The Incidental Thyroid Lesion in Parathyroid Disease Management
Uthman Alamoudi1, Eric Levi1, Matthew H Rigby1
1Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
OTO Open
|November 28, 2018
Summary
Incidental thyroid lesions are common during parathyroid disease workup, with a 21.4% prevalence found in this study. Management of parathyroid disease was impacted by these thyroid findings, affecting perioperative care.
Area of Science:
- Endocrinology
- Surgical Oncology
- Radiology
Background:
- Incidental thyroid lesions are frequently discovered during imaging for other conditions.
- Management guidelines for incidental thyroid lesions are well-established.
- Parathyroid disease evaluation often involves imaging the adjacent thyroid gland.
Purpose of the Study:
- To determine the prevalence of incidental thyroid lesions during parathyroid disease workup.
- To assess the impact of these incidental findings on patient management.
- To evaluate the rate of thyroid malignancy in these incidental lesions.
Main Methods:
- Retrospective review of a 5-year database.
- Analysis of 98 patients undergoing 106 operations for parathyroid disease.
- Examination of preoperative investigations, surgical procedures, and pathology results.
Main Results:
- A 21.4% prevalence of incidental thyroid lesions was observed.
- 15 patients underwent fine-needle aspiration, and 12 had hemithyroidectomies.
- Seven cases of micropapillary thyroid carcinoma were identified among the incidental lesions.
Conclusions:
- The prevalence of incidental thyroid lesions and malignancy is similar to general populations.
- Incidental thyroid findings altered the management of patients with parathyroid disease.
- Perioperative counseling requires consideration of both thyroid and parathyroid conditions.
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