2.Ectopic parathyroid gland hyperplasia in the pyriform sinus.
Jingping FAN ; Yumei YANG ; Shunzhang LIN ; Aihua SUN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2007;21(21):979-984
OBJECTIVE:
To explore the diagnosis and treatment of the ectopic parathyroid gland in the pyriform sinus.
METHOD:
Retrospectively analysis of 1 case with ectopic parathyroid gland in the pyriform sinus and retrospectively review the past literatures.
RESULT:
The cases with the ectopic parathyroid gland in the pyriform sinus reported in the past literatures included: 2 with parathyroid gland tissues, 3 with hyperplasia, the other 1 with adenoma. The case reported by us was with adenoma.
CONCLUSION
The ectopic parathyroid gland hyperplasia in the pyriform sinus is rarely reported before and it usually causes misdiagnosis. Better knowledge of the different position of the ectopic parathyroid gland hyperplasia in the pyriform sinus will help diagnosing and treating it.
Choristoma
;
diagnosis
;
therapy
;
Female
;
Humans
;
Hyperplasia
;
therapy
;
Middle Aged
;
Parathyroid Diseases
;
diagnosis
;
therapy
;
Parathyroid Glands
;
pathology
;
Pyriform Sinus
;
pathology
3.Adult multisystem Langerhans cell histiocytosis involving parathyroid glands and pancreas.
Wolin HOU ; Ming LI ; Fang LIU ; Jing SHEN ; Jun YIN ; Songhua WU ; Fengdi LU ; Weiping JIA
Chinese Medical Journal 2014;127(8):1597-1597
4.Ultimobranchial fistula and cyst of thyroid:4 cases report and review of literature.
Min CHEN ; Yichuan HAUNG ; Min HAN ; Longgang YU ; Wei LI
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(23):1845-1847
OBJECTIVE:
To investigate the clinical feature,diagnostic and therapeutic methods of ultimobranchial fistula and cyst of thyroid.
METHOD:
Four cases of ultimobranchial fistula and cyst of thyroid in our hospital were reported and the relevant literatures were reviewed.
RESULT:
The branchial fistula and cyst of four cases were adhered to thyroid,with unclear anatomical landmarks, the function of recurrent laryngeal nerve were bad before the operation in two cases. The nerve of four cases were retained, the function of thyriod and parathyroid gland were normal and no recurrence were found.
CONCLUSION
Ultimobranchial fistula and cyst of thyroid is rare and is easier to be misdiagnosed and wrong treated. Surgical excision is effective for it and recurrent laryngeal nerve should be protected when performing the operation.
Cysts
;
Diagnostic Errors
;
Fistula
;
Humans
;
Parathyroid Glands
;
Recurrent Laryngeal Nerve
;
Thyroid Diseases
;
pathology
;
surgery
5.The Relationship between Unintentional Parathyroidectomy and Postoperative Hypocalcemia.
Jae Won KIM ; Jun Sun SHIN ; Jeong Seok CHOI ; Young Chae JU ; Young Mo KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2004;47(8):756-759
BACKGROUND AND OBJECTIVES: Preservation of parathyroid gland during thyroid surgery is important to prevent postoperative hypocalcemia. We evaluated the incidence of unintentional parathyroidectomy during thyroid surgery and postoperative hypocalcemia, and their clinical relationships. MATERIALS AND METHOD: 136 patients who had undergone thyroid surgery were retrospectively followed. We reviewed the pathology specimens to determine the incidence of unintentional removal of parathyroid tissue and inquired the incidence of postoperative hypocalcemia according to the pathology of tumor, the extent of surgery, and the locations of the parathyroid tissues. RESULTS: 27 patients (19.9%) had pathology reports showing parathyroid tissue contained within the thyroidectomy specimen. Unintentional parathyroidectomy was less correlated with postoperative transient hypocalcemia statistically. The postoperative transient hypocalcemia was more frequent after total thyroidectomy for malignant thyroid tumor than hemithyroidectomy for benign thyroid tumor. Most parathyroid tissues were found in extracapsular locations. CONCLUSION: Unintentional parathyroidectomy was reported in 19.9% of the thyroidectomies in our studies. More meticulous dissection of thyroid capsule may be needed, especially during total thyroidectomy for malignant thyroid tumor.
Humans
;
Hypocalcemia*
;
Incidence
;
Parathyroid Glands
;
Parathyroidectomy*
;
Pathology
;
Retrospective Studies
;
Thyroid Gland
;
Thyroidectomy
6.A case of primary hyperparathyroidism with hypercalcemic nephropathy in children.
Jae Myung YU ; Heui Jung PYO ; Dong Seop CHOI ; Kang Woo LEE ; Kee Hwan YOO ; Chong Suk KIM
Journal of Korean Medical Science 1994;9(3):268-272
Primary hyperparathyroidism is a rare disease in children and is characterized by conspicuous skeletal and renal changes. A 12 year old male patient presented with symptoms of polydipsia, polyuria, general weakness, nausea, and vomiting which had begun 3 months earlier, and showed typical laboratory findings of primary hyperparathyroidism. Confirmatory diagnosis was made by elevated parathyroid hormone concentration in serum, technetium-thallium subtraction scan imaging method and histopathologic finding of chief cell hyperplasia. The laboratory findings revealed elevated levels of BUN, creatinine and decreased GFR. Kidney biopsy showed typical calcium deposits in tubules with marked tubulointerstitial infiltration. After subtotal parathyroidectomy, clinical findings improved remarkably.
Case Report
;
Child
;
Human
;
Hypercalcemia/*etiology
;
Hyperparathyroidism/*complications/pathology
;
Hyperplasia
;
Kidney/pathology
;
Kidney Diseases/*etiology
;
Male
;
Parathyroid Glands/pathology
7.Bilateral papillary thyroid carcinoma concurrent with parathyroid adenoma: one case report.
Hong ZHAO ; Hongling ZHAO ; Cui WANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(6):565-566
Concurrent thyroid carcinoma and parathyroid adenoma is rare, they can and do coexist. We present here a 63-year old man who had bilateral papillary thyroid carcinoma and a parathyroid adenoma in the right thyroid lobe. Thyroid cancer was confirmed surgically. After the operation, the patient was found hypercalcemie and hypophosphatemia along with an elevated parathyroid hormone (PTH), indicating primary hyperparathyroidism. Also, the parathyroid 99mTc-MIBI scan demonstrated parathyroid adenoma in the right lower pole of the thyroid. The abnormal parathyroid tissue was carried out, and then serum calcium and PTH levels decreased to normal ranges.
Calcium
;
blood
;
Carcinoma
;
pathology
;
surgery
;
Carcinoma, Papillary
;
Humans
;
Hyperparathyroidism, Primary
;
Male
;
Middle Aged
;
Parathyroid Glands
;
pathology
;
Parathyroid Hormone
;
blood
;
Parathyroid Neoplasms
;
pathology
;
surgery
;
Thyroid Cancer, Papillary
;
Thyroid Neoplasms
;
pathology
;
surgery
8.Right non recurrent laryngeal nerve during thyroid surgery: one case report.
Weipeng HUANG ; Qingfeng ZHANG ; Cuiping SHE
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(24):2179-2180
A 56 years old female was admitted to our department with complaint of a painless cervical mass. Clinical feature:there was a painless mass above left lobe of thyroid gland, which was about 3.0 cm x 2.5 cm in size, and could move with swallowing action. B-mode ultrasound features: there was a solid mass in left lobe of thyroid gland, which was about 3.2 cm. Nodule was found in isthmus, accompanied with lymphadenovarix on the left neck possibly be MCA. fT3: 4.64 pmol/L, fT4:16.56 pmol/L,TSH:3.74 mIU/L, anti-TG:17.75 U/ml, anti-TPO:40.77 U/ml. Pathological result of the neoplasm: papillocarcinoma. Clinical diagnosis: papillary thyroid carcinoma.
Carcinoma
;
diagnosis
;
pathology
;
Carcinoma, Papillary
;
diagnosis
;
pathology
;
Deglutition
;
Female
;
Humans
;
Middle Aged
;
Neck
;
pathology
;
Parathyroid Glands
;
pathology
;
Recurrent Laryngeal Nerve
;
pathology
;
Thyroid Cancer, Papillary
;
Thyroid Neoplasms
;
diagnosis
;
pathology
9.Application of lymphatic mapping to recognize and protect parathyroid in thyroid carcinoma surgery by using carbon nanoparticles.
Wanzhi CHEN ; Yunxia LV ; Rong XIE ; Debin XU ; Jichun YU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(24):1918-1924
OBJECTIVE:
To discuss the role of carbon nanoparticles in the protection of parathyroid during thyroid carcinoma surgery.
METHOD:
Seventy-two patients with thyroid carcinoma who had initial surgery were randomly divided into two groups: carbon nanoparticles group and the control group. Emulsion of carbon nanoparticles was injected into the thyroid gland of carbon nanoparticles group patients. After thirty minutes,the excision of thyroid carcinoma and VI group neck dissection were performed in carbon nanoparticles group patients, the control group directly underwent operation. The black stained tissue in the dissection specimen of carbon nanoparticles group was separated. The number of total lymph node,metastasis lymph node and parathyroid gland in the tissure black stained or not in two groups were counted respectively.
RESULTS:
There were 312 lymph nodes in the black stained tissue of central compartment dissection specimen of carbon nanoparticles group. No parathyroid gland was found in the black stained tissue. Fifteen lymph nodes containing four parathyroid glands were found in the non black stained tissue in carbon nanoparticles group while there were 202 lymph nodes containing 13 parathyroid glands in the control group. There were statistical difference between the amount of lymph node in black stain tissue and the specimen of the control group. Parathyroid glands were not stained black,and no parathyroid gland was found in the black-stained tissue.
CONCLUSION
The carbon nanoparticles could be used to identify the lymph node and the parathyroid gland for protecting the parathyroid gland in thyroid surgery.
Carbon
;
Carcinoma
;
Coloring Agents
;
Dissection
;
Humans
;
Lymph Nodes
;
Lymphatic Metastasis
;
Nanoparticles
;
Neck Dissection
;
Parathyroid Glands
;
Thyroid Neoplasms
;
pathology
;
surgery
10.Parathyroid glands are differentiated from lymph node by activated-carbon particles.
Xiao-Lei WANG ; Yue-Huang WU ; Zhen-Gang XU ; Song NI ; Jie LIU
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2009;44(2):136-140
OBJECTIVETo probe into an new methods preserving parathyroid gland of patients with thyroid carcinoma.
METHODSThirty-six patients with thyroid carcinoma that primary treated were random divided into two groups: trial group and control group. Emulsion of activated-carbon particles was injected into the thyroid gland of trial group patients. After thirty minutes, central compartment dissection was performed in the all patients. The black stained tissue in the dissection specimen of trial group was separated. Total lymph node, metastasis lymph node and parathyroid gland in the black stained tissue, and non-black stained tissue in the central compartment dissection specimen of trial group and central compartment dissection specimen of control group were counted respectively.
RESULTSNineteen and twenty central compartment dissection was performed in trial group and control group respectively. There are 177 lymph nodes included 83 metastasis lymph nodes in the black-stained tissue of central compartment dissection specimen of trial group. No parathyroid gland was found in the black-stained tissue. Nine lymph nodes included 2 metastasis lymph nodes and 7 parathyroid glands were found in the non-black stained tissue of central compartment dissection specimen of trial group. There were 124 lymph nodes included 80 metastasis lymph nodes and 8 parathyroid glands in central compartment dissection specimen of control group. There are statistic difference between the amount of lymph node in black stain tissue and that of control group (t = 0.340, P = 0.003). Rate of staining lymph node were 95.2 percent.
CONCLUSIONSLymph node of VI group can be stained black by activated carbon particles, and parathyroid gland cannot be stained black. Maybe, parathyroid gland can be preserved by removing the black stain lymph node and retaining the non-black stained tissue.
Adolescent ; Adult ; Aged ; Biomarkers, Tumor ; Humans ; Lymph Nodes ; pathology ; Lymphatic Metastasis ; pathology ; Middle Aged ; Nanotubes, Carbon ; Parathyroid Glands ; pathology ; Thyroid Neoplasms ; diagnosis ; pathology ; Young Adult