Abstract：
BACKGROUND:The surgical success rate of parathyroidectomy is 95%. However, in rare patients, ectopic hyperfunctioning parathyroid glands may be located in the thyroid but missed on imaging studies or during surgery. The aim of the present study was to evaluate the perioperative findings in 6 patients with intrathyroid parathyroid glands treated for hyperparathyroidism in our center over a 5-year period and to review the relevant literature. METHODS:Of the 426 patients who underwent parathyroidectomy for hyperparathyroidism between 1998 and 2003 in our center, 6 (1.4%) were found to have intrathyroid glands. Their files were reviewed for clinical features, surgical approach, intraoperative findings, parathyroid gland location, and morphologic and histopathologic characteristics. RESULTS:The group included 2 men and 4 women of mean age 66 years. The diagnosis in all patients was based on an increase in serum calcium concentration (10.1-13 mg/100 mL) and parathyroid hormone level (102-320 pg/mL). The clinical symptoms were kidney stones, gastrointestinal complaints, hypertension, and osteopenia. Localization studies included ultrasonography in all patients and sestamibi in 4. When the parathyroid glands were not identified, bilateral neck and mediastinum were explored. Adenoma was diagnosed histologically in 4 patients; 2 had a double adenoma. CONCLUSION:Intrathyroid parathyroid gland is a rare condition in patients with hyperparathyroidism. In these patients, imaging may miss the pathologic gland. Despite its rarity, the possibility of an intrathyroid parathyroid should be kept in mind, and, when meticulous bilateral exploration of the neck fails to identity the hyperfunctioning gland, the surgeon should consider hemithyroidectomy.
journal_name
Surgeryjournal_title
Surgeryauthors
Bahar G,Feinmesser R,Joshua BZ,Shpitzer T,Morgenstein S,Popovtzer A,Shvero Jdoi
10.1016/j.surg.2005.11.009subject
Has Abstractpub_date
2006-06-01 00:00:00pages
821-6issue
6eissn
0039-6060issn
1532-7361pii
S0039-6060(05)00766-Xjournal_volume
139pub_type
杂志文章相关文献
SURGERY文献大全abstract：BACKGROUND:Previous studies have reported on the association between perioperative morbidity and diminished oncologic outcomes in patients undergoing resection for colorectal or pancreatic cancer. However, the effect of anastomotic leak (AL) on the survival of patients with gastric or esophageal cancer remains unclear....
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2016.02.020
更新日期：2016-07-01 00:00:00
abstract：:A case report of a patient with Marfan's syndrome who developed acute supravalvular aortic stenosis following aortic valve replacement and reconstruction of the ascending aorta is presented. Early recognition of this complication permitted reoperation and successful repair. One similar case has been reported previousl...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1978-08-01 00:00:00
abstract：:Current systemic immunosuppressive regimens are unable to prevent lung allograft rejection consistently and are associated with significant morbidity and death. Acute rejection has occurred in 40% and chronic rejection in 50% of our lung recipients. We hypothesized that regional immunotherapy with aerosolized cyclospo...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1990-08-01 00:00:00
abstract：BACKGROUND:We compared the effectiveness of n-butyl-2-cyanoacrylate (NBCA) and traditional suture for patch fixation in Lichtenstein tension-free herniorrhaphy for inguinal hernias. METHODS:A total of 110 patients with primary unilateral inguinal hernia were assigned randomly to either experimental or control groups. ...
journal_title：Surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.surg.2011.09.031
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:Traumatic injury is strongly associated with long-term mental health disorders, but the risk factors for developing these disorders are poorly understood. We report on a multi-institutional collaboration to collect long-term patient-centered outcomes after trauma, including screening for post-traumatic stres...
journal_title：Surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.surg.2018.07.017
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Since November 1992, operative repair in neonates with congenital diaphragmatic hernia (CDH) at this institution was delayed until respiratory insufficiency had resolved. METHODS:A retrospective analysis was performed (n = 33) comparing delayed repair with our previously reported institutional experience wi...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(96)80029-8
更新日期：1996-10-01 00:00:00
abstract：BACKGROUND:The hypothesis of this study was that differences exist among patients with private insurance compared with patients with Medicaid or no insurance, regarding access to the timely treatment of abdominal aortic aneurysms (AAAs) and the outcomes of AAA repair. METHODS:The study comprised 5363 patients aged les...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2003.214
更新日期：2003-08-01 00:00:00
abstract：:Continuous ambulatory peritoneal dialysis (CAPD) is frequently used in the pediatric age group for reversible and end-stage renal failure. Most pediatric patients tolerate this therapy with few complications. Approximately 2% of children, however, develop massive unilateral hydrothorax. This major complication usually...
journal_title：Surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-01 00:00:00
abstract：:A case of paraprosthetic-enteric fistula is presented and the total reported literature of 21 cases is reviewed. Paraprosthetic-enteric fistula is a complication of aortic revascularization with synthetic prostheses. The entity is characterized by erosion of the gastrointestinal tract by an underlying prosthesis but a...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1977-05-01 00:00:00
abstract：BACKGROUND:New surgeons are faced with inadequate mentoring when first entering practice. Our study examined challenges faced by young surgeons during their transition in practice and their mentoring experience when entering practice. METHODS:An article-based survey was mailed in August 2019 to general, colorectal, va...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2020.11.044
更新日期：2020-12-28 00:00:00
abstract：BACKGROUND:The carcinogenic effect of duodenoesophageal reflux, gastroesophageal reflux, and nitrosamines was studied in the rat esophagus. METHODS:Twenty male Sprague-Dawley rats underwent esophagogastroplasty to produce gastroesophageal reflux and 60 underwent duodenoesophageal anastomosis to produce duodenoesophage...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：BACKGROUND:Improvement of angina pectoris symptoms after cholesterol lowering has raised questions as to the underlying mechanisms. METHODS:Rabbit experiment: We compared arterial blood samples from New Zealand White cholesterol-supplemented rabbits (n = 6) with nonsupplemented rabbit samples (n = 4) in a closed-loop ...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.1998.90944
更新日期：1998-10-01 00:00:00
abstract：BACKGROUND:Several studies have demonstrated that postoperative complications after pancreatectomy for pancreatic cancer adversely affect survival. The impact on survival of a pancreatic fistula according to the classification of the International Study Group for Pancreatic Surgery has not been fully evaluated. The aim...
journal_title：Surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.surg.2016.02.032
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:The effects of intestinal inflammation on the central nervous system are unknown. The dorsal motor nucleus of the vagus (DMNV) integrates peripheral and central signals and sends efferent signals to the gastrointestinal system. The purpose of this study was to determine the effects of intestinal inflammation...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2008.03.042
更新日期：2008-08-01 00:00:00
abstract：BACKGROUND:This study was conducted to determine if team training using a federally sponsored team training program improves operating room (OR) performance and culture. METHODS:The TeamSTEPPS program, a team training program designed and tested for health care applications, was provided to the OR staff. The training ...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2011.07.076
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Lung contusion (LC) is a unique direct and focal insult that is considered a major risk factor for the initiation of acute lung injury and acute respiratory distress syndrome. We have shown recently that consumption of nitric oxide (due to excess superoxide) resulting in peroxynitrite formation leads to decr...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2013.05.023
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:Although many randomized trials and other multicenter studies have demonstrated the benefits of carotid endarterectomy (CEA) in selected symptomatic and asymptomatic patients, including women, there is a remarkable lack of reports regarding the outcome of CEA with respect to sex. To analyze and compare the o...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2000.103161
更新日期：2000-03-01 00:00:00
abstract：BACKGROUND:We studied stagnation of the blood in hepatic metastatic lesions of colorectal cancer. METHODS:Twenty-two hepatic tumors in 11 patients with liver metastases of colorectal cancers were investigated in this study. With a catheter inserted into the roots of the proper hepatic artery, 5 to 10 mCi 133Xe was inj...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：BACKGROUND:Peritoneal carcinomatosis has been regarded as a uniformly lethal clinical entity. Recently, dose-intensive treatments combining cytoreductive surgery and intraperitoneal chemotherapy have resulted in long-term survival in selected patients. METHODS:This article reports the morbidity and mortality associate...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
abstract：BACKGROUND:Interleukin 12 (IL-12) p70 is a heterodimeric protein (p35, p40 subunits) that promotes T-helper TH1-type cytokine response. In critically ill patients, after severe trauma or sepsis, IL-12 production is markedly impaired. We tested the hypothesis that deficiency of the transcription factor c-fos will increa...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1999-08-01 00:00:00
abstract：BACKGROUND:High-dose perioperative corticosteroids are the standard of care for steroid-treated patients undergoing surgery. There is little evidence, however, to support this practice. We investigated the safety of perioperative low-dose steroids in patients with inflammatory bowel disease (IBD) undergoing major color...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2012.02.019
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:Although intracellular protease activation is thought to be an early event in acute pancreatitis, factors determining progression from edematous to necrotizing pancreatitis are largely unknown. With enterokinase as a probe and an immunoassay quantifying free trypsinogen activation peptides (TAP), we sought e...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：BACKGROUND:In a dynamic health care system, strong leadership has never been more important for surgeons. Little is known about how to design and conduct effectively a leadership program specifically for surgeons. We sought to evaluate critically a Leadership Development Program for practicing surgeons by exploring how...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2016.03.011
更新日期：2016-08-01 00:00:00
abstract：:Local low-dose streptokinase infusion (5000 to 6000 IU/hr) as compared to systemic streptokinase infusion (loading dose 250,000 IU/hr, maintenance dose 100,000 IU/hr) successfully relieved a total thrombotic abdominal aortic occlusion. No complications of bleeding or distal embolization occurred during streptokinase t...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1983-04-01 00:00:00
abstract：BACKGROUND:Totally implantable venous access devices (ports) are widely used, especially for cancer chemotherapy. Although their use has been associated with upper extremity deep venous thrombosis, the risk factors of upper extremity deep venous thrombosis in patients with a port are not studied adequately. METHODS:Th...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2017.02.020
更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:T cells that receive T-cell antigen receptor signals but do not undergo mitosis become unresponsive to subsequent antigenic stimulation. This can be achieved by antigen presentation to T cells in the absence of critical costimulatory signals from antigen-presenting cells (APC) or in the presence of the antip...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1994-08-01 00:00:00
abstract：BACKGROUND:Case-control studies have reported an inverse relationship between appendectomy and the risk of ulcerative colitis, but the association has not been confirmed in prospective studies. METHODS:Using national hospital discharge registry data in Denmark, the authors followed up 154,434 patients who underwent ap...
journal_title：Surgery
pub_type： 杂志文章,meta分析
doi：10.1067/msy.2001.115362
更新日期：2001-07-01 00:00:00
abstract：BACKGROUND:Wound complications after lower extremity arterial reconstruction can range from a minor lymphatic leak that causes minimal disability to a severe infection that jeopardizes the limb and life of the affected patient. This study was designed to define more clearly the incidence, severity, and the cost of thes...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(96)80135-8
更新日期：1996-04-01 00:00:00
abstract：:Ten cases of vascular compression of the duodenum are presented, and 125 cases in the literature since 1962 are reviewed. More common in women than in men, the lesion may result from supine immobilization, wearing body cast, or a rapid weight loss. In about one third of the patients, no predisposing factor can be foun...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1976-05-01 00:00:00
abstract：BACKGROUND:Neuroendocrine neoplasms most commonly metastasize to the liver. Operative extirpation of neuroendocrine neoplasm hepatic metastases improves symptoms and seems to improve survival, but subsequent evidence is required. The current study evaluates the progression-free survival and overall survival of patients...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2010.06.008
更新日期：2011-02-01 00:00:00
