ANSALDO G. L.

We describe our experience about Total Parenteral Nutrition (TPN) in surgical patients matured in the Surgical Clinic of Genoa University from 1975 to 1988. In this paper we describe the method we have used to plan the TPN: computing caloric requirements, caloric/nitrogen ratio, salts-water balance, using or not lipid emulsions and in what...

The authors report their experience of multimodal treatment (surgery, chemo and/or hormonotherapy, radiotherapy) of breast cancer in 59 patients more than 70 years old. Patients with primary operable breast cancer underwent surgical treatment, followed by chemo or hormonal therapy whenever axillary nodes proved positive, and by radiotherapy on...

Background: Adrenal cysts are uncommon and generally asymptomatic, thus often discovered only incidentally. In the case described here, two giant bilateral adrenal cysts were diagnosed in an emergency setting based on the onset of acute compressive symptoms. Only after a complete diagnostic workup aimed at excluding any suspicion of malignancy,...

Background. It is known that factors other than thyroid-stimulating hormone, such as insulin-like growth factor-I (IGF-I) and epidermal growth factor, have a goitrogenic effect. It has been established that insulin-like growth factor-binding proteins (IGFBPs) may play a role as autocrine/paracrine factors in regulating the local actions of...

Purpose: The endocrine surgeon and the endocrinologist should standardize how they deal with patients with an indication for thyroidectomy, as the road to surgery starts well before the operation itself. The patient should be thoroughly informed about where and how surgery will be performed, the postoperative improvements that can be expected,...

The surgical treatment of the intermediate-risk DTC (1–4 cm) remains still controversial. We analyzed the current practice in Italy regarding the surgical management of intermediate-risk unilateral DTC to evaluate risk factors for recurrence and to identify a group of patients to whom propose a total thyroidectomy (TT) vs. hemithyroidectomy...