Treatment of Neuroendocrine Liver Metastases

Sep 27, 2017 by in ONCOLOGY Comments Off on Treatment of Neuroendocrine Liver Metastases

Neuroendocrine tumors are rare and slow-growing malignancies that commonly metastasize to the liver, resulting hormonal syndromes and death from liver failure. Surgical consultation and liver debulking are key components in…

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Surgical Management of Adrenocortical Carcinoma

Sep 27, 2017 by in ONCOLOGY Comments Off on Surgical Management of Adrenocortical Carcinoma

Adrenocortical carcinoma frequently presents with sequelae of steroid precursor overproduction and has a proclivity for aggressive local growth, early metastasis, and recurrence. En bloc surgical resection with negative margins is…

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Minimally Invasive Adrenalectomy

Sep 27, 2017 by in ONCOLOGY Comments Off on Minimally Invasive Adrenalectomy

Minimally invasive adrenalectomy has become the gold standard for removal of benign adrenal tumors. The imaging characteristics, biochemical evaluation, and patient selection for laparoscopic transabdominal and posterior retroperitoneoscopic approaches are…

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Pheochromocytoma and Paraganglioma

Sep 27, 2017 by in ONCOLOGY Comments Off on Pheochromocytoma and Paraganglioma

This article highlights the epidemiology and pathophysiology of pheochromocytomas and paragangliomas. The current management of pheochromocytoma and paragangliomas, including utilization and interpretation of biochemical testing, preoperative imaging, and genetic screening…

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Asymptomatic Primary Hyperparathyroidism

Sep 27, 2017 by in ONCOLOGY Comments Off on Asymptomatic Primary Hyperparathyroidism

Primary hyperparathyroidism (PHPT) is a common disease, with a prevalence as high as 1 in 400 women and 1 in 1000 men, and most are asymptomatic. Patients with PHPT have…

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Intraoperative Parathyroid Hormone Monitoring

Sep 27, 2017 by in ONCOLOGY Comments Off on Intraoperative Parathyroid Hormone Monitoring

Intraoperative parathyroid hormone (IOPTH) monitoring is a highly accurate surgical adjunct used to determine the extent of surgery in the setting of primary hyperparathyroidism. It is the successful interpretation of…

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Outpatient Thyroidectomy

Sep 27, 2017 by in ONCOLOGY Comments Off on Outpatient Thyroidectomy

Outpatient thyroid surgery is controversial because of concerns over life-threatening cervical hematoma. Despite this concern, outpatient thyroidectomy is becoming increasingly common, especially among high-volume endocrine surgeons. Multiple studies have now…

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