Preoperative and Postoperative Evaluation of Thyroid Disease in Patients Undergoing Surgical Treatment of Primary Hyperparathyroidism
Yükleniyor...
Dosyalar
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Amer Assoc Clinical Endocrinologists
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: To evaluate the occurrence of thyroid disease in patients undergoing parathyroidectomy for primary hyperparathyroidism. Methods: In this case series, records of all parients with a diagnosis of primary hyperparathyrodism who underwent parathyroidectomy bewteen January 2005 and December 2008 in our clinic were analyzed retrospective Preoperatively, all patients were evaluated with ultrasonography and parathyroid scintigraphy, when needed, thryoid scintigraphy and ultrasound-guided fine-needle aspiration biopsy (FNAB) were used All patients underwent standard neck exploration Postoperative histopathologic findings of thyroid tissue were classified as nodular/multinodular hyperplasia. Hashimoto thyroiditis, papillary thyroid carcinoma, or normal Results: Fifty-one women and 9 men were included In the 60 patients, preoperative ultrasonography revealed thyroiditis (without nodules) in 13 (22%), a solitary nodule in 9 (15%) (coexistent with thyroditis in 7 patients), multinodular goiter in 24 (40%) (coexistent with thyroiditis in 5 patients), and normal findings in 14 (23%) Rates of thyroiditis and nodular goiter were 42% and 55%, respectively. Collectively, prevalence of thyroid disease was 77% Total thyroidectomy was performed in 27 patiens, and hemithyroidectomy was performed in 15 patients Indications for total thyroidectomy were nondiagnostic or suspecious FNAB results in 5 patients, hyperthyroidism in 4 patients, ultrasonography findings in 11 patients, and intraoperatively recognized suspicious nodularity in 7 patients Postoperatively, thyroid carcinoma was dragnosed in 9 patients (15%) Conclusions: Thyroid disease, particularly thyroid carcinoma, is common in patients with primary hyperparathyroidism This association should be considered when selecting the surgical procedure Intraoperative evaluation of the thyroid is as important as preoperative evaluation with ultrasonography and FNAB in patients with thyroid disease and primary hyperparathyroidism.
Açıklama
Anahtar Kelimeler
Kaynak
Endocrine Practice
WoS Q Değeri
N/A
Scopus Q Değeri
Q1
Cilt
16
Sayı
1
Künye
Gül, K., Özdemir, D., Korukluoğlu, B., Ersoy, P. E., Aydın, R., Uğraş, S. N., Ersoy, R., Çakır, B., (2010). Preoperative and Postoperative Evaluation of Thyroid Disease in Patients Undergoing Surgical Treatment of Primary Hyperparathyroidism. Endocrine Practice, 16(1), 7-13. Doi: 10.4158/EP09138.OR
