Association of parathyroid pathology with well-differentiated thyroid carcinoma.
Journal Article (Journal Article)
OBJECTIVE: The objective was to evaluate the association of well-differentiated thyroid carcinoma and parathyroid pathology. METHODS: The medical records of 14 patients with concomitant pathologies were retrospectively reviewed. RESULTS: Parathyroidectomies (1.3%) and thyroidectomies (3.5%) performed for well-differentiated thyroid carcinoma resulted in the diagnosis of concomitant pathologies. Five patients had a primary hyperparathyroidism (PHPT) and nine were operated for thyroidectomy with intraoperative finding of an enlarged parathyroid gland. Patients (64%) were normocalcemic preoperatively. Thirteen had papillary carcinoma. Fifty percent of patients had multiple foci of papillary microcarcinoma. Twenty-nine percent of patients had parathyroid hyperplasia. All patients with preoperative hypercalcemia normalized their serum calcium. During follow-up, thyroglobuline, calcium serum values and cervical ultrasound showed no evidence of recurrence of the diseases. CONCLUSIONS: These observations stress the importance of pre and intraoperative evaluation to detect overt thyroid and parathyroid pathology before performing a parathyroidectomy for hyperparathyroidism or a thyroidectomy for a well-differentiated thyroid carcinoma.
Full Text
Duke Authors
Cited Authors
- Ghorra, C; Rizk, H; Abi Hachem, R; Tannoury, J; Abboud, B
Published Date
- June 2012
Published In
- Presse Med
Volume / Issue
- 41 / 6 Pt 1
Start / End Page
- e265 - e271
PubMed ID
- 22459989
Electronic International Standard Serial Number (EISSN)
- 2213-0276
Digital Object Identifier (DOI)
- 10.1016/j.lpm.2011.12.016
Language
- eng
Conference Location
- France