[Simultaneous interventions of the thyroid gland in primary hyperparathyroidism (pHPT)].
Among 334 neck explorations for primary hyperparathyroidism (pHPT) between 1979 and 1993 120 (33.9%) thyroid operations were performed simultaneously. Histologic examination revealed 40 thyroid adenomas, 43 nodular goiters, 8 thyroiditis and 9 differentiated carcinomas. In 20 cases the indication was doubtful retrospectively, as evaluated by postoperative histology. Of the 9 carcinomas there were 4 small papillary, 3 papillary pT2 No Mo and 2 follicular pT2 No Mo. Perioperative morbidity of the simultaneous operations was not significantly increased compared to the parathyroid exploration alone. We conclude, that pre- and intraoperative thyroid examination should be performed in pHPT and decision for a simultaneous operation should be made generously.
Friedrich
J
J
Abteilung für Allgemeine Chirurgie, Universitätsklinikums Essen.
Krause
U
U
Olbricht
T
T
Eigler
F W
FW
D018263:Adenocarcinoma, Follicular / Q000473:pathology / Q000601:surgery; D000236:Adenoma / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D002291:Carcinoma, Papillary / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D006044:Goiter, Nodular / Q000473:pathology / Q000601:surgery; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010280:Parathyroid Glands / Q000473:pathology; D016105:Parathyroidectomy; D012086:Reoperation; D012189:Retrospective Studies; D013959:Thyroid Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013961:Thyroid Gland / Q000473:pathology; D013964:Thyroid Neoplasms / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy; D013966:Thyroiditis / Q000473:pathology / Q000601:surgery
Simultaneingriffe an der Schilddrüse bei primärem Hyperparathyreoidismus (pHPT).