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. Suspicious Lymphadenopathy A US survey of the cervical lymph nodes should be performed on all patients with thyroid nodules, especially those with intermediate- and high-risk ones. The lymph nodes can be assessed as suggested in the ETA guidelines. An FNA
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thyroid-stimulating hormone-suppression therapy with levothyroxine at a dose of 150 μg/day. Eight years ago, 3 nodules were found during follow-up ultrasound examination. He underwent thyroidectomy again, along with dissection of the cervical lymph nodes
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microcalcifications and hypervascularity, as well as a 1.3 × 0.9 cm lymph node on the left side of her neck confirming classical PTC. In March 2016, 1 month post partum , she underwent a total thyroidectomy, central and bilateral cervical lymph node dissection, and
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tumor measuring 15.8 cm at the greatest dimension and margins negative for tumor. The isthmus margin on the remaining right thyroid lobe was benign. All the cervical lymph nodes excised were negative for malignancy. Based on these pathology findings, the
Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan
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Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
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Department of Health Services, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
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) codes; clinical tumour (T), node (N) and metastasis classification of malignant tumours; interventional/surgical procedures indexed by the original Japanese codes; duration of anaesthesia; length of stay and total hospitalisation cost. The total
Thyroid Diseases Center, Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, Brazil
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Thyroid Diseases Center, Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, Brazil
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Thyroid Diseases Center, Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, Brazil
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performing lobectomy for unifocal tumors measuring less than 1 cm in the absence of lymph nodes or distant metastasis [ 26 ]. Additionally, studies from Japan [ 27 ] have suggested clinical follow-up for patients having microcarcinoma, without surgical
University of Lille, Lille, France
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University of Lille, Lille, France
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Department of Dermatology, Lille University Hospital, Lille, France
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University of Lille, Lille, France
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after ICI therapy initiation showing absent 123 I uptake. Meanwhile, the patient was diagnosed as having pulmonary and lymph nodes metastasis of a superficial melanoma of the calf, Breslow 1.8 mm, BRAF non-mutated, operated on 8 years
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Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário de São João, Porto, Portugal
Department of Surgery and Physiology, Cardiovascular Research Unit, Faculty of Medicine from the University of Porto, Porto, Portugal
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Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário de São João, Porto, Portugal
Institute for Research Innovation in Health, University of Porto, Porto, Portugal
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Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário de São João, Porto, Portugal
Department of Surgery and Physiology, Cardiovascular Research Unit, Faculty of Medicine from the University of Porto, Porto, Portugal
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Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário de São João, Porto, Portugal
Institute for Research Innovation in Health, University of Porto, Porto, Portugal
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.3%). Of the 17 operated cancers, 5 were discovered on preoperatory FNA of thyroid nodule, 1 was discovered by FNA of cervical lymph node, and 11 were an incidental finding on thyroidectomy. Eleven had suspicious nodules on ultrasound, which were requested
Department of Endocrinology, Portuguese Institute of Oncology, Lisbon, Portugal
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, and a tracheostomy was done in view of acute airway distress. A neck CT scan did not show any reduction of the tumor or lymph node metastasis (fig. 2 ). One week after the tracheostomy, the patient died of tracheal compression. Discussion The
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, as is evident from the literature and from our own practice, there have been instances of larger-sized neoplasms being resected. Extrathyroidal involvement [ 12 , 14 , 15 , 20 , 26 , 27 , 29 , 30 , 31 , 32 , 33 ], multiple lateral lymph node