Sialadenitis after administration of iodine compounds is rare. In this paper we report 4 hemodialysis patients who suffered from this rare manifestation of iodism and review the literature.
Objective: The family caregiver's role (FCG) is largely uninvestigated among head and neck cancer patients. 1) To better detail the role of FCG. 2) To evaluate quality of life (QoL) and psychological distress of FCGs and patients. 3) To investigate relationships between FCG's well being and patient's QoL and emotional pattern.Method: Sixty patients and their caregivers were enrolled in this observational cross-sectional study between 2008 and 2011 at the ENT Division of the University of Turin. Inclusion criteria: diagnosis of HNSCC, stage III-IV, completion of curative treatment and NED at the enrollment. Psycho-oncological tests: Distress Thermometer, STAI-Y1/Y2, Beck Depression Inventory (BDI) and Montgomery-Asberg Depression Rating Scale (MDRS), EORTC-QLQ-C30+H&N35 module and Caregiver Quality of Life Index-Cancer. Results:Patients: state and trait anxiety are 46.7% (STAI-Y1 mean value 40.2 ± 10.2; cutoff 40) and 36.7% (STAI-Y2 mean value 36.7 ± 8.2; cutoff 40) respectively; self-reported and clinicianrated depression are 31.6% (BDI mean value 8.2 ± 5.3; cutoff 9) and 48.3% (MDRS mean value 7.9 ± 5.9; cutoff 6), respectively. CGs: state and trait anxiety are 50% (STAI-Y1 mean value 42.5 ± 9.9; cutoff 40) and 41.7% (STAI-Y2 mean value 39.1 ± 8.7; cutoff 40), respectively; self-reported and clinician-rated depression are 28.3% (BDI mean value 7.3 ± 4.7; cutoff 9) and 41.7% (MDRS mean value 7.6 ± 5.8; cutoff 6), respectively. Positive association among emotional scales of patients and caregivers was observed. Patients' psychological aspects are negatively associated with CGs' QoL and vice versa. Conclusion:Anxiety and depression are often present in FCGs and cured HNC patients. Long-term patients' QoL is the result of a frail balance between FCG and patient emotional and psychological distress. A psychological support for FCG could improve patient well-being. Head and Neck Surgery the Role of Fine-Needle aspiration in Parotid Pleomorphic adenomaChristopher E. Fundakowski, MD (presenter); Jonathan Castano; Marianne Abouyared; Andrew Rivera; Rosemary Ojo, MD; Zoukaa Sargi, MD Objective: Fine-needle aspiration (FNA) biopsy is often used as a well-accepted and both sensitive and specific diagnostic adjunct in the workup of parotid masses. In the case of pleomorphic adenoma, the most common benign tumor of the parotid gland, we examine cytopathologic reports to assess the performance of FNA for this particular histologic diagnosis.Method: A total of 317 patients who underwent parotidectomy over the past 5 years and met eligibility criteria of 1) primary parotid tumor, 2) age greater than 18 years, and 3) availability of pathology (FNA, intraoperative frozen section, final pathology) were reviewed. Clinical history and demographics, physical exam findings, and intraoperative findings were noted.Results: Pleomorphic adenoma was noted on final pathology in 136 patients (42.9%). Interestingly 24 (17.6%) of these patients had initially undergone FNA and been given a incorrect diagnosis, despite the FNA being "diagnostic....
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