Lobectomy-isthmectomy is part of our standard diagnostic approach for the solitary "cold" nodule of the thyroid. Although the majority of these prove to be benign, there is no noninvasive technique that can rule out malignant disease. It is necessary that the attendant morbidity for diagnostic surgery be extremely low. In our experience thyroid surgery for benign disease carries minimal risk. Resection of a lobe and isthmus with exploration and palpation of the opposite side constitutes our routine surgical management of the "cold" nodule. The nerve is always identified and preserved. In the past 18 months two minor complications have occurred postoperatively in 36 consecutive cases in which the lobe and isthmus were resected for benign disease.

Biopsy↗

PubMed1979

The grand biopsy for the "cold" thyroid nodule.

A lobe and isthmusectomy is our standard surgical management for the cold nodule of the thyroid. Experience indicates that the great majority of cold nodules prove benign. It is manifest that the attendant morbidity for this surgery be extremely low. Our experience reviewing thyroid surgery for only benign disease indicates that complications are indeed uncommon. Our surgical management of the cold nodule includes resection of a lobe and isthmus with exploration and palpation of the opposite side. The nerve is routinely identified and preserved. In the past 18 months, we have experienced two minor postoperative complications in 36 consecutive cases of the lobe and isthmus resection for benign disease.

Biopsy↗

PubMed1978

Naso-orbital fractures.

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Facial Muscles↗

PubMedDate not supplied

Synovial cell sarcoma.

Synovial sarcoma of the head and neck is a rare lesion. Based on previous literature reports, these lesions carry a poor prognosis. Case reports of two patients diagnosed and treated recently for head and neck lesions of this type are presented. A review of pathologic sections at the Armed Forces Institute of Pathology (AFIP) suggests that this lesion is more colmon than believed previously.

Adolescent↗