Association of parathyroid pathology with well-differentiated thyroid carcinoma.

Published

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

Pubmed Central 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