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523jpg"></a> --> 524 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44218/abstractArticle/Article" target="_blank" title="A Case Series of Undescended Parathyroid Adenoma" class="font-weight-bold"> 525 <img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1491/graphic/WJOES-17-29.jpg"> 526 </div> 527 <div class="col-lg-7 col-md-9 col-sm-8"> 528 <h4 class="h6 mb-0 text-uppercase"><strong>Original Article</strong></h4> 529 <small>Eeshansh Khare ,</small> 530 <small>Manish Kaushal </small> 531 <p> 532 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44218" target="_self" title="A Case Series of Undescended Parathyroid Adenoma">A Case Series of Undescended Parathyroid Adenoma</a> --> 533 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44218/abstractArticle/Article" target="_self" title="A Case Series of Undescended Parathyroid Adenoma">A Case Series of Undescended Parathyroid Adenoma</a> 534 </p> 535 <p class="keywordsList"> 536 </p> 537 <p> 538 <!-- <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44218" target="_blank"><i class="fa fa-file-pdf-o text-danger" aria-hidden="true"></i> </a> --> 539 <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse/WJOES/9/17/2/44218/abstractArticle/Article" target="_blank"></a> 540 <!-- 541 <a href="javascript:void(0)" data-toggle="modal" class="citeModal modalAbstract" data-cite="<b>Aim and background:</b> Primary hyperparathyroidism (PHPT) affects mostly middle-aged females, and the majority of them are asymptomatic. It may be due to hyperplasia or carcinoma of adenoma(s). Undescended parathyroid glands are an infrequent cause of primary as well as secondary hyperparathyroidism (HPT); however, they are frequent in patients with recurrent HPT and with failed primary surgery. In cases of missed abnormal or ectopic parathyroid adenomas, imaging studies should precede surgery. The newer noninvasive imaging techniques have improved the preoperative (Preoperative) diagnosis of these undescended and ectopic glands. Here, we are presenting a case series of undescended parathyroid adenomas (UPAs) with the role of newer diagnostic imaging techniques and surgical procedures. 542<b>Materials and methods:</b> In our institution, we came across three cases of UPAs that were operated for PHPT. Their clinical, imaging, and surgical variables are discussed here. 543<b>Results:</b> Out of the three cases of undescended adenoma, one case was operated before for PHPT, and other two were virgin cases. Preoperative localization was done mainly with single-photon emission computed tomography (SPECT) and sestamibi scan. After the surgery for undescended adenoma, in all these cases, no complication was noted intraoperatively as well as postoperatively, and no recurrence was noted in ongoing follow-up. 544<b>Conclusion:</b> For diagnosing and treatment of UPA with PHPT, thorough knowledge of parathyroid anatomy and embryology, good imaging technique and focused surgical technique are necessary. SPECT scan is better in delineating the undescended parathyroid gland, besides magnetic resonance imaging (MRI) and sestamibi scan." title="Abstract">Abstract</a> 545 --> 546 <span class="doiTxt">DOI: 10.5005/jp-journals-10002-1491</span> 547 </p> 548 <!-- 549 <div class="absData" style="display: block ruby;"> 550 <p class="abstractList"> 551 <strong> Abstract</strong> 552 </p> 553 </div> 554 <div class="absData1" style="display: flow-root;padding: 10px;"> 555 <p class="abstractList1"> 556 557 <b>Aim and background:</b> Primary hyperparathyroidism (PHPT) affects mostly middle-aged females, and the majority of them are asymptomatic. It may be due to hyperplasia or carcinoma of adenoma(s). Undescended parathyroid glands are an infrequent cause of primary as well as secondary hyperparathyroidism (HPT); however, they are frequent in patients with recurrent HPT and with failed primary surgery. In cases of missed abnormal or ectopic parathyroid adenomas, imaging studies should precede surgery. The newer noninvasive imaging techniques have improved the preoperative (Preoperative) diagnosis of these undescended and ectopic glands. Here, we are presenting a case series of undescended parathyroid adenomas (UPAs) with the role of newer diagnostic imaging techniques and surgical procedures. 558<b>Materials and methods:</b> In our institution, we came across three cases of UPAs that were operated for PHPT. Their clinical, imaging, and surgical variables are discussed here. 559<b>Results:</b> Out of the three cases of undescended adenoma, one case was operated before for PHPT, and other two were virgin cases. Preoperative localization was done mainly with single-photon emission computed tomography (SPECT) and sestamibi scan. After the surgery for undescended adenoma, in all these cases, no complication was noted intraoperatively as well as postoperatively, and no recurrence was noted in ongoing follow-up. 560<b>Conclusion:</b> For diagnosing and treatment of UPA with PHPT, thorough knowledge of parathyroid anatomy and embryology, good imaging technique and focused surgical technique are necessary. SPECT scan is better in delineating the undescended parathyroid gland, besides magnetic resonance imaging (MRI) and sestamibi scan. 561 562 </p> 563 </div> 564 --> 565 </div> 566 </div> 567 </div> 568 <div class="col-lg-6 col-md-12 col-sm-12 col-12 mb-3"> 569 <div class="row"> 570 <div class="col-lg-5 col-md-3 col-sm-4 text-center"> 571 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44219" target="_blank" title="Predicting Biochemical Activity in Incidentally Discovered Adrenal Masses"><img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1492/graphic/WJOES-17-35.jpg"></a> --> 572 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44219/abstractArticle/Article" target="_blank" title="Predicting Biochemical Activity in Incidentally Discovered Adrenal Masses" class="font-weight-bold"> 573 <img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1492/graphic/WJOES-17-35.jpg"> 574 </div> 575 <div class="col-lg-7 col-md-9 col-sm-8"> 576 <h4 class="h6 mb-0 text-uppercase"><strong>Original Article</strong></h4> 577 <small>Tanaz Vaghaiwalla ,</small> 578 <small>Kelvin Memeh ,</small> 579 <small>Madison Guido ,</small> 580 <small>Chelsea R Caplan ,</small> 581 <small>Cima Saghira ,</small> 582 <small>
582John I Lew </small> 583 <p> 584 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44219" target="_self" title="Predicting Biochemical Activity in Incidentally Discovered Adrenal Masses">Predicting Biochemical Activity in Incidentally Discovered Adrenal Masses</a> --> 585 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44219/abstractArticle/Article" target="_self" title="Predicting Biochemical Activity in Incidentally Discovered Adrenal Masses">Predicting Biochemical Activity in Incidentally Discovered Adrenal Masses</a> 586 </p> 587 <p class="keywordsList"> 588 </p> 589 <p> 590 <!-- <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44219" target="_blank"><i class="fa fa-file-pdf-o text-danger" aria-hidden="true"></i> </a> --> 591 <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse/WJOES/9/17/2/44219/abstractArticle/Article" target="_blank"></a> 592 <!-- 593 <a href="javascript:void(0)" data-toggle="modal" class="citeModal modalAbstract" data-cite="<b>Background:</b> The incidence of adrenal incidentalomas is rising due to the advent of increased cross-sectional imaging. Although most are nonhyperfunctioning, this study examines clinical factors associated with biochemical activity in incidentally discovered adrenal masses. 594<b>Methods:</b> A retrospective review was conducted on prospectively collected data of patients who underwent adrenalectomy at a single institution between 2000 and 2022. Patients were subdivided into two cohorts based on preoperative diagnosis: (1) adrenal incidentaloma, defined as an adrenal tumor identified on imaging performed for a condition unrelated to an adrenal disorder; and (2) adrenal nonincidentaloma, defined as an adrenal tumor identified during evaluation for suspected adrenal disease. Statistical analysis included Chi-squared tests and multivariable logistic regression. 595<b>Results:</b> Of 224 patients who underwent adrenalectomy, 58.9% (<i>n</i> = 132) had adrenal incidentalomas and 41.1% (<i>n</i> = 92) had adrenal nonincidentalomas. The cohort was predominantly female (69%), White (78.6%), and non-Hispanic (56.2%), with a mean age of 50 years. Functional tumors were present in 73.2% (<i>n</i> = 164) of patients, including pheochromocytoma (46.3%), Conn\'s syndrome (28%), and Cushing\'s syndrome (22%). Adrenal incidentalomas had 77% lower odds of biochemical activity [adjusted odds ratio (aOR) = 0.23, 95% CI: 0.08â0.69, <i>p</i> = 0.009]. Increasing age (aOR = 0.95 per year, 95% CI: 0.91â0.99, <i>p</i> = 0.023) and larger tumor size (aOR = 0.73, 95% CI: 0.59â0.91, <i>p</i> = 0.005) were also associated with lower odds. The use of â¥3 antihypertensives predicted higher odds of biochemical activity (aOR = 16.88, 95% CI: 1.76â161.65, <i>p</i> = 0.014). Obesity trended toward lower odds but was not statistically significant (aOR = 0.43, <i>p</i> = 0.056). Sociodemographic factors, hypertension, symptoms, hypokalemia, Hounsfield units (HU), and laterality were not significantly associated. 596<b>Conclusion:</b> Adrenal incidentalomas accounted for >50% of adrenal tumors referred for surgery, many of which were previously unrecognized hyperfunctional adrenal masses. Younger age, the use of multiple blood pressure medications, and smaller tumor size were associated with higher odds of biochemical activity, suggesting a doseâresponse relationship for blood pressure medication use. These factors may inform the diagnostic and surgical decision-making for adrenal masses." title="Abstract">Abstract</a> 597 --> 598 <span class="doiTxt">DOI: 10.5005/jp-journals-10002-1492</span> 599 </p> 600 <!-- 601 <div class="absData" style="display: block ruby;"> 602 <p class="abstractList"> 603 <strong> Abstract</strong> 604 </p> 605 </div> 606 <div class="absData1" style="display: flow-root;padding: 10px;"> 607 <p class="abstractList1"> 608 609 <b>
609Background:</b> The incidence of adrenal incidentalomas is rising due to the advent of increased cross-sectional imaging. Although most are nonhyperfunctioning, this study examines clinical factors associated with biochemical activity in incidentally discovered adrenal masses. 610<b>Methods:</b> A retrospective review was conducted on prospectively collected data of patients who underwent adrenalectomy at a single institution between 2000 and 2022. Patients were subdivided into two cohorts based on preoperative diagnosis: (1) adrenal incidentaloma, defined as an adrenal tumor identified on imaging performed for a condition unrelated to an adrenal disorder; and (2) adrenal nonincidentaloma, defined as an adrenal tumor identified during evaluation for suspected adrenal disease. Statistical analysis included Chi-squared tests and multivariable logistic regression. 611<b>Results:</b> Of 224 patients who underwent adrenalectomy, 58.9% (<i>n</i> = 132) had adrenal incidentalomas and 41.1% (<i>n</i> = 92) had adrenal nonincidentalomas. The cohort was predominantly female (69%), White (78.6%), and non-Hispanic (56.2%), with a mean age of 50 years. Functional tumors were present in 73.2% (<i>n</i> = 164) of patients, including pheochromocytoma (46.3%), Conn\'s syndrome (28%), and Cushing\'s syndrome (22%). Adrenal incidentalomas had 77% lower odds of biochemical activity [adjusted odds ratio (aOR) = 0.23, 95% CI: 0.08â0.69, <i>p</i> = 0.009]. Increasing age (aOR = 0.95 per year, 95% CI: 0.91â0.99, <i>p</i> = 0.023) and larger tumor size (aOR = 0.73, 95% CI: 0.59â0.91, <i>p</i> = 0.005) were also associated with lower odds. The use of â¥3 antihypertensives predicted higher odds of biochemical activity (aOR = 16.88, 95% CI: 1.76â161.65, <i>p</i> = 0.014). Obesity trended toward lower odds but was not statistically significant (aOR = 0.43, <i>p</i> = 0.056). Sociodemographic factors, hypertension, symptoms, hypokalemia, Hounsfield units (HU), and laterality were not significantly associated. 612<b>Conclusion:</b> Adrenal incidentalomas accounted for >50% of adrenal tumors referred for surgery, many of which were previously unrecognized hyperfunctional adrenal masses. Younger age, the use of multiple blood pressure medications, and smaller tumor size were associated with higher odds of biochemical activity, suggesting a doseâresponse relationship for blood pressure medication use. These factors may inform the diagnostic and surgical decision-making for adrenal masses. 613 614 </p> 615 </div> 616 --> 617 </div> 618 </div> 619 </div> 620 <div class="col-lg-6 col-md-12 col-sm-12 col-12 mb-3"> 621 <div class="row"> 622 <div class="col-lg-5 col-md-3 col-sm-4 text-center"> 623 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44220" target="_blank" title="An Aggressive Variant of Differentiated Thyroid Cancer: A Case Report"><img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1494/graphic/WJOES-17-42.jpg"></a> --> 624 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44220/abstractArticle/Article" target="_blank" title="An Aggressive Variant of Differentiated Thyroid Cancer: A Case Report" class="font-weight-bold"> 625 <img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1494/graphic/WJOES-17-42.jpg"> 626 </div> 627 <div class="col-lg-7 col-md-9 col-sm-8"> 628 <h4 class="h6 mb-0 text-uppercase"><strong>CASE REPORT</strong></h4> 629 <small>Sheima R Das ,</small> 630 <small>Sheeja S ,</small> 631 <small>Ayisha R Muhamed ,</small> 632 <small>Letha V </small> 633 <p> 634 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44220" target="_self" title="An Aggressive Variant of Differentiated Thyroid Cancer: A Case Report">An Aggressive Variant of Differentiated Thyroid Cancer: A Case Report</a> --> 635 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44220/abstractArticle/Article" target="_self" title="An Aggressive Variant of Differentiated Thyroid Cancer: A Case Report">An Aggressive Variant of Differentiated Thyroid Cancer: A Case Report</a> 636 </p> 637 <p class="keywordsList"> 638 </p> 639 <p> 640 <!-- <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44220" target="_blank"><i class="fa fa-file-pdf-o text-danger" aria-hidden="true"></i> </a> --> 641 <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse/WJOES/9/17/2/44220/abstractArticle/Article" target="_blank"></a> 642 <!-- 643 <a href="javascript:void(0)" data-toggle="modal" class="citeModal modalAbstract" data-cite="Differentiated thyroid malignancies, originating from thyroid follicular cells, represent the majority of thyroid neoplasms. The 2022 WHO
643Classification of Thyroid Neoplasms introduced a new entity called differentiated high-grade thyroid carcinoma (DHGTC). DHGTC maintains the architectural and cytological features of well-differentiated follicular cell-derived carcinomas. However, it displays high-grade features, such as elevated mitotic activity and tumor necrosis. Herein, we present a case of DHGTC in a 76-year-old female patient, with compressive symptoms and discuss the histopathological features of this new entity." title="Abstract">Abstract</a> 644 --> 645 <span class="doiTxt">DOI: 10.5005/jp-journals-10002-1494</span> 646 </p> 647 <!-- 648 <div class="absData" style="display: block ruby;"> 649 <p class="abstractList"> 650 <strong> Abstract</strong> 651 </p> 652 </div> 653 <div class="absData1" style="display: flow-root;padding: 10px;"> 654 <p class="abstractList1"> 655 656 Differentiated thyroid malignancies, originating from thyroid follicular cells, represent the majority of thyroid neoplasms. The 2022 WHO Classification of Thyroid Neoplasms introduced a new entity called differentiated high-grade thyroid carcinoma (DHGTC). DHGTC maintains the architectural and cytological features of well-differentiated follicular cell-derived carcinomas. However, it displays high-grade features, such as elevated mitotic activity and tumor necrosis. Herein, we present a case of DHGTC in a 76-year-old female patient, with compressive symptoms and discuss the histopathological features of this new entity. 657 658 </p> 659 </div> 660 --> 661 </div> 662 </div> 663 </div> 664 <div class="col-lg-6 col-md-12 col-sm-12 col-12 mb-3"> 665 <div class="row"> 666 <div class="col-lg-5 col-md-3 col-sm-4 text-center"> 667 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44221" target="_blank" title="When a Thyroid Nodule is Actually an Unusual Intrathyroidal Thyroglossal Duct Cyst: Case Report"><img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1497/graphic/WJOES-17-46.jpg"></a> --> 668 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44221/abstractArticle/Article" target="_blank" title="When a Thyroid Nodule is Actually an Unusual Intrathyroidal Thyroglossal Duct Cyst: Case Report" class="font-weight-bold"> 669 <img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1497/graphic/WJOES-17-46.jpg"> 670 </div> 671 <div class="col-lg-7 col-md-9 col-sm-8"> 672 <h4 class="h6 mb-0 text-uppercase"><strong>CASE REPORT</strong></h4> 673 <small>Elisabete do V Campos ,</small> 674 <small>VÃtor Devezas ,</small> 675 <small>João Capela ,</small> 676 <small>João Pacheco ,</small> 677 <small>Pedro Sá Couto ,</small> 678 <small>Silvestre Carneiro </small> 679 <p> 680 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44221" target="_self" title="When a Thyroid Nodule is Actually an Unusual Intrathyroidal Thyroglossal Duct Cyst: Case Report">When a Thyroid Nodule is Actually an Unusual Intrathyroidal Thyroglossal Duct Cyst: Case Report</a> --> 681 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44221/abstractArticle/Article" target="_self" title="When a Thyroid Nodule is Actually an Unusual Intrathyroidal Thyroglossal Duct Cyst: Case Report">When a Thyroid Nodule is Actually an Unusual Intrathyroidal Thyroglossal Duct Cyst: Case Report</a> 682 </p> 683 <p class="keywordsList"> 684 </p> 685 <p> 686 <!-- <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44221" target="_blank"><i class="fa fa-file-pdf-o text-danger" aria-hidden="true"></i> </a> --> 687 <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse/WJOES/9/17/2/44221/abstractArticle/Article" target="_blank"></a> 688 <!-- 689 <a href="javascript:void(0)" data-toggle="modal" class="citeModal modalAbstract" data-cite="<b>Aims and background:</b> Thyroglossal duct cysts (TDCs) typically present as midline neck masses located below the hyoid bone. Intrathyroidal thyroglossal duct cysts (ITTDCs), however, are exceedingly rare. This report outlines an uncommon case of ITTDC to emphasize the importance of differential diagnosis and appropriate surg
689ical management. 690<b>Case description:</b> A 36-year-old woman underwent an ultrasound examination that revealed a cystic lesion within the left lobe of the thyroid, initially interpreted as a thyroid nodule. A left lobectomy with isthmectomy was performed. Histopathological analysis postoperatively identified the lesion as an ITTDC. 691<b>Conclusion:</b> Although extremely rare, ITTDCs can mimic benign thyroid nodules and cysts. Recognition of this entity is crucial, especially since surgical management may require a combination of thyroidectomy and the Sistrunk procedure to prevent recurrence. 692<b>Clinical significance:</b> Because intrathyroidal localization of TDCs is so uncommon, they are seldom considered in differential diagnoses of thyroid lesions. However, accurate identification is important due to the unique surgical approach required. In the absence of thyroglossal duct remnants or external tract involvement, excision without the Sistrunk procedure may suffice, as demonstrated in this case, where no recurrence was observed over a 5-year follow-up. Nonetheless, the Sistrunk procedure remains the standard of care for typical TDCs." title="Abstract">Abstract</a> 693 --> 694 <span class="doiTxt">DOI: 10.5005/jp-journals-10002-1497</span> 695 </p> 696 <!-- 697 <div class="absData" style="display: block ruby;"> 698 <p class="abstractList"> 699 <strong> Abstract</strong> 700 </p> 701 </div> 702 <div class="absData1" style="display: flow-root;padding: 10px;"> 703 <p class="abstractList1"> 704 705 <b>Aims and background:</b> Thyroglossal duct cysts (TDCs) typically present as midline neck masses located below the hyoid bone. Intrathyroidal thyroglossal duct cysts (ITTDCs), however, are exceedingly rare. This report outlines an uncommon case of ITTDC to emphasize the importance of differential diagnosis and appropriate surg
705ical management. 706<b>Case description:</b> A 36-year-old woman underwent an ultrasound examination that revealed a cystic lesion within the left lobe of the thyroid, initially interpreted as a thyroid nodule. A left lobectomy with isthmectomy was performed. Histopathological analysis postoperatively identified the lesion as an ITTDC. 707<b>Conclusion:</b> Although extremely rare, ITTDCs can mimic benign thyroid nodules and cysts. Recognition of this entity is crucial, especially since surgical management may require a combination of thyroidectomy and the Sistrunk procedure to prevent recurrence. 708<b>Clinical significance:</b> Because intrathyroidal localization of TDCs is so uncommon, they are seldom considered in differential diagnoses of thyroid lesions. However, accurate identification is important due to the unique surgical approach required. In the absence of thyroglossal duct remnants or external tract involvement, excision without the Sistrunk procedure may suffice, as demonstrated in this case, where no recurrence was observed over a 5-year follow-up. Nonetheless, the Sistrunk procedure remains the standard of care for typical TDCs. 709 710 </p> 711 </div> 712 --> 713 </div> 714 </div> 715 </div> 716 <div class="col-lg-6 col-md-12 col-sm-12 col-12 mb-3"> 717 <div class="row"> 718 <div class="col-lg-5 col-md-3 col-sm-4 text-center"> 719 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44222" target="_blank" title="Cough Syncope Secondary to Retrosternal Goiter with Severe Tracheal Deviation: A Case Report and Literature Review"><img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1498/graphic/WJOES-17-50.jpg"></a> --> 720 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44222/abstractArticle/Article" target="_blank" title="Cough Syncope Secondary to Retrosternal Goiter with Severe Tracheal Deviation: A Case Report and Literature Review" class="font-weight-bold"> 721 <img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1498/graphic/WJOES-17-50.jpg"> 722 </div> 723 <div class="col-lg-7 col-md-9 col-sm-8"> 724 <h4 class="h6 mb-0 text-uppercase"><strong>CASE REPORT</strong></h4> 725 <small>Harsha MP ,</small> 726 <small>Karan Padha </small> 727 <p> 728 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44222" target="_self" title="Cough Syncope Secondary to Retrosternal Goiter with Severe Tracheal Deviation: A Case Report and Literature Review">Cough Syncope Secondary to Retrosternal Goiter with Severe Tracheal Deviation: A Case Report and Literature Review</a> --> 729 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44222/abstractArticle/Article" target="_self" title="Cough Syncope Secondary to Retrosternal Goiter with Severe Tracheal Deviation: A Case Report and Literature Review">Cough Syncope Secondary to Retrosternal Goiter with Severe Tracheal Deviation: A Case Report and Literature Review</a> 730 </p> 731 <p class="keywordsList"> 732 </p> 733 <p> 734 <!-- <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44222" target="_blank"><i class="fa fa-file-pdf-o text-danger" aria-hidden="true"></i> </a> --> 735 <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse/WJOES/9/17/2/44222/abstractArticle/Article" target="_blank"></a> 736 <!-- 737 <a href="javascript:void(0)" data-toggle="modal" class="citeModal modalAbstract" data-cite="<b>Introduction:</b> Retrosternal goiters are often incidental findings on chest radiography but may progress to cause significant compressive symptoms involving the trachea, esophagus, and great vessels. While dyspnea and dysphagia are common, severe tracheal compression can rarely induce chronic cough, leading to syncope. 738<b>Case description:</b> We report the case of a 67-year-old morbidly obese female presenting with recurrent syncope triggered exclusively by bouts of dry cough. Despite extensive cardiac and pulmonary evaluations, the eti
738ology remained obscure until a CT angiogram revealed a large retrosternal goiter causing severe tracheal deviation and luminal narrowing. 739<b>Conclusions:</b> Total thyroidectomy was performed, resulting in immediate cessation of the cough and complete resolution of syncopal episodes. This case underscores the importance of excluding mechanical obstruction in obese patients with tussive syncope. Removal of the compressive mass is curative by eliminating the afferent trigger of the cough reflex." title="Abstract">Abstract</a> 740 --> 741 <span class="doiTxt">DOI: 10.5005/jp-journals-10002-1498</span> 742 </p> 743 <!-- 744 <div class="absData" style="display: block ruby;"> 745 <p class="abstractList"> 746 <strong> Abstract</strong> 747 </p> 748 </div> 749 <div class="absData1" style="display: flow-root;padding: 10px;"> 750 <p class="abstractList1"> 751 752 <b>Introduction:</b> Retrosternal goiters are often incidental findings on chest radiography but may progress to cause significant compressive symptoms involving the trachea, esophagus, and great vessels. While dyspnea and dysphagia are common, severe tracheal compression can rarely induce chronic cough, leading to syncope. 753<b>Case description:</b> We report the case of a 67-year-old morbidly obese female presenting with recurrent syncope triggered exclusively by bouts of dry cough. Despite extensive cardiac and pulmonary evaluations, the etiology remained obscure until a CT angiogram revealed a large retrosternal goiter causing severe tracheal deviation and luminal narrowing. 754<b>Conclusions:</b> Total thyroidectomy was performed, resulting in immediate cessation of the cough and complete resolution of syncopal episodes. This case underscores the importance of excluding mechanical obstruction in obese patients with tussive syncope. Removal of the compressive mass is curative by eliminating the afferent trigger of the cough reflex. 755 756 </p> 757 </div> 758 --> 759 </div> 760 </div> 761 </div> 762 <div class="col-lg-6 col-md-12 col-sm-12 col-12 mb-3"> 763 <div class="row"> 764 <div class="col-lg-5 col-md-3 col-sm-4 text-center"> 765 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44223" target="_blank" title="Method of Capsular Microperforation Thyroidectomy for Surgical Treatment of Giant, Retrosternal, and Other Forms of Goiter"><img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1496/graphic/WJOES-17-52.jpg"></a> --> 766 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44223/abstractArticle/Article" target="_blank" title="Method of Capsular Microperforation Thyroidectomy for Surgical Treatment of Giant, Retrosternal, and Other Forms of Goiter" class="font-weight-bold"> 767 <img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1496/graphic/WJOES-17-52.jpg"> 768 </div> 769 <div class="col-lg-7 col-md-9 col-sm-8"> 770 <h4 class="h6 mb-0 text-uppercase"><strong>How WE DO IT</strong></h4> 771 <small>Murodjon Rashitov </small> 772 <p> 773 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44223" target="_self" title="Method of Capsular Microperforation Thyroidectomy for Surgical Treatment of Giant, Retrosternal, and Other Forms of Goiter">Method of Capsular Microperforation Thyroidectomy for Surgical Treatment of Giant, Retrosternal, and Other Forms of Goiter</a> --> 774 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44223/abstractArticle/Article" target="_self" title="Method of Capsular Microperforation Thyroidectomy for Surgical Treatment of Giant, Retrosternal, and Other Forms of Goiter">Method of Capsular Microperforation Thyroidectomy for Surgical Treatment of Giant, Retrosternal, and Other Forms of Goiter</a> 775 </p> 776 <p class="keywordsList"> 777 </p> 778 <p> 779 <!-- <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44223" target="_blank"><i class="fa fa-file-pdf-o text-danger" aria-hidden="true"></i> </a> --> 780 <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse/WJOES/9/17/2/44223/abstractArticle/Article" target="_blank"></a> 781 <!-- 782 <a href="javascript:void(0)" data-toggle="modal" class="citeModal modalAbstract" data-cite="The purposes of the method are to improve thyroid mobilization, simplify surgery, reduce the incidence of intra- and postoperative complications and operative time, eliminate the risk of conversion to ster
782notomy, and achieve a positive cosmetic effect. A method of capsular microperforation thyroidectomy for the surgical treatment of giant, retrosternal, and other forms of goiters is developed. The method comprises a Kocher skin incision, access to the thyroid gland, and mobilization of a thyroid lobe. To mobilize a thyroid lobe using a bipolar coagulator, a series of capsular microperforations of the thyroid fascial capsule are made sequentially. Each microperforation is 2â3 mm in diameter, spaced 5â10 mm apart. The length depends on the location of the microperforations. Microperforations are performed sequentially in the midlateral surface of the thyroid lobe, parallel to the trachea, for a length of 10 cm. Then, in the area of the upper pole and anterior suspensory ligament of the thyroid gland, for a length of up to 5 cm perpendicular to the trachea. Next, in the area of the lower pole of the thyroid gland near the thyrothymic ligament, for a length of up to 5 cm perpendicular to the trachea. After identifying and dissecting the thyrothymic ligament with ligation and transection of the thyroid ima artery (Ima) and vein, as well as their branches at the inferior pole of the thyroid gland, microperforations are performed in the posterior lateral surface of the thyroid lobe, extending up to 10 cm parallel to the trachea. After ligating and transecting the inferior thyroid artery branches closest to the thyroid gland, identifying and preserving the recurrent laryngeal nerve, the superior parathyroid gland, and the inferior parathyroid gland, microperforations are performed in the posterior surface of the thyroid lobe, extending up to 5 cm parallel to the trachea and posterior suspensory ligament. The thyroid lobe is then separated from the trachea, and surgical treatment of giant, retrosternal, and other forms of goiter is performed." title="Abstract">Abstract</a> 783 --> 784 <span class="doiTxt">DOI: 10.5005/jp-journals-10002-1496</span> 785 </p> 786 <!-- 787 <div class="absData" style="display: block ruby;"> 788 <p class="abstractList"> 789 <strong> Abstract</strong> 790 </p> 791 </div> 792 <div class="absData1" style="display: flow-root;padding: 10px;"> 793 <p class="abstractList1"> 794 795 The purposes of the method are to improve thyroid mobilization, simplify surgery, reduce the incidence of intra- and postoperative complications and operative time, eliminate the risk of conversion to sternotomy, and achieve a positive cosmetic effect. A method of capsular microperforation thyroidectomy for the surgical treatment of giant, retrosternal, and other forms of goiters is developed. The method comprises a Kocher skin incision, access to the thyroid gland, and mobilization of a thyroid lobe. To mobilize a thyroid lobe using a bipolar coagulator, a series of capsular microperforations of the thyroid fascial capsule are made sequentially. Each microperforation is 2â3 mm in diameter, spaced 5â10 mm apart. The length depends on the location of the microperforations. Microperforations are performed sequentially in the midlateral surface of the thyroid lobe, parallel to the trachea, for a length of 10 cm. Then, in the area of the upper pole and anterior suspensory ligament of the thyroid gland, for a length of up to 5 cm perpendicular to the trachea. Next, in the area of the lower pole of the thyroid gland near the thyrothymic ligament, for a length of up to 5 cm perpendicular to the trachea. After identifying and dissecting the thyrothymic ligament with ligation and transection of the thyroid ima artery (Ima) and vein, as well as their branches at the inferior pole of the thyroid gland, microperforations are performed in the posterior lateral surface of the thyroid lobe, extending up to 10 cm parallel to the trachea. After ligating and transecting the inferior thyroid artery branches closest to the thyroid gland, identifying and preserving the recurrent laryngeal nerve, the superior parathyroid gland, and the inferior parathyroid gland, microperforations are performed in the posterior surface of the thyroid lobe, extending up to 5 cm parallel to the trachea and posterior suspensory ligament. The thyroid lobe is then separated from the trachea, and surgical treatment of giant, retrosternal, and other forms of goiter is performed. 796 797 </p> 798 </div> 799 --> 800 </div> 801 </div> 802 </div> 803 <div class="col-lg-6 col-md-12 col-sm-12 col-12 mb-3"> 804 <div class="row"> 805 <div class="col-lg-5 col-md-3 col-sm-4 text-center"> 806 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44224" target="_blank" title="Trivehexin Positron Emission Tomography Scan: A Promising Novel Tracer in MIBI-negative Parathyroid Adenoma"><img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1499/graphic/WJOES-17-56.jpg"></a> --> 807 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44224/abstractArticle/Article" target="_blank" title="Trivehexin Positron Emission Tomography Scan: A Promising Novel Tracer in MIBI-negative Parathyroid Adenoma" class="font-weight-bold"> 808 <img class="articleImg img-fluid" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/17/2/10.5005_jp-journals-10002-1499/graphic/WJOES-17-56.jpg"> 809 </div> 810 <div class="col-lg-7 col-md-9 col-sm-8"> 811 <h4 class="h6 mb-0 text-uppercase"><strong>Photo Assay</strong></h4> 812 <small>Roma Pradhan ,</small> 813 <small>Amit Agarwal ,</small> 814 <small>Amri Awasthi ,</small> 815 <small>Vineet Mishra ,</small> 816 <small>Nitin Yadav ,</small> 817 <small>Madhu Mati Goel ,</small> 818 <small>Shweta Katiyar </small> 819 <p> 820 <!-- <a href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44224" target="_self" title="Trivehexin Positron Emission Tomography Scan: A Promising Novel Tracer in MIBI-negative Parathyroid Adenoma">Trivehexin Positron Emission Tomography Scan: A Promising Novel Tracer in MIBI-negative Parathyroid Adenoma</a> --> 821 <a href="/abstractArticleContentBrowse/WJOES/9/17/2/44224/abstractArticle/Article" target="_self" title="Trivehexin Positron Emission Tomography Scan: A Promising Novel Tracer in MIBI-negative Parathyroid Adenoma">Trivehexin Positron Emission Tomography Scan: A Promising Novel Tracer in MIBI-negative Parathyroid Adenoma</a> 822 </p> 823 <p class="keywordsList"> 824 </p> 825 <p> 826 <!-- <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse?jCode=WJOES&jid=9&abstractArticle=abstractArticle&documentType=Article&art_volume=17&art_issue=2&id=44224" target="_blank"><i class="fa fa-file-pdf-o text-danger" aria-hidden="true"></i> </a> --> 827 <a title="Full Text PDF" class="pdfIcon" href="/abstractArticleContentBrowse/WJOES/9/17/2/44224/abstractArticle/Article" target="_blank"></a> 828 <!-- --> 829 <span class="doiTxt">DOI: 10.5005/jp-journals-10002-1499</span> 830 </p> 831 <!-- --> 832 </div> 833 </div> 834 </div> 835 </div> 836 </div> 837 </div> 838 </div> 839 </div> 840</div> 841<!-- showing journal image --> 842<!--<div id="hidden" style="display:none;">--> 843<!-- Scholarstor-1180--> 844 845 846<div class="container"> 847 <div class="row"> 848 <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> 849 <div class="content-left-space"> 850 <h3 class="heading-agileinfo1 mb-0 mt-2 py-2" style="display:none;">journal Image</h3> 851 <div class="row"> 852 <div class="col-12 "> 853 854 <!--TODO--> 855 <section> 856 857 <div class="ele_hide"> 858 <a id="ele_id" class="example-image-link" href="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/supp/WJOES01597911605.jpg" data-lightbox="example-set" data-title="" > 859 <img class="example-image" src="https://d45jl3w9libvn.cloudfront.net/jaypee/static/journals/WJOES/supp/WJOES01597911605.jpg" alt=""/> 860 </a> 861 </div> 862 </section> 863 </div> 864 </div> 865 </div> 866 </div> 867 </div> 868 </div> 869 870 871 </div> 872</div> 873</div> 874<!-- End Scholarstor-1180--> 875<!--</div>--> 876<!-- end --> 877<div class="modal fade" id="citeModal" tabindex="-1" role="dialog" aria-labeledby="myModalLabel" aria-hidden="true"> 878 <div class="modal-dialog modal-lg"> 879 <div class="modal-content"> 880 <div class="modal-header py-2"> 881 <h4 class="modal-title w-100 text-center text-primary" id="H5">Abstract</h4> 882 <button type="button" class="close p-0 pt-4 pr-4" data-dismiss="modal">
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1128 1129 1130 1131 1132 1133 1134 1135 1136 1137 1138 1139 1140 1141 1142 1143 1144 1145 <script async src="https://www.googletagmanager.com/gtag/js?id=
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vendor: 18 bytes, lines 1145-1146
1145"></script> 1146
1146<script> 1147
vendor: 151 bytes, lines 1147-1150
1147window.dataLayer = window.dataLayer || []; 1148 function gtag() { dataLayer.push(arguments); } 1149 gtag('js', new Date()); 1150 gtag('config', '
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vendor: 8 bytes, lines 1150-1151
1150'); 1151
1151</script>
1151 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 1169 1170 1171 1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182 1183 1184 1185 1186 1187 1188 1189 1190 1191 1192 1193 1194 1195 1196 1197 1198 1199 1200 1201 1202 1203 1204 1205 1206 1207 1208 1209 1210 1211 1212 1213 1214 1215 1216 1217 1218 1219 1220 1221 1222 1223 1224 1225 1226 1227 1228 1229 1230 1231 1232 1233 1234 1235 1236 1237 1238 1239 1240 1241 1242 1243 1244 1245 1246 1247 1248 1249 1250 1251 1252 1253 1254 1255 1256 1257 1258 1259 1260 1261 1262 1263 1264 1265 1266 1267 1268 1269 1270 1271 1272 1273 1274 1275 1276 1277 1278 1279 1280 1281 1282 1283 1284 1285 1286 1287 1288 1289 1290 1291 1292 1293 1294 1295 1296 1297 1298<!--Scripts below for faster page loading-->
1299<script src="/assets/js/extlib/bootstrap/popper.min.js"></script>
1299 1300
1301<script src="/assets/js/extlib/bootstrap/bootstrap.min_4.3.1.js"></script>
vendor: 2 bytes, line 1301
1301
1302<script src="/assets/js/extlib/flexslider/jquery.flexslider.min.js"></script>
vendor: 2 bytes, line 1302
1302
1303<script src="/assets/js/lib/flex-plugin.js"></script>
vendor: 2 bytes, line 1303
1303
1304<script src="/assets/js/lib/custom-function.js"></script>
vendor: 2 bytes, line 1304
1304
1305<script src="/assets/js/lib/application.js"></script>
vendor: 2 bytes, line 1305
1305
1306<script src="/assets/js/extlib/validation/validation.js"></script>
vendor: 2 bytes, line 1306
1306
1307<script src="https://vjs.zencdn.net/7.3.0/video.min.js"></script>
vendor: 2 bytes, line 1307
1307
1308<script src="/assets/js/lib/player.js"></script>
vendor: 2 bytes, line 1308
1308
1309<script src="/assets/js/extlib/jquery/jquery-3.3.1.min.js"></script>
vendor: 2 bytes, line 1309
1309
1310<script src="/assets/js/lib/badge.js"></script>
vendor: 2 bytes, line 1310
1310
1311<script> 1312 $.noConflict(); 1313 showRating(); 1314</script>
1314 1315</body> 1316</html>
Line numbers count LF bytes from the start of the resource, as the search results do. Vendor segments are library code the classifier recognised; they are stored but not indexed. Bytes are shown as Latin1 characters, one per byte.