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Title Minimally invasive therapies for endocrine neck diseases / Celestino Pio Lombardi, Rocco Bellantone, editors
Published Cham : Springer, [2016]
©2016
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Description 1 online resource (ix, 308 pages) : illustrations (chiefly color)
Contents Preface; Contents; Part I: Ultrasound Imaging; 1: Ultrasound Features of Thyroid, Parathyroid, Neck Lymph Nodes: Normal and Pathologic Pattern; 1.1 Thyroid; 1.1.1 Normal Neck Anatomy and Standard Ultrasound Examination; 1.1.2 Diffuse Thyroid Enlargement; 1.1.3 Focal Enlargement; 1.1.3.1 Echogenicity; 1.1.3.2 Calcifications; 1.1.3.3 Margins; 1.1.3.4 Halo; 1.1.3.5 Vascularization; 1.1.3.6 Taller Than Wide; 1.1.3.7 Stiffness; 1.1.3.8 Associated Features; 1.2 Neck Lymph Node; 1.3 Parathyroid; References; 2: Fine Needle Aspiration Biopsy; 2.1 Procedure; 2.2 Contraindications
2.3 Complications2.4 Thyroglobulin in Washout Fluid from Lymph Node FNAB; References; 3: Cytology of Thyroid Lesions; 3.1 Introduction; 3.2 Non-neoplastic Lesions; 3.3 Indeterminate Lesions; 3.4 Suspicious for Malignancy; 3.5 Malignant Neoplasms; 3.6 Reporting Systems for Thyroid Cytology; References; 4: Molecular Markers in Thyroid Fine-Needle Aspiration Biopsies; 4.1 FNAB Material Retrieval, Conservation, Work-Up; 4.2 Assessment of Molecular Abnormality in Cytological Sample; 4.2.1 MicroRNA; 4.2.2 Gene Mutations; 4.2.3 Gene Translocations; 4.2.4 Gene Amplifications
4.2.5 Gene Expression Variation4.2.6 Aberrant Gene Methylation; 4.2.7 Veracyte Afirma Gene Expression Classifier (GEC): Analytical and Clinical Value; 4.3 Impact on Diagnosis; 4.4 Impact on Surgical Choice; 4.5 Future Perspectives; References; Part II: Ultrasound-Guided Interventional Techniques; 5: Percutaneous Ethanol Injection for the Management of Thyroid Lesions; 5.1 Introduction; 5.2 Cytological Assessment; 5.2.1 Technique; 5.2.1.1 Cystic Nodules; 5.2.1.2 Viscous Cystic Nodules; 5.2.1.3 Complex Nodules; 5.2.1.4 Solid Nodules; 5.2.2 Assessment of the Response to PEIT
5.2.3 Side Effects5.3 PEIT of Thyroid Cysts; 5.3.1 Rationale; 5.3.2 Results; 5.3.3 Indications for Clinical Practice; 5.4 Autonomously Functioning Thyroid Nodules (AFTNs); 5.4.1 Rationale; 5.4.2 Results; 5.4.3 Indications for Clinical Practice; 5.5 Cold Nodules; 5.5.1 Rationale; 5.5.2 Results; 5.5.3 Indications for Clinical Practice; 5.6 Cervical Metastasis of Thyroid Cancer; 5.6.1 Rationale; 5.6.2 Results; 5.6.3 Indications for Clinical Practice; 5.7 Other Neck Lesions; 5.8 Costs; Conclusions; References
6: Percutaneous Laser Thermal Ablation (LAT): Techniques, Indications, Experience and Complications6.1 Principles and Technique; 6.2 Experience; 6.2.1 Cold Nodules; 6.2.2 Autonomously Functioning Thyroid Nodules; 6.2.3 Cystic Lesions; 6.2.4 Cervical Recurrences of Thyroid Tumours; 6.3 Tolerability and Safety; 6.3.1 Tolerability; 6.3.2 Complications; 6.4 Conclusions and Indications; References; 7: Percutaneous Radiofrequency Ablation; 7.1 Introduction; 7.2 Procedure; 7.2.1 Devices; 7.2.2 The Trans-isthmic Approach and Moving Shot Technique; 7.3 Indications
Summary This handy book offers a complete overview of current minimally invasive techniques for the management of endocrine diseases of the neck, reflecting how, in the past few years, the development of various ultrasound-guided procedures and endoscopic/video-assisted surgical techniques has changed the approach to thyroid and parathyroid diseases. The book opens by describing the main diagnostic tools for thyroid, parathyroid, and cervical lymph nodes, focusing especially on the new technologies for tissue characterization. The different minimally invasive treatment procedures involving either a percutaneous approach (ethanol injection, laser thermal ablation, radiofrequency thermal ablation, high-intensity focused ultrasound) or minimally invasive surgery are then described in detail. The volume is intended for all clinicians and surgeons with an interest in the field of endocrinology and neck surgery. It provides a synthetic but clear description of the various available techniques from a technical point of view and discusses the main issues concerning each of them, permitting comparative evaluation in order to identify the best option in a particular case. It also reports the evidence available in the current literature
Bibliography Includes bibliographical references
Notes Online resource; title from PDF title page (EBSCO, viewed September 30, 2015)
Subject Endocrine glands -- Diseases -- Endoscopic surgery.
Neck -- Diseases -- Endoscopic surgery.
Ultrasonics in surgery.
Form Electronic book
Author Lombardi, Celestino Pio, editor
Bellantone, Rocco, editor
ISBN 9783319200651 (electronic bk)
3319200658 (electronic bk)