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Aggressive Synchronous Papillary and Likely Follicular Thyroid Carcinomas in a Patient with Graves' Disease.
J ASEAN Fed Endocr Soc
December 2024
Department of Endocrinology, Singapore General Hospital.
Article Synopsis
- - The case centers on a 67-year-old woman with both papillary and follicular thyroid carcinomas, initially diagnosed with thyrotoxicosis from Graves' disease, presenting with severe metastasis and invasive tumor growth.
- - Investigation revealed multiple metastases, including intra-cardiac tumor thrombus and bone fractures, leading to a diagnosis of synchronous thyroid cancer types, yet the patient chose palliative care over aggressive treatment options.
- - The case highlights the challenges in accurately diagnosing synchronous thyroid malignancies and the limitations of the ACR TI-RADS system in detecting certain ultrasonographic features that indicate cancer, especially in patients with Graves' disease.
Robotic radical prostatectomy (RALP) with pre-existing inflatable penile prosthesis (IPP): technical innovations to improve safety and outcomes.
J Robot Surg
November 2024
Larkin Palm Springs Hospital, Miami, FL, 33012, USA.
Article Synopsis
- - Robotic-assisted laparoscopic radical prostatectomy (RALP) is the standard treatment for prostate cancer, with specific techniques developed for men who already have an inflatable penile prosthesis (IPP).
- - Two surgical techniques, the No Touch Technique and Safe Mobilization Technique, aim to preserve the pelvic reservoir during RALP, with no significant differences in surgical outcomes between men with IPP and those without.
- - Analysis of 155 RALP cases with IPPs showed successful postoperative device functionality, no significant complications, and no negative impact on urinary continence or cancer recurrence rates compared to men without IPPs.
Incidence and risk factor of blood transfusion after abdominal radical hysterectomy for cervical cancer: a 10-year retrospective study of the US nationwide inpatient sample.
BMC Cancer
November 2024
Department of Gynecology, Dongguan Tungwah Hospital, Dongguan, China.
Background: With the rising prevalence of abdominal radical hysterectomy, the need for perioperative blood transfusion has emerged as a significant clinical challenge. Independent risk factors for blood transfusion during abdominal radical hysterectomy remains limited, and identifying these factors is needed.
Methods: A retrospective analysis of data was performed using the Nationwide Inpatient Sample (NIS), focusing on patients who underwent abdominal radical hysterectomy between 2010 and 2019.
The complexity and challenges of fertility preservation in women with cervix cancer-A prospective cohort study reporting on reproductive outcome and overall survival.
Acta Obstet Gynecol Scand
January 2025
Department of Reproductive Medicine, Division of Gynecology and Reproduction, Karolinska University Hospital, Stockholm, Sweden.
Article Synopsis
- The study evaluated the feasibility of fertility preservation (FP) in women with cervix cancer, focusing on long-term reproductive outcomes and overall survival.
- Conducted at Karolinska University Hospital from 1999 to 2021, it included 91 women, primarily diagnosed at an early cancer stage, with various treatment options offered.
- After an average of 8.1 years of follow-up, only a small percentage of women achieved live births, highlighting the difficulties and complexities of fertility preservation in this cancer context.
Effect of ultrasound-guided individualized positive end-expiratory pressure on the severity of postoperative atelectasis in elderly patients: a randomized controlled study.
Sci Rep
November 2024
Department of Anesthesiology and Perioperative Medicine, General Hospital of Ningxia Medicine University, No. 804 Shengli Street, Xingqing District, Yinchuan, 750004, China.
Postoperative pulmonary complications (PPCs) are common in patients undergoing general anesthesia, with atelectasis being a key contributor that increases postoperative mortality and prolongs hospitalization. Our research hypothesis is that ultrasound-guided individualized PEEP titration can reduce postoperative atelectasis. This single-center randomized controlled trial recruited elderly patients for laparoscopic surgery.
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