Auris, nasus, larynx
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Auris, nasus, larynx · Mar 2004
Case ReportsMetastasis of renal cell carcinoma to the thyroid gland 19 years after nephrectomy: a case report.
Although metastases to the thyroid are never uncommon at autopsy in patients who died of malignancy, metastatic thyroid carcinomas are rarely detected in clinical practice in most cases and cases of secondary thyroid cancer which require thyroid surgery clinically are few. A clinical case of thyroid metastasis from renal cell carcinoma with thyroidectomy is described herein. An 87-year-old Japanese woman was referred to us for a slow-growing palpable neck tumor with dysphagia. ⋯ The negative result of immunohistochemical staining for thyroglobulin also suggested metastatic renal cell carcinoma to the thyroid. Clinically significant metastases to the thyroid gland are relatively infrequent. However, if patient who bears a thyroid tumor has a history of malignancy, the possibility of metastatic disease should be taken under consideration.
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Auris, nasus, larynx · Mar 2004
Comparative StudyA comparison of patient satisfaction with conventional and nurse led outpatient follow-up after grommet insertion.
The need to reduce costs while providing a first class service has led to the expansion in the role of nurses in otolaryngology practice in the National Health Service (NHS) in recent years. The aim of this study was to compare patient satisfaction with conventional and nurse led follow-up after grommet insertion. The hypothesis was that patient satisfaction is much greater with doctor led conventional follow-up as compared with nurse led out-patient follow-up. ⋯ We conclude that nurses provide a high quality service resulting in high patient satisfaction. Nurse led grommet follow-up clinic has the potential for substantial reduction in outpatient access times in the NHS.