Surgical treatment result of giant thyroid tumor: Case series in Vietnam

Le, Quang Van; Nguyen, Hung Van; Kim, Ngan Thi; Nguyen, Hau Xuan

doi:10.1016/j.ijscr.2018.11.047

“…Proper differentiation is crucial, as it has different prognosis and treatment strategy than other advanced thyroid tumors [1], such as anaplastic cancer or undifferentiated thyroid cancer. Even though the surgery is a cornerstone of the ITC treatment [3,4], as it is typically of an indolent nature with a relatively good prognosis, in our patient's case, surgical removal was not a viable option due to the rapid advancement of the disease.…”

mentioning

confidence: 75%

Therapeutic challenge: a giant, infiltrating intrathyroidal thymic carcinoma of the thyroid gland

Łukasiewicz¹,

Śledziński²,

Szymański³

et al. 2023

Polish Archives of Internal Medicine

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A 58-year-old male was transferred to the endocrine surgery department due to a severe dyspnea caused by a chest tumor that rapidly developed within several weeks. His general condition was poor, with many comorbidities. Computed tomography revealed a large mass in the anterior mediastinum, which was pressing on and displacing the trachea to the right side, causing significant constriction of the respiratory tract (Figures 1A, 1B), but no obvious metastatic changes or lymph nodes involvement were found. The laryngological consultation revealed deep left vocal fold paresis with a proper mobility of the right side. Because of dysphagia, a percutaneous gastrostomy was performed. Due to the rapid progression of the disease, the main suspicion was an anaplastic carcinoma. However, the core needle biopsy identified intrathyroidal

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“…At present, surgery is still the most important treatment for giant goiter. Huge thyroid tumors are prone to serious postoperative complications such as large blood vessel injury, parathyroid gland injury, superior laryngeal and recurrent nerve injury, and postoperative tracheal collapse [8,9]. The tumor itself is easy to adhere to adjacent tissues and organs, which makes the operation more difficult, resulting in greater surgical damage to normal thyroid tissues [10].…”

Section: Discussionmentioning

confidence: 99%

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

Zhang¹

2023

SCSOAJ

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Background and Objectives: 3D visualization technology provides a more intuitive visual virtual reality surgical presentation for preoperative simulation planning, inhand visualization operation and accurate postoperative assessment in surgical procedures, but there is a lack of evidence to support whether this technology is more advantageous in preoperative planning of giant goiter. The aim of this study was to investigate the value of 3D visualization technology in the preoperative planning of giant goiter. Methods:The clinical data of eight patients with giant goiter admitted to the First People's Hospital of Anhui University of Technology for general surgery from October 2020 to August 2022 were retrospectively analyzed. The image data were imported into 3D visualization software (3D Slicer software) in DICOM format for 3D reconstruction to analyze the 3D positional relationship between the giant thyroid nodules and the surrounding tissues and organs, to perform preoperative simulation operations, and to develop precise surgical pathways.Results: All patients were operated according to the optimal plan selected by the simulation operation, and the actual surgical procedure conformed to the preoperative simulation plan 100%, and all of them successfully completed the total resection of giant thyroid nodules without any perioperative death and no new symptoms appeared after the operation. Conclusion:The use of 3D visualization technology in the preoperative planning of giant goiter can accurately obtain 3D anatomical information of the lesion and its adjacent tissues, select the optimal surgical path, and reduce surgical risks, which is of great clinical guidance value in guiding the preoperative precise surgical planning of giant goiter.

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“…At present, surgery is still the most important treatment for giant goiter. Huge thyroid tumors are prone to serious postoperative complications such as large blood vessel injury, parathyroid gland injury, superior laryngeal and recurrent nerve injury, and postoperative tracheal collapse [8,9]. The tumor itself is easy to adhere to adjacent tissues and organs, which makes the operation more difficult, resulting in greater surgical damage to normal thyroid tissues [10].…”

Section: Discussionmentioning

confidence: 99%

Untitled

2023

SCSOAJ

0

View full text Add to dashboard Cite

Background and Objectives: 3D visualization technology provides a more intuitive visual virtual reality surgical presentation for preoperative simulation planning, inhand visualization operation and accurate postoperative assessment in surgical procedures, but there is a lack of evidence to support whether this technology is more advantageous in preoperative planning of giant goiter. The aim of this study was to investigate the value of 3D visualization technology in the preoperative planning of giant goiter. Methods:The clinical data of eight patients with giant goiter admitted to the First People's Hospital of Anhui University of Technology for general surgery from October 2020 to August 2022 were retrospectively analyzed. The image data were imported into 3D visualization software (3D Slicer software) in DICOM format for 3D reconstruction to analyze the 3D positional relationship between the giant thyroid nodules and the surrounding tissues and organs, to perform preoperative simulation operations, and to develop precise surgical pathways.Results: All patients were operated according to the optimal plan selected by the simulation operation, and the actual surgical procedure conformed to the preoperative simulation plan 100%, and all of them successfully completed the total resection of giant thyroid nodules without any perioperative death and no new symptoms appeared after the operation. Conclusion:The use of 3D visualization technology in the preoperative planning of giant goiter can accurately obtain 3D anatomical information of the lesion and its adjacent tissues, select the optimal surgical path, and reduce surgical risks, which is of great clinical guidance value in guiding the preoperative precise surgical planning of giant goiter.

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Surgical treatment result of giant thyroid tumor: Case series in Vietnam

Cited by 8 publications

References 15 publications

Therapeutic challenge: a giant, infiltrating intrathyroidal thymic carcinoma of the thyroid gland

Therapeutic challenge: a giant, infiltrating intrathyroidal thymic carcinoma of the thyroid gland

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

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