Incidental thyroid nodules in patients with primary hyperparathyroidism. Issue 12 (11th March 2014)

• Record Type: Journal Article
• Authors: Phillips, David J.; Kutler, David I.; Kuhel, William I.
• Is Part Of: Head & neck. Volume 36:Issue 12(2014:Dec.)
• Page Start: 1763
• Page End: 1765
• Publication Date: 2014-03-11
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23533
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="hed23533-sec-0001" sec-type="section"> <title>Background</title> <p>It is desirable to detect neoplastic thyroid disease before proceeding with surgical therapy for hyperparathyroidism so that both conditions can be treated with a single operation.</p> </sec> <sec id="hed23533-sec-0002" sec-type="section"> <title>Methods</title> <p>Between March 1998 and June 2009, 227 patients with primary hyperparathyroidism were treated with surgical therapy. Of these, 217 were evaluated preoperatively with a modified 4‐dimensional CT and ultrasonography. The medical records of these patients were reviewed in order to document the incidence and significance of thyroid pathology in this cohort of patients.</p> </sec> <sec id="hed23533-sec-0003" sec-type="section"> <title>Results</title> <p>Thyroid nodules were identified in 159 of the 217 patients (73.3%). Nine of 217 patients (4.1%) were treated with either a partial or a total thyroidectomy at the time of parathyroidectomy. Three of these patients had papillary thyroid carcinoma, 1 had a Hurthle cell carcinoma, and 1 had an incidental micropapillary thyroid carcinoma.</p> </sec> <sec id="hed23533-sec-0004" sec-type="section"> <title>Conclusion</title> <p>The rate of clinically significant thyroid malignancy in patients undergoing surgical treatment of primary hyperparathyroidism was 1.8%. © 2014 Wiley Periodicals, Inc. <italic>Head Neck</italic> 36: 1763–1765, 2014</p> </sec> </abstract>