XXXX incidence in simultaneous thyroidectomy with parathyroid surgery.

@entity1 @entity3557 @entity459 @entity5 @entity3243 @entity259 @entity1374
OBJECTIVE: @entity459 ( @entity459 ) is often seen in conjunction with an underlying @entity1374 . Imaging methods that are used to localize the @entity3243 also detect associated thyroid nodules and @entity259 . The aim of this study was to detect the rate of @entity259 identified while performing parathyroidectomy and thyroidectomy in @entity1 with @entity459 . MATERIAL AND METHODS: Files of all @entity1 who were operated for @entity459 and who underwent simultaneous thyroidectomy were analyzed. Data regarding parathyroid pathology, surgical procedures, indications of thyroid surgery, and pathology results were retrospectively recorded. The indications for thyroid surgery included presence of suspicious thyroid nodules in ultrasonography, increase in size of thyroid nodules in follow-up ultrasound, or presence of suspicious thyroid fine needle aspiration biopsy (FNAB) findings. Rates of @entity259 detection were investigated according to definite pathology reports. RESULTS: Eighty-three @entity1 who underwent parathyroidectomy with a diagnosis of @entity459 with concurrent thyroidectomy in Department of General Surgery,   stanbul University   stanbul Faculty of Medicine were included in the study. Eighteen @entity1 were male (22%) and 65 were female (78%). The median age was 53 (18-70) years. The primary indication for parathyroidectomy was @entity459 in all @entity1 . The thyroid procedures applied in addition to parathyroidectomy were lobectomy + isthmusectomy in 29 @entity1 (35%), bilateral subtotal thyroidectomy in 20 @entity1 (24%), bilateral total thyroidectomy in 23 @entity1 (28%), and total thyroidectomy on one side and near total thyroidectomy to the other side in 11 @entity1 (13%). The only indication for thyroidectomy was the presence of thyroid nodules until 2000 (20 @entity1 , 24%). Indications in the remaining 63 @entity1 included the presence of multiple nodules that cannot be followed up by ultrasonography in 25 @entity1 (30%), presence of a suspicious nodule on ultrasonography in 33 @entity1 (40%), growth in nodule size in 2 @entity1 (2%), and detection of suspicious findings on FNAB in 3 @entity1 (4%). Five @entity1 (6%) were diagnosed with @entity3557 , four of whom were @entity5 . CONCLUSION: Imaging methods performed to localize the pathological parathyroid gland for a diagnosis of @entity459 are useful in estimating other accompanying pathologies. Presence of thyroid nodules should be evaluated before all parathyroid procedures, and if the nodule has an indication for surgery, thyroid surgery should be considered at the same operation with parathyroid surgery.
