Surgical management of primary hyperthyroidism and coexistent thyroid carcinoma
10.3760/cma.j.issn.1673-0860.2016.04.006
- VernacularTitle:原发性甲状旁腺功能亢进症合并甲状腺癌病例分析
- Author:
Hong SHEN
1
;
Bojun WEI
;
Hong XIE
;
Zhenxing PENG
;
Jia WANG
;
Juan BAI
Author Information
1. 100038,首都医科大学附属北京世纪坛医院耳鼻咽喉头颈外科首都医科大学耳鼻咽喉头颈外科重点实验室教育部重点实验室
- Keywords:
Hyperparathyroidism;
Thyroid neoplasms;
Surgical procedures,operative
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2016;51(4):273-276
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluated the results of surgical treatment for primary hyperparathyroidism coexistent with thyroid cancer.Methods From March 2007 to May 2014,27 patients suffered thyroid carcinoma coexistent with primary hyperparathyroidism with pathological and laboratory confirmation were studied retrospectively.In 8 of 27 cases thyroidectomy and parathyroidectomy were performed separately,with interval time of 3 to 26 months,and in the remaining cases both procedures were done simultaneously.During surgery quick PTH evaluation and calcium measure were routinely performed.Results Postoperative temporary hypoparathyroidism was found in 26 of 27 cases,and postoperative permanent hypoparathyroidism developed in 4 cases that underwent separate operation.Limited movement of vocal cord was showed in 4 cases after parathyroidectomy,but it lasted no more than 2 months.No permanent paralysis of recurrent laryngeal nerve was found.No thyroid cancer or hyperparathyroidism was found with follows-up of 11 to 43 months.Conclusions Thyroidectomy and parathyroidectomy performed separately have higher risk to develop hypoparathyroidism than they are done simultaneously.PTH and calcium should be evaluated in patients with thyroid carcinoma whenever available.
