Publications by authors named "K C Hames"
Article Synopsis
- The study investigates management strategies for intermediate-risk papillary thyroid carcinoma (PTC) with lateral neck lymph node metastasis, focusing on comparing outcomes between lobectomy plus lateral neck dissection (LND) and total thyroidectomy plus LND.
- The research was conducted at Ito Hospital in Tokyo, Japan, involving patients who underwent surgery from 2005 to 2012, excluding those with high-risk PTCs or concurrent thyroid cancers.
- Findings from 401 patients show that overall survival rates after 5, 10, and 15 years were comparable between the two surgical options, indicating lobectomy plus LND is a viable alternative to total thyroidectomy for certain patients.
Background: Papillary thyroid microcarcinoma (PTMC) management has evolved, with active surveillance (AS) gaining prominence as a management option. However, a key concern for both clinicians and patients is the potential for patient loss to follow-up during AS.
Aims: This study aimed to determine adherence and loss-to-follow-up rates in low-risk PTMC patients undergoing AS versus surgical intervention, in order to gain insights into clinical pathways and safety profiles.
Article Synopsis
- Intraoperative neurophysiological monitoring (IONM) helps prevent damage to the recurrent laryngeal nerve (RLN) during thyroid surgeries, with loss of signal (LOS) indicating potential nerve injury.
- A study of 1,442 patients documented significant differences in recovery based on the type of LOS, revealing that 74.2% of LOS in benign tumors were global type, while cancer patients more often experienced segmental type paralysis.
- Postoperative outcomes showed that patients with global LOS had better recovery rates and lower vocal cord dysfunction compared to those with segmental LOS, particularly in cancer cases where segmental LOS led to a significantly higher rate of vocal cord issues at 6 months.
Purposes: To establish the appropriate staging system and assess the role of curative thyroidectomy alone (Surgery) vs. involved-site radiation therapy after open biopsy (OB-ISRT) in stage IE mucosa-associated lymphoid tissue (MALT) lymphoma.
Methods: We examined the Tokyo Classification as a modified classification.
Aims: To examine patients' perceptions of care quality following a same-day procedure in the cardiac catheterization laboratory and understand the extent to which they were prepared for discharge.
Design: Single-centre, mixed-methods study.
Methods: Postdischarge, online survey of patients who underwent a same-day procedure in the cardiac catheterization laboratory (n = 150) and one-on-one interviews with 13 of these patients.