Abstract
HbA1c measurement gives us information about glycemic levels in patients with diabetes mellitus for the last 3 months. Some factors such as drugs, anemia (hemolytic anemia, hemoglobinopathies etc.), alcoholism, renal failure may affect HbA1c levels via decreasing erythrocyte survival. Herein, we report a very rare clinical presentation of a case of geriatric male patient with an extraordinarily low level of HbA1c (2.7%) which was caused by immune hemolytic anemia associated with chronic lymphocytic leukemia.
Highlights
The aim of this study was to evaluate fine needle aspiration biopsy (FNAB) findings of patients with recurrent goiter who were operated for benign causes, and to determine malignancy and complication rates among patients who were reoperated
A total of 221 FNAB were done to 158 nodules of 114 patients with recurrent goiter
The complication risk of second surgery depends on primary surgery; either subtotal thyroidectomy or unilateral lobectomy and extend of the recurrent disease, the proximity of the disease to recurrent laryngeal nerve, indications for which reoperative surgery is performed [30, 31]
Summary
Reoperation of recurrent goiter comprises 12% of all operations of the thyroid [4,5]. There are few studies showing malignancy rates after reoperation of recurrent goiters that were previously operated for benign causes. The aim of this study was to evaluate FNAB findings of patients with recurrent goiter who were operated for benign causes, and to determine malignancy and complication rates among patients who were reoperated.
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