Acta clinica Croatica最新文献

EFFECTS OF EDUCATED LABOR ATTENDANT ON BIRTH PROCESS AND RELATED FACTORS. 受过教育的产婆对分娩过程的影响及相关因素。

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.01

Sule Ozel, Yaprak Engin-Ustun, Umran Akinci, Hatice Kansu-Celik, Ebru Cakir, Ozlem Moraloglu Tekin, Gonul Tozlu

{"title":"EFFECTS OF EDUCATED LABOR ATTENDANT ON BIRTH PROCESS AND RELATED FACTORS.","authors":"Sule Ozel, Yaprak Engin-Ustun, Umran Akinci, Hatice Kansu-Celik, Ebru Cakir, Ozlem Moraloglu Tekin, Gonul Tozlu","doi":"10.20471/acc.2025.64.02.01","DOIUrl":"10.20471/acc.2025.64.02.01","url":null,"abstract":"The aim was to evaluate the effects of educated labor attendant (ELA) to pregnant women on the delivery process, mother's delivery satisfaction, and postpartum parenting behavior. Study women were divided into two groups depending on whether an ELA was present during labor or not. Obstetric and neonatal outcomes, Postpartum Parenting Behavior Scale (PPBS), Labor Agentry Scale, and labor satisfaction rate were evaluated and compared in the intervention and control groups. A total of 252 pregnant women, 126 in each group, were included in the study. The rate of cesarean section, the need of systemic analgesic application and pain measurements were significantly lower in the study group compared to the control group (p=0.01, p<0.001 and p<0.001, respectively). The mean PPBS and Labor Agentry Scale scores were significantly higher in the study group compared to the control group (p<0.001). ELA accompanying pregnant women help them overcome their labor fear in every stage of delivery, and decrease the rate of cesarean section.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"183-189"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

REPEATIBILITY AND RELIABILITY OF KNEE JOINT ROTATIONAL LAXITY MEASUREMENTS WITH DOUBLE GONIOMETRY. 双角度测量法测量膝关节旋转松弛度的重复性和可靠性。

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.11

Alan Albanese, Miroljub Jakovljević

{"title":"REPEATIBILITY AND RELIABILITY OF KNEE JOINT ROTATIONAL LAXITY MEASUREMENTS WITH DOUBLE GONIOMETRY.","authors":"Alan Albanese, Miroljub Jakovljević","doi":"10.20471/acc.2025.64.02.11","DOIUrl":"10.20471/acc.2025.64.02.11","url":null,"abstract":"The results of existing studies on the range of motion in the knee joint rotation are contradictory. The best method for measuring knee rotation has not yet been found. The purpose of this study was to investigate the repeatability and reliability of knee joint rotational laxity measurement using two magnetic goniometers. Thirty healthy subjects (15 males and 15 females) aged between 20 and 32 years participated in the study. Internal and external rotation of the left and right knee joints were measured with double goniometry in the sitting position with 90° flexion of the knee. There was no statistically significant difference in measurements between first and second session. The intraclass correlation coefficient (ICC) for repeatability ranged from 0.812 to 0.858 and for reliability from 0.655 to 0.837. Within-subject coefficient of variation was less than 10%, standard error of measurement was between 1.4o and 2.0o, minimal detectable change was between 2.5o and 3.8o. The measured values of internal and external rotation did not completely agree with those reported by other authors. The ICC values indicated good to very good repeatability and reliability of the double goniometry measurement of rotational knee laxity. Technical improvements will be required before translation into clinical practice.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"271-279"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146112130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CHANGES OF TSH, IMMUNE, INFLAMMATORY AND TUMOR MARKERS AFTER ANAEROBIC EXERCISE IN ELITE KARATE ATHLETES. 优秀空手道运动员无氧运动后tsh、免疫、炎症及肿瘤指标的变化。

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.10

Tihomir Vidranski, Valentina Vidranski, Tomislav Jukić

{"title":"CHANGES OF TSH, IMMUNE, INFLAMMATORY AND TUMOR MARKERS AFTER ANAEROBIC EXERCISE IN ELITE KARATE ATHLETES.","authors":"Tihomir Vidranski, Valentina Vidranski, Tomislav Jukić","doi":"10.20471/acc.2025.64.02.10","DOIUrl":"10.20471/acc.2025.64.02.10","url":null,"abstract":"Exercise causes considerable changes in the number and function of immune cells and hormones in circulation. The aim of this study was to assess the impact of training regime on immune and inflammatory markers and parameters of complete blood count, thyroid function and tumor markers, immediately after intense, mostly anaerobic training in elite karate athletes. There are no similar studies that would determine changes in the concentration of tumor markers immediately after intense exercise. Study population included seven elite trained athletes, members of the Croatian National Karate Kata female team and Kata male team. Our data provided evidence that the white blood cell and segmented neutrophil granulocyte counts were significantly decreased and lymphocytes significantly increased with no major changes in interleukin-6 immediately after anaerobic exercise. We also noticed a strong increase of thyrotropin and no significant change in the levels of tumor markers. It was concluded that immune response and thyroid hormone status were in correlation with exercise duration and intensity. According to our results, a larger study is needed to define the impact of training and interrelation between sports and laboratory medicine as a perfect combination in terms of discovering new mechanisms and biochemical strategies in training of elite athletes.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"262-270"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

TREATMENT METHODS AND ATTITUDES TOWARDS PRIMARY DYSMENORRHEA AMONG CROATIAN STUDENTS: A CROSS-SECTIONAL STUDY. 克罗地亚学生原发性痛经的治疗方法和态度：一项横断面研究。

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.20

Marta Horvat, Doroteja Pavan Jukić, Lovro Marinović, Danijel Bursać, Rosana Ribić, Marijana Neuberg, Dina Bursać

{"title":"TREATMENT METHODS AND ATTITUDES TOWARDS PRIMARY DYSMENORRHEA AMONG CROATIAN STUDENTS: A CROSS-SECTIONAL STUDY.","authors":"Marta Horvat, Doroteja Pavan Jukić, Lovro Marinović, Danijel Bursać, Rosana Ribić, Marijana Neuberg, Dina Bursać","doi":"10.20471/acc.2025.64.02.20","DOIUrl":"10.20471/acc.2025.64.02.20","url":null,"abstract":"This study aimed to determine which treatment methods university students use to relieve menstrual pain. The study was conducted in April 2021 and included 861 female students at the University of Zagreb. Data were collected through an anonymous online questionnaire containing 22 questions regarding menstrual characteristics and pain management. The study found that 366 (42.5%) students asked advice from a healthcare professional regarding primary dysmenorrhea and pain management. Pharmacological methods were used by 780 (90.6%) and non-pharmacological methods by 648 (75.3%) students. Most commonly, students were advised to use these methods by their families (73.8% and 64.5%, respectively). The most common drug used to treat painful menstruation was ibuprofen (84.7%). Local application of heat (78.7%) and taking an antalgic position (75.2%) were the most common alternative methods for relieving pain. Students who perceived their pain to be more severe were usually more likely to seek advice from a health worker and use both pharmacological and non-pharmacological methods in pain management. Our study found that Croatian students were more likely to self-medicate than to seek advice from a health professional regarding painful menstruation. They use both pharmacological and non-pharmacological methods.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"362-369"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146112061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THE ASSOCIATION OF SYNTAX SCORE II WITH LIPID PROFILE, SERUM URIC ACID LEVELS AND DIABETES MELLITUS IN PATIENTS WITH MULTIVESSEL CORONARY DISEASE. 多支冠状动脉病患者语法评分ii与血脂、血清尿酸水平和糖尿病的关系

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.15

Vedran Đambić, Ivica Bošnjak, Dijana Dumančić, Aleksandar Kibel

{"title":"THE ASSOCIATION OF SYNTAX SCORE II WITH LIPID PROFILE, SERUM URIC ACID LEVELS AND DIABETES MELLITUS IN PATIENTS WITH MULTIVESSEL CORONARY DISEASE.","authors":"Vedran Đambić, Ivica Bošnjak, Dijana Dumančić, Aleksandar Kibel","doi":"10.20471/acc.2025.64.02.15","DOIUrl":"10.20471/acc.2025.64.02.15","url":null,"abstract":"The SYNTAX Score II (SS II) is a clinical tool that allows individualized prediction of mortality in patients with multivessel coronary artery disease (CAD) treated with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). The aim was to examine whether lipid profile, uric acid and diabetes had a positive correlation with higher values of SS II. The study included 72 CAD patients. An online calculator was used to calculate SS II. Statistical tests (Mann Whitney U test and Shapiro-Wilk test) were used to assess correlations and differences in lipid profile, uric acid and diabetes status according to SS II values. There was a significant positive correlation between the proportion of patients with HDL levels above the reference values and SS II PCI. Patients with lower LDL values had significantly increased values of SS II CABG, but not SS II PCI. There was no significant correlation of total cholesterol and triglycerides with SS II PCI or SS II CABG. Patients with hyperuricemia had significantly higher SS II PCI but not SS II CABG. People with diabetes had significantly increased SS II PCI but not SS II CABG compared to non-diabetic patients. In conclusion, SS II is associated with some of the classic risk factors for atherosclerosis (uric acid, diabetes), whereas in our patient cohort there was a surprising correlation of SS II with high HDL levels and low LDL levels.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"309-323"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146112123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

INTRAOCULAR PRESSURE OF PREMATURE NEWBORNS - A SYSTEMATIC REVIEW WITH META-ANALYSIS. 早产儿眼压的meta分析。

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.22

Kalina Trifonova, Kiril Slaveykov, Hristo Mumdzhiev

引用次数: 0

EFFECT OF PLATELET RICH FIBRIN ON WOUND HEALING TIME AFTER REVASCULARIZATION. 富血小板纤维蛋白对血运重建后创面愈合时间的影响。

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.21

Mijo Mravičić, Ana Adžić-Kapitanović, Andrej Razumić, Marta Bakšić, Vedran Pažur, Tena Magovac, Marko Granić

{"title":"EFFECT OF PLATELET RICH FIBRIN ON WOUND HEALING TIME AFTER REVASCULARIZATION.","authors":"Mijo Mravičić, Ana Adžić-Kapitanović, Andrej Razumić, Marta Bakšić, Vedran Pažur, Tena Magovac, Marko Granić","doi":"10.20471/acc.2025.64.02.21","DOIUrl":"10.20471/acc.2025.64.02.21","url":null,"abstract":"One of the most common diseases in vascular surgery is peripheral arterial disease, the last stage of which is critical limb ischemia. It is characterized by rest pain or tissue loss. In most cases, after revascularization, and due to gangrenous changes, it is necessary to perform amputation of a part of the lower limb. After amputation, the wound is bandaged with dressings. In conducting this pilot study, some patients were bandaged with platelet rich fibrin (PRF) in combination with dressings, while the others were treated only with dressings. PRF is a biologic material that is received from blood of the patient. All patients included in the trial had at least 2 out of 3 traversable blood vessels in the lower leg before treatment and underwent femoropopliteal bridging with prosthesis. Patients treated with PRF after revascularization had an average of 5 weeks of wound healing, in contrast to patients treated only with dressings, whose mean wound healing was 8.5 weeks and a proportion of these patients ended up with an extended amputation level. After the study, it is concluded that this type of treatment can be safely used in the treatment of vascular pathology.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"371-379"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SELF-COMPASSION, MINDFULNESS AND COPING IN RELATION TO PSYCHOLOGICAL SYMPTOMS IN PREGNANT WOMEN IN THE FIRST TRIMESTER. 自我同情、正念和应对与孕早期孕妇心理症状的关系

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.04

Sanja Kanisek, Rudika Gmajnić, Sanja Jandrić, Ana Kurtović, Ivana Barać, Željka Vukšić, Sanda Pribić

{"title":"SELF-COMPASSION, MINDFULNESS AND COPING IN RELATION TO PSYCHOLOGICAL SYMPTOMS IN PREGNANT WOMEN IN THE FIRST TRIMESTER.","authors":"Sanja Kanisek, Rudika Gmajnić, Sanja Jandrić, Ana Kurtović, Ivana Barać, Željka Vukšić, Sanda Pribić","doi":"10.20471/acc.2025.64.02.04","DOIUrl":"10.20471/acc.2025.64.02.04","url":null,"abstract":"The aim of the study was to examine the levels and relationships of self-compassion, mindfulness, coping with stress, anxiety, depression, and perceived stress in pregnant women. The study involved 153 pregnant women (6+0-7+6) who completed a questionnaire of socio-demographic data, Self-Compassion Scale, Mindful Attention Awareness Scale, Coping Orientation to Problems Experienced, Beck Anxiety Inventory, Depression Questionnaire of the Center for Epidemiological Research and Perceived Stress Scale. Subjects with higher levels of self-compassion and mindfulness had lower levels of anxiety (r=-0.44, p<0.01), (r=-0.53, p<0.01), depression (r=-0.45, p<0.01), (r=-0.51, p<0.01), and stress (r=-0.53, p<0.01), (r=-0.45, p<0.01). Significantly higher levels of anxiety (r=0.19, p<0.05), depression (r=0.23, p<0.01), and stress symptoms (r=0.26, p<0.01) were experienced by subjects who used avoidance-focused coping. Self-compassion and mindfulness were negative predictors of anxiety (β=-0.26, p<0.001), (β=-0.42, p<0.001), depression (β=-0.35, p<0.001), (β=-0.37, p<0.001) and stress (β=-0.40, p<0.001), (β=-0.25, p<0.01). Problem-focused coping had a positive contribution to depression (β=0.15, p<0.05). Avoidance showed a tendency toward a positive effect on stress (β=0.13, p=0.06). The results indicate a significant role of self-compassion and mindfulness in predicting symptoms of anxiety, depression and stress in pregnant women in early pregnancy as a focus of non-pharmacological interventions aimed at early prevention of mental disorders.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"205-215"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146112120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AWARENESS OF THE EUROPEAN GROUP ON GRAVES' ORBITOPATHY (EUGOGO) GUIDELINES AND THEIR PRACTICAL USAGE IN CROATIA: AN EUGOGO PILOT STUDY. 欧洲小组对graves眼病（eugogo）指南的认识及其在克罗地亚的实际使用：一项eugogo试点研究。

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.17

Jelena Juri-Mandić, Maja Baretić, Sanja Kusačić-Kuna, Lorena Karla Šklebar, Krešimir Mandić, Antonela Geber, Petra Kristina Ivkić, Jasenka Petrović-Jurčević, Lelio Baldeschi

{"title":"AWARENESS OF THE EUROPEAN GROUP ON GRAVES' ORBITOPATHY (EUGOGO) GUIDELINES AND THEIR PRACTICAL USAGE IN CROATIA: AN EUGOGO PILOT STUDY.","authors":"Jelena Juri-Mandić, Maja Baretić, Sanja Kusačić-Kuna, Lorena Karla Šklebar, Krešimir Mandić, Antonela Geber, Petra Kristina Ivkić, Jasenka Petrović-Jurčević, Lelio Baldeschi","doi":"10.20471/acc.2025.64.02.17","DOIUrl":"https://doi.org/10.20471/acc.2025.64.02.17","url":null,"abstract":"This pilot study aimed to evaluate the awareness and practical usage of the European Group on Graves' Orbitopathy (EUGOGO) Guidelines in Croatia, in view of a possible EUGOGO survey on a larger scale. A 27-question anonymous online questionnaire survey was administered. It included questions regarding EUGOGO activities (usage of proposed assessment tools while diagnosing Graves' orbitopathy (GO) and algorithms while treating GO), besides sociodemographic data. The questionnaire was administered to endocrinologists, ophthalmologists, and nuclear medicine specialists whose e-mail addresses were available in the published records of national scientific societies. Collected data were processed and statistical analyses performed in Base SAS 9.4 (SAS Institute Inc., Cary, North Carolina, USA). Endocrinologists had the best response rate to the questionnaire. Ophthalmologists and the youngest responders (age 25-35) displayed the best usage and knowledge of the EUGOGO Clinical Evaluation Atlas and Guidelines. Responders who attended international meetings regularly and those in higher levels of health care used the Guidelines more often in clinical practice. This online survey proved to be a useful tool for obtaining data rapidly and inexpensively. It provided clear figures concerning the awareness and practical usage of the EUGOGO Guidelines in Croatia, thus it can represent the basis for larger EUGOGO survey.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"333-342"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147626797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ANAPLASTIC THYROID CARCINOMA DEVELOPED YEARS AFTER THE PATIENT HAD UNDERGONE PARTIAL THYROIDECTOMY DUE TO PAPILLARY THYROID CARCINOMA. 患者因甲状腺乳头状癌而行部分甲状腺切除术数年后发生间变性甲状腺癌。

IF 0.8 4区医学

Acta clinica Croatica Pub Date : 2025-06-01 DOI: 10.20471/acc.2025.64.02.25

Banu Karapolat, Yusuf Ziya Yamak, Ayten Livaoğlu

{"title":"ANAPLASTIC THYROID CARCINOMA DEVELOPED YEARS AFTER THE PATIENT HAD UNDERGONE PARTIAL THYROIDECTOMY DUE TO PAPILLARY THYROID CARCINOMA.","authors":"Banu Karapolat, Yusuf Ziya Yamak, Ayten Livaoğlu","doi":"10.20471/acc.2025.64.02.25","DOIUrl":"10.20471/acc.2025.64.02.25","url":null,"abstract":"Thyroid cancers are frequently seen tumors and surgery is the gold standard in treatment. An 80-year-old female patient presented to our department with right side neck swelling and shortness of breath. Her history revealed that she had undergone a near-total thyroidectomy 10 years before due to papillary thyroid carcinoma and she had a growing swelling in her neck in the last 2 years. A hard mass involving the whole right side of her neck was found on physical examination. Tomography showed a mass on the right side of the neck approximately 10x12 cm in size with heterogeneous density, which was pushing the trachea to the left. Fine needle aspiration biopsy findings suggested undifferentiated malignant tumor, i.e., anaplastic thyroid carcinoma were obtained while her distant organ scans were normal. The patient was operated under general anesthesia; she underwent completion total thyroidectomy and radical neck dissection. As a result of the histopathologic examination, she was diagnosed with anaplastic thyroid carcinoma. The patient received radioactive I-131 therapy and no problems were found at her 3-month follow up examination. In conclusion, when surgical near-total thyroidectomy is performed in patients with papillary thyroid carcinoma, a new malignancy may develop in the residual thyroid tissue even after many years. In such cases, completion total thyroidectomy and adjuvant multimodal treatment methods should be preferred.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"64 2","pages":"402-406"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0