scholarly journals Inferior Parathyroid Gland

2020 ◽  
Author(s):  
Keyword(s):  
Parathyroid Gland ◽  
Inferior Parathyroid Gland

ERRATUM

2011 ◽  
Vol 135 (12) ◽  
pp. 1521-1521
Keyword(s):  
Parathyroid Adenoma ◽  
Parathyroid Gland ◽  
Cutaneous Melanoma ◽  
Rare Case ◽  
Tumor Metastasis ◽  
Arch Pathol ◽  
Tumor To Tumor Metastasis ◽  
The Right ◽  
Inferior Parathyroid Gland ◽  
Incorrect Data

An abstract published in the September 2011 issue of the Archives (Murugan P et al. Tumor-to-Tumor Metastasis: A Rare Case of Cutaneous Melanoma Metastatic to a Parathyroid Adenoma [CAP abstract 109, session 100]. Arch Pathol Lab Med. 2011;135[9]:1132) contains incorrect data in line 10 when referring to the right inferior parathyroid gland that was removed. The weight of the gland should have been shown as “…1200-mg (normal, 30–70 mg)…”

Paraganglioma: an unusual tumour of the parathyroid gland

1996 ◽  
Vol 110 (2) ◽  
pp. 196-199 ◽  
Author(s):  
W. G. McCluggage ◽  
C. H. S. Cameron ◽  
D. Brooker ◽  
M. D. O'Hara
Keyword(s):  
Electron Microscopy ◽  
Differential Diagnosis ◽  
Parathyroid Adenoma ◽  
Parathyroid Gland ◽  
Incidental Finding ◽  
Squamous Carcinoma ◽  
Pathological Features ◽  
Unusual Variant ◽  
The Right ◽  
Inferior Parathyroid Gland

AbstractA case of paraganglioma arising within a parathyroid gland is reported. The lesion was an incidental finding in a block dissection of neck performed for squamous carcinoma of the pharynx. A well-circumscribed lesion, exhibiting the characteristic pathological features of a paraganglioma, was embedded within the right inferior parathyroid gland. Due to its location, the chief histological differential diagnosis was an unusual variant of parathyroid adenoma. Immunohistochemistry and electron microscopy assisted in reaching a diagnosis. This, as far as we are aware, is the first reported case of a paraganglioma of the parathyroid gland.

Surgical Technique for Preservation of Inferior Parathyroid Gland

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P181-P181
Author(s):  
Young Min Park ◽  
Sung Chan Shin ◽  
Won Yong Lee ◽  
Jin-Choon Lee ◽  
Soo-Geun Wang ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Parathyroid Gland ◽  
Inferior Parathyroid Gland

scholarly journals SAT-349 Cinacalcet Resistant Tertiary Hyperparathyroidism with One Large Parathyroid Gland

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Bayan Chaker ◽  
Hussam Alim ◽  
Wael Taha
Keyword(s):  
Hospital Stay ◽  
Parathyroid Adenoma ◽  
Parathyroid Gland ◽  
Calcium Level ◽  
Parathyroid Glands ◽  
Incomplete Resection ◽  
Lower Pole ◽  
Tertiary Hyperparathyroidism ◽  
The Right ◽  
Inferior Parathyroid Gland

Abstract Tertiary hyperparathyroidism is thought to develop after long term secondary hyperparathyroidism, such as CKD on dialysis. In This case, all parathyroid glands are significantly enlarged. We report a case of an 84-year-old female with a past medical history of ESRD on HD and recurrent nephrolithiasis who was found to have an enlarged multinodular goiter with the dominant mass in the lower pole of the right gland measuring about 4.7 cm on thyroid ultrasound. Blood work was done which showed elevated intact PTH levels at 2720 pg/mL (12–88). Her calcium level was normal at that time at 10.5 mg/dL (8.6–10.8) with an albumin of 4.2 g/dL (3.5–5.7), and a phosphorus of 5.7 mg/dL (2.5–4.5). Patient had a DEXA scan which showed severe osteoporosis in the lumbar spine, left hip, and right forearm. Patient had increased PTH levels despite being on Cinacalcet. She had a nuclear medicine parathyroid scan with SPECT CT which showed increased uptake along the right inferior thyroid concerning for a large right lower parathyroid adenoma or functional thyroid nodule. FNA of the nodule was done and showed colloid nodule but PTH wash showed elevated PTH at 7634 pg/mL. She was referred for right lower parathyroidectomy and Cinacalcet was discontinued prior to surgery. She had right and left inferior parathyroidectomy and 4 gland exploration. Pathology showed the right inferior parathyroid gland to be markedly hyper-cellular, weighing 36 grams consistent with hyperplasia and the left inferior parathyroid gland to be slightly hyper-cellular parathyroid gland consistent with hyperplasia. No evidence of malignancy was noted on pathology. Prior to surgery her calcium level of 10.6 mg/dL which went down to 9.6 mg/dL post-operatively. Patient then developed severe hypocalcemia and hungry bone syndrome following the surgery requiring a calcium drip for 3 days post-operatively. Was changed to oral calcium but required large amounts of calcium gluconate and calcitriol supplementation and an extended hospital stay of 13 days. However, throughout the hospital stay, PTH levels continued trending back up to 239 which may represent either increased activity from remaining parathyroid glands or residual parathyroid adenoma with incomplete resection. Post-operative US neck showed Post-surgical collection in the lower pole of the right gland measuring 4.8 cm compatible with recent resection. In conclusion, tertiary hyperparathyroidism can develop due to one enlarged parathyroid gland or an adenoma, which can be resistant to cinacalcet.

The Fallen One: The Inferior Parathyroid Gland That Descends Into the Mediastinum

2009 ◽  
Vol 208 (5) ◽  
pp. 887-893 ◽  
Author(s):  
Glenda G. Callender ◽  
Elizabeth G. Grubbs ◽  
Thinh Vu ◽  
Wayne L. Hofstetter ◽  
Jason B. Fleming ◽  
...  
Keyword(s):  
Parathyroid Gland ◽  
Inferior Parathyroid Gland

scholarly journals Coexisiting adenoma and granuloma involving the right inferior parathyroid gland with adjacent ectopic thymic tissue

2014 ◽  
Vol 2014 (jun23 1) ◽  
pp. bcr2014205527-bcr2014205527 ◽  
Author(s):  
M. Gupta ◽  
S. Kandasamy
Keyword(s):  
Parathyroid Gland ◽  
Thymic Tissue ◽  
The Right ◽  
Inferior Parathyroid Gland

In situ preservation of the inferior parathyroid gland during central neck dissection for papillary thyroid carcinoma

2017 ◽  
Vol 104 (11) ◽  
pp. 1514-1522 ◽  
Author(s):  
J. B. Wang ◽  
K. Wu ◽  
L. H. Shi ◽  
Y. Y. Sun ◽  
F. B. Li ◽  
...  
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Parathyroid Gland ◽  
Central Neck Dissection ◽  
Central Neck ◽  
Papillary Thyroid ◽  
In Situ Preservation ◽  
Inferior Parathyroid Gland

scholarly journals Postoperative Horner’s syndrome following excision of incidental cervical ganglioneuroma during hemithyroidectomy and parathyroid gland exploration

2020 ◽  
Vol 13 (1) ◽  
pp. e231514
Author(s):  
David McCrory ◽  
Andrew Kelly ◽  
Marian Korda
Keyword(s):  
Parathyroid Gland ◽  
Side Effect ◽  
Horner’S Syndrome ◽  
Common Side Effect ◽  
Imaging Studies ◽  
Horner's Syndrome ◽  
Rare Side Effect ◽  
Ectopic Parathyroid ◽  
Inferior Parathyroid Gland ◽  
Nose And Throat

This 49-year-old woman was referred to ear, nose and throat (ENT) with primary hyperparathyroidism. Imaging studies failed to localise the adenoma so she required four-gland parathyroid exploration. She also required diagnostic left hemithyroidectomy as she had a U3 nodule with multiple insufficient fine needle aspirations (FNAs). Intraoperatively, the left thyroidectomy proceeded uneventfully. No convincing left inferior parathyroid gland was identified however palpation revealed a 1 cm mass just medial to carotid artery. This was excised as probable ectopic parathyroid gland. She was discharged two days later. Thirteen days postoperatively she attended Eye Casualty with a left-sided Horner’s syndrome. A CT angio of aortic arch was normal. She was reviewed at ENT outpatients. Histopathology report of the expected ectopic parathyroid gland returned as benign ganglioneuroma, likely arising from her left sympathetic chain. Horner’s syndrome is a common side effect from excision of ganglioneuromas, but an incredibly rare side effect from thyroid or parathyroid surgery.

BPI19-020: A New Protecting Method for the Inferior Parathyroid Gland in situ: The Meticulous Thyrothymic Ligament Dissection Technique

2019 ◽  
Vol 17 (3.5) ◽  
pp. BPI19-020
Author(s):  
Yan Si ◽  
Jingsheng Cai ◽  
Hao Zhang ◽  
Haisheng Fang ◽  
Meiping Shen
Keyword(s):  
Connective Tissue ◽  
Incidence Rate ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Structural Features ◽  
Lower Pole ◽  
Dissection Technique ◽  
Relationship Of ◽  
Inferior Parathyroid Gland

Objective: To explore the anatomic features and the dissection technique of thyrothymic ligament (TTL) and to explore the clinical significance of protecting the inferior parathyroid gland (IPTG) with this structure. Method: Dissect the TTL of patients who receive initial thyroid surgery in our center, describe the structural features of TTL, and investigate the positional relationship of TTL and IPTG. Results: TTL is a kind of adipose connective tissue that is wide at the bottom and narrow at the top, accompanying with the inferior thyroid vein, from the thymus to the thyroid. Over 70% TTL are attached to the lower pole and the lower one-third dorsal of thyroid, containing fat and vessels. About 121 patients have undergone this dissection, totally dissected 194 sides, 143 sides had TTL (73.7%). About 63.4% IPTGs are located in the thymus-thyrothymic ligament-IPTG complex (TLIC), and nearly 70.6% IPTG can be proactively identified and located by the TTL during the operation. The incidence rate of postsurgical hypoparathyroidism is 14.9%. According to whether the dissection is successful, the IPTG can be described into 2 types, the ligament type (L) and the non-ligament type (N), and each type can be described into different subtypes.

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