New features in diagnosis and treatment of parathyroid tumors co-existent with thyroid disease
10.16066/j.1672-7002.2018.02.001
- VernacularTitle:甲状旁腺肿瘤并发甲状腺疾病的诊断及治疗新特点
- Author:
Jiazheng ZHAO
1
;
Liang GUO
;
Jianlin LOU
Author Information
1. 浙江省肿瘤医院头颈外科
- Keywords:
Parathyroid Neoplasms;
Thyroid Diseases;
Diagnosis;
Surgical Procedures,Operative
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2018;25(2):57-60
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the new features in diagnosis and treatment of parathyroid tumor co-existent with thyroid disease. METHODS The clinical data of 98 patients with parathyroid tumors from Jan.2007 to Dec.2016, in Zhejiang Cancer Hospital were retrospective analyzed. RESULTS In all 98 cases, there were 22 cases mistaken as thyroid disease before surgery. The misdiagnosis rate was higher(36.2％), when combined with thyroid disease. When co-existent with thyroid disease, the qualitative diagnosis rate of the ultrasound and CT will be decreased, it was easy to misdiagnosis. Logistic regression analysis showed that parathyroid tumor location, hyperparathyroidism, cystic parathyroid tumor affected the accuracy of the qualitative diagnosis of ultrasound. The size of the parathyroid tumor affected the accuracy of the qualitative diagnosis of CT. Three of 9 patients underwent bilateral thyroid cancer and parathyroid tumor resection presented permanent hypoparathyroidism(33％). CONCLUSION When combined with thyroid disease, parathyroid tumor is easy to be misdiagnosed, the qualitative diagnosis rate of the ultrasound and CT will also decreased. When combined with thyroid cancer, these will be a higher risk of hypoparathyroidism after bilateral thyroid cancer and parathyroid tumor resection.
