Combined Use of Inhaled and Intravenous Colistin in a Patient with Acute Lymphoblastic Leukemia Complicated by Multi-Organ Failure and Sepsis: A Case Report


Malayev N. Kubekova S. Bayanova D.
2025National Scientific Medical Center

Journal of Clinical Medicine of Kazakhstan
2025#22Issue 477 - 80 pp.

Thyroid nodules are highly prevalent, particularly among women. Palpation detects nodules in 2–7% of cases, whereas high-resolution ultrasound (US) identifies them in 20–76% of individuals. In most cases, thyroid nodules are benign and incidentally detected, causing no clinical symptoms. But when clinical symptoms begin to appear, it is necessary to make a decision on the tactics of further management. Surgical treatment is often used, including hemithyroidectomy or total thyroidectomy, poses several limitations, such as prolonged hospital stay, airway obstruction, recurrent laryngeal nerve paralysis, iatrogenic hypothyroidism, and challenges associated with reoperation. Microwave ablation is used today, is a minimally invasive method used to treat various benign and malignant tumors, including those of the thyroid, liver, and lungs.

benign nodules , microwave ablation , thyroid

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Department of Radiation Diagnostics, JSC «Astana National Medical Center», Astana, Kazakhstan
Department of Cardiology, JSC Astana Medical University, Astana, Kazakhstan
Internship program, JSC Astana Medical University, Astana, Kazakhstan

Department of Radiation Diagnostics
Department of Cardiology
Internship program

10 лет помогаем публиковать статьи Международный издатель

Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026