[Metástasis en el lóbulo frontal como primera manifestación clínica de un carcinoma folicular de tiroides].

Antecedentes: El carcinoma folicular de tiroides puede producir metástasis a distancia, siendo las localizaciones más habituales el pulmón y el hueso. Las metástasis cerebrales son inusuales, y es poco habitual que aparezcan como primera manifestación de cáncer.

Caso ClÍnico: Paciente varón de 80 años, que tras una caída al suelo comenzó con alteración del comportamiento, desorientación y pérdida del control de esfínteres.

[Laparoscopic cleavage in splenic symptomatic cyst].

Background: Splenic cysts are rare diseases that are diagnosed incidentally during imaging studies. When cysts are recognized, surgical treatment is recommended adapted to the particular case, depending on the size and location of the cyst and the age of the patient in order to avoid dangerous complications such as spleen rupture or cyst infection with abscess.

Clinical Case: We report 2patients with symptomatic splenic epidermoid cyst treated by laparoscopic cleavage.

[Laparoscopic adrenalectomy: the best surgical option].

Background: Laparoscopic approach has become the gold standard for the surgical treatment of suprarenal gland. Nevertheless there is still controversy about the laparoscopic treatment of adrenal carcinoma.

Material And Methods: From April 2005 to April 2012, 37 laparoscopic adrenalectomies were performed.

[The POSSUM scoring system: an instrument for measuring quality in surgical patients].

Introduction: The POSSUM scale (Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity) is a scoring system that is used to predict risk-adjusted mortality and morbidity rates in a wide variety of surgical procedures. In this prospective study, the validity of the POSSUM scale was evaluated in patients undergoing laparotomy in a general surgery department.

Patients And Methods: The POSSUM scale was prospectively applied in all patients undergoing elective and emergency laparotomy in the general surgery department of a level II hospital over 8 months.

[Utility of frozen section in the surgical treatment of thyroid nodules].

Objective: To present our experience of the use of frozen section (FS) in the operative management of thyroid nodules and determine the utility of this procedure when deciding the extent of thyroidectomy.

Patients And Method: We performed a prospective and comparative study. The FS of patients who underwent surgery for thyroid nodules between 1995 and 2002 were evaluated.