10.5005/jp-journals-10002-1405","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1405","url":null,"abstract":"","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":"46983745","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}
Hamid Ashraf, S. Faridi, S. Harris, Ruquiya Afrose, Bushra Siddiqui
{"title":"Bilateral Pheochromocytoma: An Atypical Cause of Myocardial Infarction in a Young Male","authors":"Hamid Ashraf, S. Faridi, S. Harris, Ruquiya Afrose, Bushra Siddiqui","doi":"10.5005/jp-journals-10002-1408","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1408","url":null,"abstract":"","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":"45443484","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}
J. L. Novelli, S. M. Batallés, Oscar M Brunás, Melisa E Brunás, Anabela V Brunás
{"title":"Which Thyroid Nodules should be Treated with Surgery?","authors":"J. L. Novelli, S. M. Batallés, Oscar M Brunás, Melisa E Brunás, Anabela V Brunás","doi":"10.5005/jp-journals-10002-1406","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1406","url":null,"abstract":"","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":"45525650","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}
{"title":"Medullary Thyroid Cancer with Normal Serum Calcitonin and Tubercular Neck Nodes: A Rare and Challenging Presentation","authors":"Rabishankar Singh, Suman Kharkwal, J. A. Atchaya","doi":"10.5005/jp-journals-10002-1401","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1401","url":null,"abstract":"with Normal Serum Calcitonin and Tubercular Neck Nodes: A Rare and Presentation. 2021;13(2):61–63. We report a highly unusual case of medullary carcinoma thyroid with normal serum calcitonin and tuberculous lymphadenitis mimicking metastatic neck nodes. A 26-year-old married woman was diagnosed with sporadic medullary carcinoma of thyroid on fine needle aspiration cytology (FNAC). Preoperative ultrasonography (USG) and contrast-enhanced computed tomography (CECT) neck suggested a metastasis in level IIB neck nodes. Patient underwent total thyroidectomy with central neck dissection with right modified neck dissection type III. Final histopathological report revealed medullary carcinoma thyroid (MTC) with tubercular lymphadenitis, none of 47 nodes retrieved had metastasis. She remains disease free after 2 years following surgery.","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":"42361144","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}
A. Torre, João Varanda, B. Castro, S. Graça, A. Póvoa, Carlos Soares, José Vieira, Manuel Oliveira
{"title":"Diagnostic Accuracy Study of CT Scan in Predicting the Need for Sternotomy in Management of Substernal Goiters","authors":"A. Torre, João Varanda, B. Castro, S. Graça, A. Póvoa, Carlos Soares, José Vieira, Manuel Oliveira","doi":"10.5005/jp-journals-10002-1402","DOIUrl":"https://doi.org/10.5005/jp-journals-10002-1402","url":null,"abstract":"objective: To find a new predictor of sternotomy with thyroid gland measurements in CT scan. Materials and methods: We performed a retrospective review of our endocrine surgery database between January 2012 and October 2017. We identified 123 patients treated for substernal goiter, 7 required an extra-cervical approach, and 116 a cervical one. The measurement of thyroid gland craniocaudal length, larger diameter of mediastinal component, and the diameter of thoracic inlet were performed in all patients with substernal goiter. ROC analysis was performed to determine craniocaudal length and mediastinal thyroid mass diameter cutoff value, which significantly predict the need of an extra-cervical approach for substernal goiter. Results: The craniocaudal length of thyroid mass below thoracic inlet ≥34.5 mm and the diameter of mediastinal component ≥53.5 mm were significantly associated with the need of an extra-cervical approach ( p = 0.005 and p = 0.015, respectively). We also analyzed the ratio between mediastinal component diameter and thoracic inlet diameter and the ROC analysis of this ratio identified ≥1.24 as the cutoff value with maximum accuracy. A ratio ≥1.24 was significantly associated with the need of sternotomy ( p = 0.03) with a likelihood ratio of 9.09 (IC 4.32-19.51). Conclusion: The ratio between mediastinal component diameter and thoracic inlet ≥1.24 was a significant determining factor for sternotomy. Clinical significance: The ratio we suggest based in CT scan measurements allows the identification of patients who may need sternotomy, permitting referral patients to another hospital with thoracic surgeons and prior preparation of the surgical team. Furthermore, these measurements can be obtained by a trained head and neck surgeon.","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":"41869302","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}
Jung Hyun Moon, Jun Sung Lee, Su-Jin Shin, Jin-Seok Lee, H. Yun, Y. Lee, Hang-Seok Chang
{"title":"A Rare Case of Myxoid Liposarcoma Combined With Papillary Carcinoma in the Same Thyroid Gland","authors":"Jung Hyun Moon, Jun Sung Lee, Su-Jin Shin, Jin-Seok Lee, H. Yun, Y. Lee, Hang-Seok Chang","doi":"10.16956/jes.2022.22.4.131","DOIUrl":"https://doi.org/10.16956/jes.2022.22.4.131","url":null,"abstract":"","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81949119","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}
Lily C. Young, T. Ow, Juan Lin, B. Schiff, Richard V. Smith, Varshil Mehta
{"title":"Benign Thyroid Enlargement Across Racial and Ethnic Groups","authors":"Lily C. Young, T. Ow, Juan Lin, B. Schiff, Richard V. Smith, Varshil Mehta","doi":"10.16956/jes.2022.22.3.72","DOIUrl":"https://doi.org/10.16956/jes.2022.22.3.72","url":null,"abstract":"Purpose The objective of this study is to determine if there is a signi�cant correlation between race/ethnicity and total thyroid volume among patients with benign thyroid disease. Our hypothesis is that patients of racial and ethnic minorities may present with enlarged, non-cancerous thyroids more frequently than white patients. Methods This is a retrospective cohort study of 457 patients (N = 457) diagnosed with benign thyroid disease between 2008 and 2020 at Monte�ore Medical Center. Data were taken from an existing database and the electronic health record. The primary outcome was total thyroid volume (cm 3 /mL) calculated from ultrasound measurements. The secondary outcome was the maximum dimension (cm) of the largest thyroid nodule.","PeriodicalId":53556,"journal":{"name":"World Journal of Endocrine Surgery","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73118988","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}