Paradigm Shift in the Surgical Management of Multigland Parathyroid Hyperplasia: An Individualized Approach
Lebastchi AH, Donovan PI, Udelsman R. Paradigm Shift in the Surgical Management of Multigland Parathyroid Hyperplasia: An Individualized Approach. JAMA Surgery 2014, 149: 1133-1137. PMID: 25188005, DOI: 10.1001/jamasurg.2014.1296.Peer-Reviewed Original ResearchConceptsConventional treatment groupTotal hospital chargesLength of stayParathyroid hyperplasiaGeneral anesthesiaPrimary hyperparathyroidismComplication rateConsecutive patientsConscious sedationHospital chargesLocoregional anesthesiaLimited incisionTreatment groupsConventional treatmentLower total hospital chargesPreoperative serum calcium levelsSerum parathyroid hormone levelsTertiary academic referral centerParathyroid hormone levelsBilateral neck explorationShorter hospital staySingle-gland diseaseAcademic referral centerSerum calcium levelsTreatment of patientsRisk stratification in follicular neoplasm: A cytological assessment using the modified bethesda classification
Ustun B, Chhieng D, Van Dyke A, Carling T, Holt E, Udelsman R, Adeniran AJ. Risk stratification in follicular neoplasm: A cytological assessment using the modified bethesda classification. Cancer Cytopathology 2014, 122: 536-545. PMID: 24753500, DOI: 10.1002/cncy.21425.Peer-Reviewed Original ResearchConceptsHürthle cell neoplasmsFollicular neoplasmPapillary thyroid carcinomaFollicular lesionsBethesda classificationRisk stratificationFollicular variantThyroid carcinomaCytological diagnosisThyroid fine-needle aspiration (FNA) casesThyroid cytologyAggressive surgical managementHigh positive predictive valueSurgical pathology reportsPositive predictive valueFine-needle aspiration casesSurgical managementPathology reportsCell neoplasmsCurrent recommendationsNuclear atypiaCytology recordsCytological assessmentDiagnostic lobectomyNeoplasmsFollicular Variant of Papillary Thyroid Carcinoma: Accuracy of FNA Diagnosis and Implications for Patient Management
Ustun B, Chhieng D, Prasad ML, Holt E, Hammers L, Carling T, Udelsman R, Adeniran AJ. Follicular Variant of Papillary Thyroid Carcinoma: Accuracy of FNA Diagnosis and Implications for Patient Management. Endocrine Pathology 2014, 25: 257-264. PMID: 24696132, DOI: 10.1007/s12022-014-9301-3.Peer-Reviewed Original ResearchConceptsFinal diagnosisPapillary thyroid carcinomaCytologic diagnosisDiagnostic accuracySurgical interventionFollicular variantPatient managementThyroid carcinomaFollicular lesionsFine needle aspiration cytologyDiagnostic studiesFollicular neoplasm casesSubsequent surgical interventionBethesda classification systemDiagnosis of FVPTCFinal histologic diagnosisAccuracy of cytologyNeedle aspiration cytologyThyroid fine needle aspiration cytologyPercentage of casesBRAF mutation analysisCompletion thyroidectomyTotal thyroidectomyHistologic confirmationRetrospective review