Preoperative and Postoperative Evaluation of Thyroid Disease in Patients Undergoing Surgical Treatment of Primary Hyperparathyroidism

Incidental thyroid nodules in patients with primary hyperparathyroidism

“…In the general population, macroscopic and microscopic thyroid nodules are common, occurring in as many as 80% of subjects at autopsy . Recent studies have shown that thyroid pathology occurs in 16.6% to 77% of patients evaluated for primary hyperparathyroidism (PHPT), and that the rate of incidental thyroid malignancy ranges from 2% to 15% . Updated guidelines from the American Thyroid Association recommend evaluation by fine‐needle aspiration (FNA) of all solid, hypoechoic thyroid nodules >1 cm .…”

Papillary Thyroid Carcinoma with Primary Hyperparathyroidism: A Report of Two Cases and a Brief Literature Review

“…In the great majority of cases, the diagnosis was made through postoperative pathological examination. Additionally, the number of multicentric tumors metastasizing to the lymph nodes was relatively small (5,6,11). However, papillary carcinomas without microcarcinoma were more frequent in small series such as those of Kosem et al (13) and Ogawa et al (12).…”

“…Although the incidence of PTC associated with pHPT in small surgical series is around 9%-17.8% (11-13), in large series the level has been reported to be 2%-4.2% (5-10). The majority of PTCs in the great majority of these series were microcarcinoma (5,6,11). In the great majority of cases, the diagnosis was made through postoperative pathological examination.…”

A Rare Co-Occurrence of Parathyroid and Papillary Thyroid Carcinoma

“…Co-occurring thyroid pathologies are common in patients with PHPT, with rates reported to range from 17% to 84% in patients undergoing neck exploration for PHPT [3][4][5][6][7][8][9]. In contrast, the synchronous occurrence of parathyroid and differentiated thyroid carcinoma is a rare situation.…”