Concomitant thyroid disease in patients operated for primary hyperparathyroidism

Abstract

Introduction: Parathyroid and thyroid diseases are ones of the most common endocrine diseases, but simultaneous surgical treatment of both endocrine systems is still under discussion. Methods: We retrospectively evaluated 1,574 patients operated for primary hyperparathyroidism at the 3rd Department of Surgery, 1st Faculty Medicine, Charles University and University Hospital Motol in Prague with the thyroid and parathyroid ultrasound reports available. The patients were divided into two groups – with and without thyroid surgery. Results: Thyroid surgery was performed in 34% of patients with primary hyperparathyroidism. Group 2, where thyroid surgery was performed, showed a higher proportion of reported abnormal thyroid sonographic findings (74%), a higher proportion of bilateral throat exploration (69%) and a longer hospital stay (3.3 days). Conclusion: A patient indicated for surgery for parathyroid disease should also be indicated for possible thyroid surgery.

Simultaneous operations in patients with combined pathology of the thyroid and parathyroid glands

“…Саме тому чимало авторів рекомендують розширювати стандартні протоколи діагностики ендокринної патології, що спрямовані на виявлення основного захворювання, доповнюючи їх додатковими інструментальними та лабораторними методами обстеження [15].…”