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4. Comparison of the TEMPO+ Ear-Level Speech Processor and the CIS PRO+ Body-Worn Processor in Adult MED-EL Cochlear Implant Users

Author

Helms, J., primary, Müller, J., additional, Schön, F., additional, Winkler, F., additional, Moser, L., additional, Shehata-Dieler, W., additional, Kastenbauer, E., additional, Baumann, U., additional, Rasp, G., additional, Schorn, K., additional, Esser, B., additional, Baumgartner, W., additional, Hamzavi, S., additional, Gstöttner, W., additional, Westhofen, M., additional, Döring, W., additional, Dujardin, H., additional, Albegger, K., additional, Mair, A., additional, Zenner, H.P., additional, Haferkamp, C., additional, Schmitz-Salue, C., additional, Arold, R., additional, Sesterhenn, G., additional, Jahnke, V., additional, Wagner, H., additional, Gräbel, S., additional, Bockmühl, U., additional, Häusler, R., additional, Vischer, M., additional, Kompis, M., additional, Hildmann, H., additional, Radü, H.J., additional, Stark, T., additional, Engel, A., additional, Hildmann, A., additional, Streitberger, C., additional, Hüttenbrink, K.B., additional, Müller-Aschoff, E., additional, Hofmann, G., additional, Seeling, K., additional, Hloucal, U., additional, von Ilberg, C., additional, Kiefer, J., additional, Pfennigdorff, T., additional, Gall, V., additional, Breitfuss, A., additional, Stelzig, Y., additional, Begall, K., additional, Hey, M., additional, Vorwerk, W., additional, Thumfart, W., additional, Gunkel, A., additional, Zorowka, P., additional, Stephan, K., additional, Gammert, C., additional, Mathis, A., additional, DeMin, N., additional, Freigang, B., additional, Ziese, M., additional, Stützel, A., additional, von Specht, H., additional, Arnold, W., additional, Brockmeier, S.J., additional, Ebenhoch, H., additional, Steinhoff, A., additional, Zierhofer, C., additional, Zwicknagl, M., additional, and Stöbich, B., additional

Published
2001
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6. [Differentiated thyroid gland carcinoma in a scintigraphically hot thyroid nodule: diagnosis and interdisciplinary therapeutic management].

Author

Stahl A, Hess U, Harms J, Zwicknagl M, and Langhammer H

Subjects
Adenocarcinoma, Follicular diagnostic imaging, Adenocarcinoma, Follicular radiotherapy, Adenocarcinoma, Follicular surgery, Carbimazole administration & dosage, Combined Modality Therapy, Follow-Up Studies, Humans, Hyperthyroidism diagnostic imaging, Hyperthyroidism pathology, Hyperthyroidism surgery, Iodine Radioisotopes therapeutic use, Lung Neoplasms diagnostic imaging, Lung Neoplasms radiotherapy, Lung Neoplasms surgery, Lymph Node Excision, Lymph Nodes pathology, Lymphatic Metastasis, Male, Middle Aged, Neoadjuvant Therapy, Neoplasm Invasiveness, Neoplasm Staging, Neoplasm, Residual diagnostic imaging, Neoplasm, Residual pathology, Neoplasm, Residual radiotherapy, Neoplasm, Residual surgery, Radionuclide Imaging, Radiosurgery, Radiotherapy, Adjuvant, Reoperation methods, Thyroid Gland pathology, Thyroid Neoplasms diagnostic imaging, Thyroid Neoplasms pathology, Thyroid Neoplasms surgery, Thyroid Nodule diagnostic imaging, Thyroid Nodule pathology, Thyroid Nodule surgery, Thyroidectomy, Whole-Body Counting, Adenocarcinoma, Follicular secondary, Hyperthyroidism radiotherapy, Lung Neoplasms secondary, Thyroid Neoplasms radiotherapy, Thyroid Nodule radiotherapy
Abstract

A hyperfunctioning differentiated thyroid carcinoma is a rare occurrence. Nevertheless, this diagnosis must be considered in a scintigraphically hot nodule if there is a clinical or sonographic suggestion of malignancy. The case of a 57-year old patient with hyperthyreosis and a scintigraphically hot thyroid nodule is presented. Further evaluation led to the diagnosis of a differentiated thyroid carcinoma with extensive lymph node and pulmonary metastases (pT2b, pN1b, pM1). The scintigraphically hot nodule corresponded to the primary tumor, whereas scintigraphic detection of the lymph node metastases was only possible postoperatively. Extensive resection of the lymph node metastases was achieved by the intraoperative application of a gamma probe (2nd operation). This allowed sufficient uptake of radioiodine in the pulmonary metastases for their detection and subsequent devitalisation by radioiodine therapy. Complete elimination of all tumour tissue was documented at a control follow-up after six months. Gamma probe-guided surgery may allow for additional removement of non-palpable lymph node metastases. In selected cases this may optimize the surgical results and thereby facilitate the subsequent radioiodine elimination of advanced differentiated thyroid carcinomas.

Published
2002

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