Abstract
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.
MeSH terms
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Adenocarcinoma, Follicular / pathology
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Adenocarcinoma, Follicular / surgery
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Adenoma / pathology
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Adenoma / surgery
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Adolescent
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Adult
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Aged
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Aged, 80 and over
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Biopsy
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Carcinoma, Papillary / pathology
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Carcinoma, Papillary / surgery
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Combined Modality Therapy
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Female
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Goiter, Nodular / pathology
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Goiter, Nodular / surgery
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Humans
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Hyperparathyroidism / etiology
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Hyperparathyroidism / pathology
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Hyperparathyroidism / surgery*
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Male
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Middle Aged
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Neoplasm Staging
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Parathyroid Glands / pathology
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Parathyroidectomy*
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Reoperation
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Retrospective Studies
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Thyroid Diseases / etiology
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Thyroid Diseases / pathology
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Thyroid Diseases / surgery*
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Thyroid Gland / pathology
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Thyroid Neoplasms / etiology
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Thyroid Neoplasms / pathology
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Thyroid Neoplasms / surgery*
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Thyroidectomy*
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Thyroiditis / pathology
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Thyroiditis / surgery