ARE THYROID NODULES AN OBSTACLE TO MINIMAL INVASIVE PARATHYROID SURGERY? A SINGLE-CENTER STUDY FROM AN ENDEMIC GOITER REGION.
Primary hyperparathyroidism
minimally invasive parathyroid surgery
thyroid cancer
thyroid nodules
Journal
Acta endocrinologica (Bucharest, Romania : 2005)
ISSN: 1841-0987
Titre abrégé: Acta Endocrinol (Buchar)
Pays: Romania
ID NLM: 101269720
Informations de publication
Date de publication:
Historique:
entrez:
8
5
2020
pubmed:
8
5
2020
medline:
8
5
2020
Statut:
ppublish
Résumé
Minimally invasive parathyroidectomy (MIP) procedure has become a widely accepted alternative to the standard four-gland exploration nowadays. The aim of this study was to evaluate patients with primary hyperparathyroidism (PHPT), who had been treated with thyroidectomy and bilateral neck exploration (BNE), rather than MIP alone, due to coexisting thyroid nodules and to determine the benefits of simultaneous thyroidectomy and the possible negative outcomes of not performing this additional procedure. There were 185 patients who were operated for PHPT at our clinic from January 2014 to November 2016. 50 patients meet inclusion criteria: have thyroidectomy at the same time of parathyroid surgery, have concordant findings of parathyroid adenoma localization at preoperative MIBI-SPECT and the cervical US and have not had malignancy on fine needle aspiration biopsy (FNAB). The mean age of the patients was 55.3±10.4, and female to male ratio was 7:1. All patients had parathyroidectomy with BNE and thyroidectomy: 11 (22%) patients had micropapillary thyroid cancer (mPTC), 2 (4%) had papillary thyroid cancer (PTC). The results were inconclusive in clearly demonstrating which patients presenting with coexisted thyroid nodules should undergo thyroidectomy, rather than MIP, and which should be monitored for thyroid nodules after MIP. However, we consider that in cases who are not clearly indicated for thyroidectomy, MIP followed by monitoring of thyroid nodules can be the treatment approach.
Identifiants
pubmed: 32377254
doi: 10.4183/aeb.2019.531
pii: aeb.2019.531
pmc: PMC7200102
doi:
Types de publication
Case Reports
Langues
eng
Pagination
531-536Informations de copyright
©by Acta Endocrinologica Foundation.
Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interest.
Références
Acta Endocrinol (Buchar). 2017 Jul-Sep;13(3):349-355
pubmed: 31149199
Cancer. 1985 Aug 1;56(3):531-8
pubmed: 2408737
Am J Otolaryngol. 1998 Mar-Apr;19(2):113-7
pubmed: 9550443
Br J Surg. 1993 Aug;80(8):1009-12
pubmed: 8402050
Acta Chir Belg. 2004 Oct;104(5):568-71
pubmed: 15571025
Int Arch Otorhinolaryngol. 2015 Jan;19(1):42-5
pubmed: 25992150
Auris Nasus Larynx. 2018 Jun;45(3):574-577
pubmed: 28807528
Langenbecks Arch Surg. 2015 Apr;400(3):313-8
pubmed: 25694271
Ann Surg Oncol. 2015 Aug;22(8):2707-13
pubmed: 25480411
Surgery. 2013 Dec;154(6):1232-7; discussion 1237-8
pubmed: 24383100
Surg Oncol Clin N Am. 2016 Jan;25(1):103-18
pubmed: 26610777
Acta Endocrinol (Buchar). 2016 Jul-Sep;12(3):297-303
pubmed: 31149104
J Zhejiang Univ Sci B. 2007 Sep;8(9):626-31
pubmed: 17726743
Surgery. 1992 Jun;111(6):604-9
pubmed: 1595056
J Surg Res. 2016 Jun 1;203(1):34-9
pubmed: 27338532
Thyroid. 2016 Jan;26(1):1-133
pubmed: 26462967
Eur Arch Otorhinolaryngol. 2015 Feb;272(2):419-23
pubmed: 24633247
Otolaryngol Clin North Am. 1990 Jun;23(3):429-39
pubmed: 2195432
Surgery. 2008 Dec;144(6):980-7; discussion 987-8
pubmed: 19041007
JAMA Surg. 2016 Oct 1;151(10):959-968
pubmed: 27532368
G Chir. 2016 May-Jun;37(3):123-129
pubmed: 27734796
Med Ultrason. 2014 Jun;16(2):100-6
pubmed: 24791840