The Experts below are selected from a list of 33303 Experts worldwide ranked by ideXlab platform

Omer Harmancioglu - One of the best experts on this subject based on the ideXlab platform.

Egbert J De Vries - One of the best experts on this subject based on the ideXlab platform.

Frederick A Meier - One of the best experts on this subject based on the ideXlab platform.

  • errors in Thyroid Gland fine needle aspiration
    American Journal of Clinical Pathology, 2006
    Co-Authors: Stephen S Raab, Colleen M Vrbin, Dana M Grzybicki, Daniel Sudilovsky, Ronald Balassanian, Richard J Zarbo, Frederick A Meier
    Abstract:

    Scant published data exist on redesigning pathology practice based on error data. In this first step of an Agency for Healthcare Research and Quality patient safety project, we measured the performance metrics of Thyroid Gland fine-needle aspiration, performed root cause analysis to determine the causes of error, and proposed error-reduction initiatives to address specific errors. Eleven cytologists signed out 1,543 Thyroid Gland aspirates in 2 years, and surgical pathology follow-up was obtained in 364 patients. Of the 364 patients, 91 (25.0%) had a false-negative diagnosis and 36 (9.9%) a false-positive diagnosis. Root cause analysis showed that major sources of error were preanalytic (poor specimen quality) and analytic (interpretation of unsatisfactory specimens as nonneoplastic and lack of diagnostic category standardization). We currently are evaluating the effectiveness of error reduction initiatives that target preanalytic and analytic portions of the diagnostic pathway.

Alfio Ferlito - One of the best experts on this subject based on the ideXlab platform.

  • metastasis to the Thyroid Gland a critical review
    Annals of Surgical Oncology, 2017
    Co-Authors: Iain J Nixon, Ashok R Shaha, Andres Cocapelaz, Anna I Kaleva, Asterios Triantafyllou, Peter Angelos, Randall P Owen, Alessandra Rinaldo, Carl E Silver, Alfio Ferlito
    Abstract:

    Background Metastasis to the Thyroid Gland from nonThyroid sites is an uncommon clinical presentation in surgical practice. The aim of this review was to assess its incidence management and outcomes.

  • metastasis to the Thyroid Gland a critical review
    Annals of Surgical Oncology, 2017
    Co-Authors: Iain J Nixon, Ashok R Shaha, Andres Cocapelaz, Anna I Kaleva, Asterios Triantafyllou, Peter Angelos, Randall P Owen, Alessandra Rinaldo, Carl E Silver, Alfio Ferlito
    Abstract:

    Metastasis to the Thyroid Gland from nonThyroid sites is an uncommon clinical presentation in surgical practice. The aim of this review was to assess its incidence management and outcomes. A literature review was performed to identify reports of metastases to the Thyroid Gland. Both clinical and autopsy series were included. Metastases to the Gland may be discovered at the time of diagnosis of the primary tumor, after preoperative investigation of a neck mass, or on histologic examination of a Thyroidectomy specimen. The most common primary tumors in autopsy studies are from the lung. In clinical series, renal cell carcinoma is most common. For patients with widespread metastases in the setting of an aggressive malignancy, surgery is rarely indicated. However, when patients present with an isolated metastasis diagnosed during follow-up of indolent disease, surgery may achieve control of the central neck and even long-term cure. Other prognosticators include features of the primary tumor, time interval between initial diagnosis and metastasis, and extraThyroid extent of disease. In patients with Thyroid metastases, communication among clinicians treating the Thyroid and the index primary tumor is essential. The setting is complex, and decisions must be made considering the features of the primary tumor, overall burden of metastases, and comorbidities. Careful balancing of these factors influences individualized approaches.

Ali Ibrahim Sevinc - One of the best experts on this subject based on the ideXlab platform.