Jove
Visualize
Contact Us

Related Experiment Videos

Incidental preclinical hyperparathyroidism identified during thyroid operations.

A D Katz1, L B Kong

  • 1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

The American Surgeon
|December 1, 1992
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Surgical treatment and survival analyses of intrahepatic cholangiocarcinoma].

Zhonghua wai ke za zhi [Chinese journal of surgery]·2025
Same author

[Surgical treatment and prognosis analysis of hilar cholangiocarcinoma].

Zhonghua wai ke za zhi [Chinese journal of surgery]·2024
Same author

[Efficacy and safety of neoadjuvant immunotherapy for hepatocellular carcinoma].

Zhonghua wai ke za zhi [Chinese journal of surgery]·2022
Same author

[Establishment of human colon cancer transplantation tumor model in normal immune mice].

Zhonghua zhong liu za zhi [Chinese journal of oncology]·2021
Same author

[Surgical treatment of primary liver cancer:a report of 10 966 cases].

Zhonghua wai ke za zhi [Chinese journal of surgery]·2021
Same author

[Protective effect of intraperitoneal transplantation of human liver-derived stem cells at different times against concanavalin A-induced acute liver injury in mice].

Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology·2017
Same journal

Learning Surgery's Moral Questions: Mentorship, Reflection, and Professional Formation.

The American surgeon·2026
Same journal

Complete Response of Merkel Cell Carcinoma to Immunotherapy and Single-Fraction Radiotherapy Following Severe COVID-19 Infection: A Case Report and Review of Immune Mechanism.

The American surgeon·2026
Same journal

Perioperative Acute Myocardial Infarction in Non-Cardiac Operations: A National Analysis.

The American surgeon·2026
Same journal

Outcomes of Completion Cholecystectomy: Association With Patient Comorbidity in a National Database.

The American surgeon·2026
Same journal

Building the Conversation: Editorial Stewardship in Contemporary Surgical Publishing.

The American surgeon·2026
Same journal

Musculoskeletal Pain in Surgeons on Operating Days.

The American surgeon·2026
See all related articles
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Preclinical hyperparathyroidism is more common than previously thought, often presenting without symptoms or high calcium levels. Careful examination of parathyroid glands during thyroid surgery can identify and treat these abnormalities.

Area of Science:

  • Endocrinology
  • Surgical Pathology

Background:

  • Preclinical hyperparathyroidism remains under-investigated.
  • Pathologic parathyroid abnormalities may precede clinical symptoms or hypercalcemia.

Purpose of the Study:

  • To investigate the incidence of preclinical hyperparathyroidism.
  • To assess the frequency of parathyroid abnormalities during thyroid surgery.

Main Methods:

  • Examined parathyroid glands in over 800 patients undergoing thyroid operations over 14 years.
  • Measured preoperative serum calcium and phosphorus levels.
  • Identified 36 patients with abnormal-appearing parathyroid glands during surgery.

Main Results:

  • Thirty-six patients had preclinical hyperparathyroidism; none were symptomatic.

Related Experiment Videos

  • Nine patients had borderline hypercalcemia; others were normocalcemic.
  • Parathyroid adenoma (8) and hyperplasia (28) were diagnosed; 9 patients had concurrent thyroid cancer.

    • Conclusions:

    • Preoperative normocalcemia does not rule out parathyroid pathology.
    • Routine parathyroid gland examination during thyroid surgery is recommended.
    • Early detection and excision of parathyroid disease can prevent future morbidity.