7 documents found, page 1 of 1
Is there a place for measuring serum calcitonin prior to thyroidectomy in patie...
Oliveira,Diego Henrique Andrade de; Huning,Luiz Pierre; Belim,Mariana Comiran; Rodrigues,Patrick Fontes; Nagai,Hildebrando Massahiro; Graf,HansABSTRACT Objective: To verify the cytopathological Bethesda System classification of thyroid nodule fine-needle aspiration biopsy (FNAB) in MTC patients and to assess the role of preoperative serum calcitonin (CT) levels in the investigation of this neoplasm in medullary thyroid cancer (MTC) patients under observation at the Uopeccan (União Oeste Paranaense de Estudos e Combate ao Câncer). Materials and methods...
Choosing Wisely for Thyroid Conditions: Recommendations of the Thyroid Departme...
Dora,Jose Miguel; Biscolla,Rosa Paula Mello; Caldas,Gustavo; Cerutti,Janete; Graf,Hans; Hoff,Ana O.; Mazeto,Glaucia M. F. S.ABSTRACT Objective: Choosing Wisely (CW) is an initiative that aims to advance the dialogue between physicians and patients about low-value health interventions. Given that thyroid conditions are frequent in clinical practice, we aimed to develop an evidence-based list of thyroid CW recommendations. Materials and methods: The Thyroid Department of the Brazilian Society of Endocrinology and Metabolism (SBEM) nam...
Thyroid nodules ≤ 1 cm and papillary thyroid microcarcinomas: Brazilian experts...
Rosario,Pedro Weslley; Ward,Laura Sterian; Graf,Hans; Vaisman,Fernanda; Mourão,Gabriela Franco; Vaisman,MarioABSTRACT The indolent evolution of low-risk papillary thyroid microcarcinoma (mPTC) in adult patients and the consequences of thyroidectomy require a revision of the management traditionally recommended. Aiming to spare patients unnecessary procedures and therapies and to optimize the health system in Brazil, we suggest some measures. Fine-needle aspiration of nodules ≤ 1 cm without extrathyroidal extension on ...
Clinical outcomes of low and intermediate risk differentiated thyroid cancer pa...
Súss,Shirlei Kugler Aiçar; Mesa Jr.,Cleo Otaviano; Carvalho,Gisah Amaral de; Miasaki,Fabíola Yukiko; Chaves,Carolina Perez; Fuser,Dominique CochatABSTRACT Objective To retrospectively evaluate the outcomes of patients with low and intermediate risk thyroid carcinoma treated with total thyroidectomy (TT) and who did not undergo radioiodine remnant ablation (RRA) and to compare them to patients receiving low dose of iodine (30 mCi). Subjects and methods A total of 189 differentiated thyroid cancer (DTC) patients treated with TT followed by 30mCi for RRA or...
Treatment of hypothyroidism with levothyroxine plus liothyronine: a randomized,...
Kaminski,Juliana; Miasaki,Fabíola Yukiko; Paz-Filho,Gilberto; Graf,Hans; Carvalho,Gisah Amaral deABSTRACT Objective To compare the effects of a unique fixed combination levothyroxine/liothyronine (LT4/LT3) therapy in patients with primary hypothyroidism. Subjects and methods This is a randomized, double-blind, crossover study. Adults with primary hypothyroidism (n = 32, age 42.6 ± 13.3, 30 females) on stable doses of LT4 for ≥ 6 months (125 or 150 μg/day) were randomized to continue LT4 treatment (G1) or t...
Amyloidotic muscle pseudohypertrophy: case report
Scola,Rosana Herminia; Werneck,Lineu Cesar; Ramos,Cássio Slompo; Pasquini,Ricardo; Graf,Hans; Arruda,Walter OleskoThe authors report one case of amyloidosis associated with muscular pseudohypertrophy in a 46-year-old woman, who developed weakness, macroglossia and muscle hypertrophy associated with primary systemic amyloidosis. Electromyography showed a myopathic pattern and bilateral carpal tunnel syndrome. The muscle biopsy presented with a type I and II fiber hypertrophy and infiltration of amyloid material in the inter...
Alterações oftalmológicas na Doença de Graves: análise de 169 casos
Ramos,Ayrton R. B.; Maia,Maurício; Matsumoto,Lúcio H.; Matsumoto,Leonardo T.; Moreira Jr,Carlos A.; Graf,HansRESUMO Os propósitos desse estudo são: reportar as alterações oftalmológicas mais prevalentes na Doença de Graves, discutir alguns pontos controversos sobre os achados clínicos das alterações oculares, e demonstrar a necessidade de acompanhamento oftalmológico desses pacientes. Para avaliar os pacientes com oftalmopatia, idealizou-se um protocolo que visa padronizar o atendimento em uma primeira consulta, - ava...