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Adrenal hemorrhage, often triggered by trauma, presents diverse clinical manifestations. A retrospective analysis of 193 cases revealed a majority of unilateral hemorrhages, with trauma as the leading cause. Notably, many adrenal nodules went undetected initially, underscoring the importance of thorough evaluation. Follow-up imaging demonstrated varied…
Adrenal hemorrhage, often triggered by trauma, presents diverse clinical manifestations. A retrospective analysis of 193 cases revealed a majority of unilateral hemorrhages, with trauma as the leading cause. Notably, many adrenal nodules went undetected initially, underscoring the importance of thorough evaluation. Follow-up imaging demonstrated varied…
Tumor size correlates with biochemical activity in pheochromocytomas, with lesions ≥2.3 cm more likely to produce levels 3 times upper limit of normal. Doubling tumor size or a ≥1 cm increase enhances biochemical activity. While paroxysmal symptoms are common, they don't significantly correlate with tumor…
AI trained by thyroid ultrasound improved prediction of lymph node metastasis in papillary thyroid carcinoma patients. The multi-scale, multi-frame, and dual-direction deep learning model achieved AUCs of 0.85 and 0.81 in the test and validation cohorts, respectively. Radiologists' diagnostic accuracy and sensitivity significantly improved with…
This systematic review and network meta-analysis compared the oncologic outcomes and surgical completeness of gasless transaxillary approach (GTAA), bilateral axillo-breast approach (BABA), and transoral approach (TOA) with conventional transcervical thyroidectomy (CTT). Results suggest similar oncologic outcomes in GTAA, BABA, and TOA compared to CTT, with…
Understanding the anatomy and surgical techniques of thyroidectomy and neck dissection is crucial for successful outcomes and minimizing complications. Emphasis is placed on preserving critical structures, like the parathyroid glands and recurrent laryngeal nerve, to ensure better survival rates. Evaluating various thyroidectomy techniques, including minimally…
Autofluorescence significantly improved parathyroid gland identification in hemithyroidectomy, boosting surgical confidence. The near-infrared camera enabled better visualization pre-procedure, leading to higher parathyroid identification rates compared to conventional surgery. This approach may benefit low-volume institutions without parathyroid surgery experience.
Radioactive iodine administration did not significantly improve disease-specific survival in intrathyroidal classic papillary thyroid carcinoma >4 cm, suggesting limited benefit and questioning routine use in this patient population. Age ≥55 and larger tumor size were associated with increased risk of disease-specific death, emphasizing the need…
Delaying surgery for papillary thyroid carcinoma (PTC) worsens survival, with longer times to surgery associated with poorer outcomes. Racial disparities persist, as black patients face worse survival independent of time to surgery and other factors. Non-Hispanic white patients have shorter median times to surgery compared…
Young males under 40 with papillary thyroid cancer exhibit higher rates of nodal metastasis compared to older males and females. However, they experience similar recurrence rates at 1 year as their female and older counterparts. No significant differences were found in other outcomes such as…
