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Thyroid cancer incidence in simultaneous thyroidectomy with parathyroid surgery
Selman Emirikçi1, Beyza Özçınar1, Gizem Öner1
1Department of General Surgery, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey.
Ulusal Cerrahi Dergisi
|December 16, 2015
Summary
This study found that 6% of patients undergoing parathyroid surgery for primary hyperparathyroidism (PHPT) also had thyroid cancer. Preoperative evaluation of thyroid nodules is recommended for patients with PHPT before parathyroidectomy.
Area of Science:
- Endocrinology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Primary hyperparathyroidism (PHPT) frequently coexists with thyroid disorders.
- Imaging for parathyroid adenomas can identify concurrent thyroid nodules and potential thyroid cancer.
Purpose of the Study:
- To determine the incidence of thyroid cancer detected during parathyroidectomy and thyroidectomy in patients with PHPT.
Main Methods:
- Retrospective analysis of 83 patients with PHPT who underwent simultaneous thyroidectomy.
- Indications for thyroid surgery included suspicious nodules on ultrasound or fine-needle aspiration biopsy (FNAB).
Main Results:
- Five patients (6%) were diagnosed with papillary thyroid cancer, including four with micropapillary cancer.
- Thyroid nodules were the primary indication for thyroid surgery in most cases.
Conclusions:
- Preoperative evaluation of thyroid nodules in PHPT patients is crucial.
- Concurrent thyroid surgery during parathyroidectomy is recommended if thyroid nodules meet surgical criteria.
Keywords:
Primary hyperparathyroidismpapillary cancerparathyroid adenomathyroid cancerultrasonographyMore Related Videos
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