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Thyroid

Four cystic parathyroid adenomas in a 71-year-old man

January 22, 2016  |  Darrin V. Bann, MD, PhD; David Goldenberg, MD, FACS

Management of hyperparathyroidism-jaw tumor syndrome centers on parathyroidectomy to control the complications of hyperparathyroidism, but the extent of the parathyroidectomy that should be performed is controversial.

Comparison of SPECT/CT and planar MIBI in terms of operating time and cost in the surgical management of primary hyperparathyroidism

October 31, 2015  |  Dhave Setabutr, MD; Kavita Vakharia, MD; Stephen J. Nogan, MD; George N. Kamel, MD; Thomas Allen, MD; Brian D. Saunders, MD; David Goldenberg, MD

Abstract

We conducted a retrospective study to compare operating times and costs in patients who underwent guided parathyroidectomies with either (1) technetium-99m (99mTc) multiplex ion-beam imaging (MIBI) parathyroid scintigraphy with single-photon emission computed...

An intrathyroidal thyroglossal duct cyst

October 31, 2015  |  Robert Saadi, BS; David Goldenberg, MD, FACS

Thyroglossal duct cysts  are classically midline, associated with the hyoid bone, move with swallowing or tongue protrusion, and often initially present with some degree of inflammation.

Unusual sites of metastasis of papillary thyroid cancer: Case series and review of the literature

August 27, 2015  |  Rafael Antonio Portela, MD; Garret W. Choby, MD; Andrea Manni, MD; David Campbell, MD; Henry Crist, MD; David Goldenberg, MD

Abstract

Papillary thyroid cancer (PTC) is the most common malignancy of the thyroid gland. It typically spreads via lymphatic extension. The rate of regional PTC metastasis to the neck is relatively high, while metastases outside the deep cervical chain are rare. Distant metastases are...

Using ultrasonic preoperative thyroid volume to determine incision length for minimally invasive thyroid surgery

August 27, 2015  |  Austin P. Daly, MD; Massi Romanelli-Gobbi, MD; Jeffrey L. Miller, MD; David Rosen, MD; David M. Cognetti, MD; Edmund A. Pribitkin, MD

Abstract

The determination of the volume of a diseased thyroid lobe or an entire gland by preoperative ultrasonography may enable surgeons to select candidates for a minimally invasive approach to thyroid lobectomy or total thyroidectomy. We retrospectively reviewed the charts of 71...

Post-thyroidectomy hypocalcemia: Impact on length of stay

July 21, 2015  |  Joe Grainger, FRCS; Mohammed Ahmed, MRCP; Rousseau Gama, FRCPath; Leonard Liew, FRCS; Harit Buch, FRCP; Ronald J. Cullen, FRCS

Abstract

Hypocalcemia is a recognized complication following thyroid surgery. Variability in the definition of hypocalcemia and different opinions on its management can lead to unnecessary patient morbidity and longer hospital stays as a result of inappropriate or untimely treatment....

Two cases of thyroid rupture after blunt cervical trauma

July 21, 2015  |  Ji Hoon Shin, MD; Yong Bae Ji, MD; Jin Hyeok Jeong, MD; Seung Hwan Lee, MD; Kyung Tae, MD

Abstract

The consequences of thyroid gland rupture following blunt cervical trauma can be quite grave. Almost all of these cases are associated with preexisting thyroid lesions; the traumatic rupture of a previously normal thyroid gland is very rare. Both surgical and nonsurgical...

Parathyroid localization using 4D-computed tomography

April 28, 2015  |  Darrin V. Bann, PhD; Thomas Zacharia, MD; David Goldenberg, MD, FACS; Neerav Goyal, MD, MPH

To decrease the risk of iatrogenic cancers associated with 4D-CT, several groups have used one- or two-phase imaging protocols to identify parathyroid adenomas.

Previous gastric bypass surgery complicating total thyroidectomy

March 2, 2015  |  Bianca Alfonso, MD; Adam S. Jacobson, MD; Eran E. Alon, MD; Michael A. Via, MD

Abstract

Hypocalcemia is a well-known complication of total thyroidectomy. Patients who have previously undergone gastric bypass surgery may be at increased risk of hypocalcemia due to gastrointestinal malabsorption, secondary hyperparathyroidism, and an underlying vitamin D deficiency...

Protracted hypocalcemia following post-thyroidectomy lumbar rhabdomyolysis secondary to evolving hypoparathyroidism

March 2, 2015  |  Usman Y. Cheema, MD; Carrie N. Vogler, PharmD, BCPS; Joshua Thompson, PharmD; Stacy L. Sattovia, MD, FACP; Srikanth Vallurupalli, MD

Abstract

Rhabdomyolysis is characterized by skeletal muscle breakdown. It is a potential cause of serious electrolyte and metabolic disturbances, acute kidney insufficiency, and death. Recently, rhabdomyolysis has been increasingly recognized following certain surgical procedures. We...

Thyroid gland follicular carcinoma

March 2, 2015  |  Lester D.R. Thompson, MD

The recommended treatment is lobectomy or total thyroidectomy, with or without radioablation. The choice depends on the size and stage of the tumor, extent of lymphovascular invasion, and patient's age.

Arrested development: Lingual thyroid gland

January 19, 2015  |  Mark R. Williams, MRCS(ENT); Vivek Kaushik, FRCS(ORL-HNS)

Most patients with lingual thyroid are asymptomatic and are diagnosed incidentally following a radiologic investigation for another condition of the head and neck.

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