Pelvic pain and papillary thyroid carcinoma: case report.

Usually differentiated thyroid cancer has a good prognosis and only rarely shows distant metastasis at diagnosis above all the papillary carcinoma. We present the case of a female patient of 66 years old affected by a papillary thyroid carcinoma with a bone metastasis as initial presenting symptom; she was hospitalized for pelvic pain and motor weakness and treated for severe osteoporosis. The patient was submitted to pelvis X-Ray that showed an area of bone loss and cortical irregularities of the right acetabulum, which was compatible with secondary neoplastic lesion but no primary tumor was found.

Can misdiagnosis in pre-operative FNAC of thyroid nodule influence surgical treatment?

Background: Pre-operative cytology in thyroid disease remains the most appropriate diagnostic test for defining the nature of a thyroid nodule before surgical excision.

Materials And Methods: We selected the most recent 825 surgical thyroid procedures performed in our institution from January 2004 to June 2007; 776 were total thyroidectomies, 23 were lobe-isthmectomies, and 26 were radical neck dissections. We distributed the data based on pre-operative cytology.

Association between primary hyperparathyroidism and thyroid disease. Role of preoperative PTH.

Background: The association between patients with surgically treatable thyroid disease and patients affected by PHPT is not just accidental.

Materials: We report 591 patients who underwent total thyroidectomy in our center. Data, collected during the preoperative period according to our protocol for candidates to total thyroidectomy, included: type of thyroid disease, sex, age, type of surgical procedure, preoperative PTH and plasmatic calcium level.

Thyroidectomy for differentiated carcinoma in older patients on a short stay basis.

Background: Total thyroidectomy is the treatment of choice for thyroid cancer and for selected benign thyroid conditions. The aging of the general population and the improvements in surgical technique induced an extension of the surgical indications to major thyroid surgery to older patients also on a short stay basis.

Methods: From January 2004 to December 2006, 152 patients affected by thyroid carcinoma underwent total thyroidectomy on a short stay basis.

Minimally invasive video-assisted thyroidectomy: the learning curve.

Background: MIVAT (minimally invasive video-assisted thyroidectomy) is a recent technique that requires a learning curve.

Materials And Methods: From July 2005 to December 2006, we treated 100 from a total of 467 thyroidectomy patients with MIVAT. We divided the patients into 3 groups.