Lymph nodes metastases in differentiated thyroid cancer--prognostic value and surgical results with 430 patients for 30 years period (1980-2010).

The papillary cancer and the follicular cancer are the most common forms of thyroid malignitet. Based on 30-year follow up of 430 patients, who underwent differentiated thyroid cancer surgery, the incidence of the lymph nodes metastases and the rate of postoperative recurrence of the disease was studied and the performance criteria of modified radical lymph node dissection of the neck were specified. Papillary cancer patients were 77.

[Lymph nodes metastases in differentiated thyroid cancer--prognostic value and syrgical results with 430 patients for 30 years period (1980-2010)].

In this we review 430 differentiated thyroid cancer patients underwent surgery for 30 years period since 1980 to December 2009. The stage of disease was T1-3.Na-b.

[Retrosternal thyroid goiter: 20 years experience].

Retrosternal localization of thyroid pathology is not rare. We present a retrospective 20-years' research on 4225 patients with different thyroid diseases. 803 of them were with a different level/stage) of retrosternal localization of the gland.

[Medullary thyroid carcinoma--current surgical aspects. Overview and retrospective analysis of 22 cases].

Background: Medullary thyroid carcinoma (MTC) accounts for 5% to 10% of all thyroid malignancies. Approximately 75% of cases are sporadic. Familial forms of medullary thyroid carcinoma account for the remaining 25% of cases--MEN IIa, MEN IIb and FMTC.

[Retroperitoneal endoscopic adrenalectomy vs. conventional adrenalectomy in treatment of benign adrenal lesions--comparative analysis].

Background: Miniinvasive adrenalectomy is considered to be the standard of care for the surgical treatment of the adrenal gland's pathology. Since the initial report of laparoscopic adrenalectomy in 1992 and of retroperitoneal endoscopic adrenalectomy in 1994, it has evolved into a feasible and safe minimally invasive procedure for benign adrenal tumors.

Methods: Clinical characteristics and outcomes of 63 retroperitoneal endoscopic adrenalectomies (REAs) and 45 conventional adrenalectomies (CAs) from 1996 to 2004 were evaluated.

[Surgical treatment of creeping infections of the flexor foot tendons in diabetic patients].

Unlabelled: The creeping infections of the flexor foot tendons are a common reason for amputation of limbs in diabetic patients. Usually the process starts from the fingers and spreads through their long flexors.

Methods: Of the total of 149 operated patients, 49 underwent selective removal of the m.

[Surgical treatment of the diabetic septic foot].

An opening and a major stage of the diabetic septic foot surgical treatment is the primary surgical processing that is usually combined with amputation of separate fingers or with various types of transmetatarsal amputations. Out of the total of 379 operated patients 35.7% underwent amputation of separate fingers, combined with resection of the metatarsal bone head.

[Retrospective analysis of the results of surgical treatment of 407 patients with differential thyroid gland cancer over a period of 23 years].

Over a period of 23 years (1980-2002) 407 cases of differential thyroid gland cancer were operated, monitored and analyzed at the Endocrine Surgery Clinic of Alexandrovska University Hospital. Of them 71.7% were monitored over a period of more than 10 years (up to 23 years), and 39.

[Possibilities of retroperitoneal endoscopic surgery in treatment of adrenal diseases].

Unlabelled: After introduction of the transperitoneal endoscopic adrenalectomy in 1992 and retroperitoneal adrenalectomy (RA) in 1994, the both techniques were widely accepted in the routine surgery practices. Now some authors described them as a "golden standard" in the surgical treatment of adrenal disorders.

Material And Method: 34 retroperitoneal endoscopic adrenalectomy were performed in our clinic for the period of May 1996-December 2002.

[Thymectomy for myastenia gravis: 25-year experience].

Objective: Thymectomy is considered an effective therapeutic option for patients with myasthenia gravis (MG). We reviewed our 25-years experience with surgical treatment of MG with respect to long-term results and factors affecting outcome.

Methods: Between 1978 and 2002, we performed 232 thymectomies for MG.

[Diagnosis and surgical treatment of adrenocortical carcinoma. A review of the literature and report of two cases].

Adrenocortical carcinomas (ACC) are rare and represent only 0.05 to 0.2% of all cancers.

[The surgical treatment of cervical lymph node metastases in differentiated thyroid carcinoma].

Over the period 1980 through 1994, a total of 297 patients presenting histological evidence of differentiated carcinoma of the thyroid gland are studied. In thirty-two of them (10.8 per cent) palpable metastases in the lymph nodes are found at the time of making the diagnosis.

[Early thymectomy in the treatment of myasthenia gravis].

Over a 10-year period, 1983 through 1992, in the clinic of endocrinologic surgery--Alexander Hospital, Sofia, 89 patients with myasthenia gravis (MG), 57 women and 32 men, are subjected to operative treatment--thymectomy. The mean age in women is 32 years (range 19 to 68), and in men--45.6 years (range 25 to 70).

[The incidence and morphological aspects of thyroid cancer].

A total of 10,736 biopsy specimens presenting diverse thyroid gland pathology are studied over the period 1974 to December 1993. The histopathological investigation shows that 5.45 per cent of them (n = 585) are with carcinoma.