Erschienen in:
01.05.2012 | Endocrine Tumors
Management of Patients with Primary Hyperparathyroidism and Concurrent Thyroid Disease: An Evolving Field
verfasst von:
Philip M. Spanheimer, MD, Ronald J. Weigel, MD, PhD
Erschienen in:
Annals of Surgical Oncology
|
Ausgabe 5/2012
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Excerpt
The presence of thyroid disease can complicate the evaluation and surgical management of patients with primary hyperparathyroidism (PHPT). Retrospective analysis has shown that approximately 20–50% of patients with PHPT also have thyroid disease.
1‐
3 The reported incidence of thyroid malignancy in patients with PHPT is approximately 3–4%.
1,
4 There is no uniformly accepted protocol for the evaluation of patients with thyroid pathology before operative intervention for PHPT. Neck exploration for PHPT normally provides excellent access to the thyroid, whereas minimally invasive parathyroidectomy offers a more limited exposure of the thyroid gland. The increased application of the minimally invasive approach has increased the reliance on preoperative imaging. Modalities for localizing abnormal parathyroid glands such as
99mTc-sestamibi scintigraphy (Tc-MIBI), I-123, and neck ultrasound can also identify thyroid pathology. …
