Is radioiodine administration in patients with papillary thyroid multifocal microcarcinoma unnecessary?

Unlabelled: Radioiodine (RAI) has played a crucial role in differentiated thyroid cancer treatment for more than 60years. However, the use of RAI administration in patients with papillary thyroid microcarcinoma (even multifocal) is now being widely discussed and often not recommended. In accordance with European consensus, and contrary to the American Thyroid Association (ATA) guidelines, we recently performed RAI thyroid remnant ablation in a patient with differentiated papillary multifocal microcarcinoma.

Increased proinflammatory cytokine production in adipose tissue of obese patients with chronic kidney disease.

Background: Obesity is a known high-risk factor for the development of vascular diseases and chronic kidney disease (CKD). In this study we aimed to elucidate the impact of adipose tissue on the inflammatory state in CDK patients with obesity.

Patients And Methods: A cohort of 40 patients with CKD (stages 3-4) with mild proteinuria (2.

[Perioperative metabolic care in a patient with diabetes--recommendations].

Diabetes mellitus has become the main metabolic disorder. Correct treatment of a diabetic patient during the perioperative period is essential, in order to improve the treatment outcomes. A diabetic patient must be throroughly assessed prior to his procedure and must be postoperatively observed for any signs of cardiovascular complications and wound healing disorders.

[Postoperative nutritional support in liver surgery. Effects of specialized parenteral nutrition enriched with branched-chain amino acids following liver resections for colorectal carcinoma metastases].

Introduction: Perioperative nutritional support in liver surgery remains specific regarding the role of the liver in the metabolism regulation. The loss of functional liver tissue following resection procedures may result in significant metabolic disorders, particularly in patients with preoperative liver impairment in chronic conditions. Perioperative nutritional support is indicated in patients suffering from malnutrition, chronic liver disorders and also following liver resections with limiting residual parenchyma.

[Our experience with the sentinel lymph node detection].

Background: Axillary lymph node staging is the most powerful predictor of survival in breast cancer women. Sentinel lymph node biopsy (SLNB) is more accurate method in evaluation of axillary lymph node staging than complete axillary lymph node dissection (CALND) because of more precious histological and imunohistochemical assessment of the first draining lymph nodes. Furthermore, SLNB eliminates complications resulting from CALND.