RESUMEN
La tiroidectomía total es el tratamiento de elección en el cáncer diferenciado de tiroides. A pesar de esta intervención, pueden aparecer metástasis regionales y a distancia. El control posterior de la enfermedad se realiza con la determinación de los valores de tiroglobulina, y el rastreo corporal con 201Tl y 131I. Éstos son más fiables en los pacientes a los que se ha practicado una tiroidectomía total. Queremos enfatizar en la importancia del seguimiento médico tras el tratamiento quirúrgico, incluso en ausencia de síntomas (AU)
Total thyroidectomy is the surgical treatment of choice for differentiated thyroid carcinoma. Despite this surgical treatment, locoregional and distant metastases can develop. Postoperative follow-up should include determination of serum thyroglobulin levels and radioactive iodine (131I) and thallium (201Tl) whole body scans. These techniques are more reliable in patients who have undergone total thyroidectomy. We stress the importance of routine medical follow-up after surgical treatment of thyroid cancer, even in the absence of symptoms (AU)
Asunto(s)
Femenino , Persona de Mediana Edad , Humanos , Tiroidectomía/métodos , Tiroglobulina/análisis , Glándula Tiroides/patología , Glándula Tiroides , Radiografía Torácica , Neoplasias de la Tiroides/cirugía , Neoplasias de la Tiroides , Metástasis de la Neoplasia/terapia , Metástasis de la Neoplasia , Glándula Tiroides/cirugía , Glándula Tiroides , Lóbulo Frontal/patología , Lóbulo Frontal/cirugía , Lóbulo FrontalRESUMEN
Total thyroidectomy is the surgical treatment of choice for differentiated thyroid carcinoma. Despite this surgical treatment, locoregional and distant metastases can develop. Postoperative follow-up should include determination of serum thyroglobulin levels and radioactive iodine (131I) and thallium (201Tl) whole body scans. These techniques are more reliable in patients who have undergone total thyroidectomy. We stress the importance of routine medical follow-up after surgical treatment of thyroid cancer, even in the absence of symptoms.
Asunto(s)
Neoplasias Encefálicas/secundario , Carcinoma Papilar/secundario , Neoplasias Pulmonares/secundario , Neoplasias de la Tiroides/patología , Carcinoma Papilar/cirugía , Femenino , Humanos , Persona de Mediana Edad , Neoplasias de la Tiroides/cirugíaRESUMEN
BACKGROUND: Obesity is associated with increased prevalence of cardiovascular risk factors. Biliopancreatic diversion (BPD) for morbid obesity has been reported to produce anemia and malnutrition in short-term follow-up. The aim of our study was to analyze the effect of weight reduction on cardiovascular profile, renal function and nutritional status. METHODS: 35 morbidly obese patients underwent BPD. We analyzed the presence of cardiovascular risk factors, renal status, proteinuria and nutritional status before and 1 year after BPD. RESULTS: Excess weight loss was 67% at 1 year after BPD. All cardiovascular risk factors (hypertension, diabetes, hyperlipidemia) improved during follow-up. We could not find any relevant signs of malnutrition in the patients. Microalbuminuria decreased and proteinuria disappeared after weight loss. We observed less urinary calcium and citrate excretion, with an increase in oxaluria, but these changes did not increase the incidence of renal stones. CONCLUSIONS: BPD was followed by improved cardiovascular profile and a lower pro-inflammatory state. BPD did not produce significant malnutrition, anemia or renal stone disease.