Primary retropharyngeal neuroblastoma.
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Biomedical subjects
Publications and source records attributed to J Bourdiniere.
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Between 1976 and 1994, 139 cases of diving goiter were operated. Hyperthyroidism is a factor in compression. Morbidity is low for surgery for diving goiters, but increases if performed in emergency situations. Cervicotomy was used alone in more than 99% of the cases.
We report our experience in surgical treatment of thyroid cancer; 2470 total or partial thyroidectomies were performed for a thyroid nodule, 205 were primitive thyroid carcinoma (8.3%). Intraoperative frozen sections diagnoses were performed in 100% of the patients. In this study, a 100% specificity and 74% sensitivity were found. Data for each histological type were compared with the previous studies. Each false negative macroscopic aspect carcinoma's size, differenciation, plurificality were studied in order to understand the limits of frozen sections diagnoses. The higher rate of false negative was found with small, well differenciated vesicular carcinoma. This study shows that high accuracy of frozen sections diagnoses allows to improve the intraoperative management of thyroid cancer. The high specificity of frozen sections diagnoses strengthens our reliance upon this examination.
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The treatment of this kind of lesion further remains difficult and requires work of several specialists: Neurosurgeon, Ophthalmologist, and ENT-surgeon. As for our opinion the reconstruction of anatomy and normal function of the frontal sinus is unequivocal, and performing it in the majority of cases renders in outstanding results.
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On the basis of 12 cases of oesophagotracheal fistula after tracheotomy and assisted ventilation, the authors discuss the etiopathogenesis and the diagnosis of this grave condition, emphasizing its inevitably surgical treatment, and the major value of prophylaxis which is nevertheless difficult to apply.
The authors describe an exceptional case of aspergillosis from sphenoidal sinus showed by oculomotar palsy its follow up simulates a malignant tumour.
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