Medical Surgical thyroid disease trauma Uncategorized

Thyroids in all shapes and sizes

Some 25 years ago I wrote an article for presentation at the Ethiopian Medical Association meeting in Addis Ababa. I presented 300 cases of which the average weight was 500Gm. The incidence reported by the pathologist of cancer was 15%. The majority of malignant areas were very small and nothing further was done for those cases. In the following 25 years I saw many more.

male large goitre
This man’s specimen weighed in at 2kg. The depigmented area was due to previously applied local herbs, which didn’t cure the condition but had caused a lot of fibrosis down to the thyroid gland itself, increasing the difficulty in what is usually an easy plane of dissection.
Medical Surgical Thoracic

Oesophagectomy – a correct decision?

I used to travel to Nazret after teaching Bible and four French lessons on a Thursday. Nazret v Adama It was about a hundred kilometre trip. I’d book in at the hotel where I always stayed and after freshening up a bit go to the hospital. There was a wide variety of cases as you would expect in a city of about half a million and draining a fairly densely populated area of about 50 km radius. They did operations through the week. They tended to keep the more difficult ones for me. In that area there were lots of cases of cancer of the oesophagus.