Thyroid and parathyroid surgeries form a major bulk of cases for an Endocrine surgeon. Voice changes following thyroid and parathyroid surgery is challenging problems which can be of distress for the knife happy surgeon, intellectual physicians and the affected patient. In this article we try to address the basics of voice and the causes of voice change post thyroid and parathyroid surgery.
Introduction Multi-nodular goitre (MNG) is one of the common presentations of various thyroid diseases. Careful examination discloses their presence in at least 4% of the general population. Nodules less than 1 cm in diameter not clinically detectable unless located on the surface of the gland, are much more frequent. Although MNG was traditionally thought to be at a low risk for malignancy as compared to its single-nodule counterpart, various studies have reported a significant risk. The objective of this study was to determine the incidence and the type of thyroid carcinoma (TC) in multi-nodular goitre by doing the histopathological examination of thyroidectomy specimens. Materials and Methods This prospective, observational study was carried out in the Department of Surgery at Govt. Sivagangai Medical College, Tamilnadu, India. All the patients with multi-nodular goitre with or without thyrotoxicosis were evaluated and they were offered surgery as the treatment for suspicious findings, cosmesis, compressive symptoms and thyrotoxicosis. The specimens were subjected to a histopathological evaluation to determine the incidence and the types of various malignancies in MNG. Results Among the 65 MNG cases which were studied, 8 (12%) cases contained malignant foci. Among them, papillary carcinoma (88%) was the most common type of malignancy which was observed. Conclusion The incidence of malignancy in MNG is quite significant and it is not very low as was thought before. Due to the risk of occult malignancy, all the patients with multi-nodular goitres who are treated conservatively need a close follow up for malignancy
In this article, we elaborate on the two different techniques that we have utilized for removing the thyroid from the neck, which we have been performing for the last 12 years. Data analysis of all 61 cases performed in the last 5 years are also presented. The background, history, and current status of endoscopic thyroidectomy are also addressed.
Ectopic thyroid gland is a rare developmental anomaly of thyroid embryogenesis. Dual thyroid ectopia is even more rare1. Among the dual thyroid ectopia the simultaneous occurrence of lingual thyroid and thyroglossal cyst in the absence orthotopic thyroid gland is even more rare entity. Only three cases have been reported so far. We present a case of dual thyroid ectopia in a 28 year old lady who presented with anterior neck mass, swelling in the posterior one third of tongue with subclinical hypothyroidism.
Sai Krishna Vittal,
V. Sai Vishnupriyaa,
Kikuchi-Fujimoto disease is a relatively rare self-limiting histiocytic necrotizing lymphadenitis of unknown etiology. The disease predominantly presents as unilateral cervical lymphadenopathy accompanied with constitutional symptoms. The diagnosis is made by excluding other causes of necrotizing lymphadenopathy. We report a case of Kikuchi-Fujimoto disease in a young south Indian female who also had a Multinodular Goitre. This case is being discussed to highlight a diagnostic dilemma that may arise and a diagnosis of metastatic carcinoma may be made if one is not aware of Kikuchi–Fujimoto disease.
This is a case report of a rare thyroid tumor “Carcinoma showing thymus-like differentiation” (CASTLE). These tumors are usually in the lower part of the thyroid gland. They present like other advanced thyroid cancers but it is important to differentiate CASTLE from these. CASTLE tumors of the thyroid have better prognosis than thymic carcinoma, squamous cell carcinoma and anaplastic carcinoma and hence curative surgery and adjuvant radiotherapy lead to over 80% 10 year survival rate. This case report describes how emergency surgery on a dyspneic patient followed by external radiation therapy was successful.