Anatomy of thyroid and parathyroid glands and neurovascular relations

Mohebati, Arash; Shaha, Ashok R.

doi:10.1002/ca.21220

Cited by 174 publications

(144 citation statements)

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“…In cadaver studies, the prevalence of pyramidal lobe reported, ranges from 28.9% -55% [1]. A study done on South Korean population using computed tomography has demonstrated the incidence of pyramidal lobe to be 44.6% [9]. The occurrence of pyramidal lobe shows some gender predominance though little data is available.…”

Section: Discussionmentioning

confidence: 99%

Hot nodule in pyramidal lobe of Thyroid gland: a case report

Iqbal¹,

Naeem²,

Imran³

et al. 2017

EJMCR

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Section: Discussionmentioning

confidence: 99%

Hot nodule in pyramidal lobe of Thyroid gland: a case report

Iqbal¹,

Naeem²,

Imran³

et al. 2017

EJMCR

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“…The lymphatic system of the thyroid gland is parallel to the venous drainage system [15], and drains inferiorly into the pretracheal and paratracheal lymph nodes, and follows the inferior jugular lymphatics and superior mediastinal lymphatics [16], while the isthmus and upper lobes of the thyroid are drained superiorly to the prelaryngeal lymph nodes [13] [17]. In Song CM, et al's study, the most common subsite of central compartment metastasis in isthmic PTC was the pretracheal lymph node, and the isthmic PTCs had higher rates of metastasis to pretracheal and bilateral paratracheal lymph nodes than the non-isthmic PTCs, and complete bilateral central neck dissection should be considered [12].…”

Section: Discussionmentioning

confidence: 99%

Treatment Outcome of Papillary Carcinoma Confined to the Thyroid Isthmus

Huang¹,

Liu²,

Song³

et al. 2016

JCT

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Objective: The purpose of this study is to evaluate the clinicopathologic characteristics and treatment outcomes of Papillary Thyroid Carcinomas (PTC) of the isthmus and to establish an appropriate surgical strategy. Methods: Thirty-four patients with PTC in isthmus are managed by surgery in National Cancer Center/Cancer Hospital of Chinese Academy of Medical Sciences, Peking Union Medical College from . Demographic data, surgical procedures, pathological features, stages and outcomes are analyzed. Results: Seven patients were men and 27 were women. The median age was 41 years (range, 20 -71). Twenty-five patients were treated with thyroid isthmusectomy or wide field isthmusectomy, five with hemithyroidectomy (lobectomy and isthmusectomy) and four with hemithyroidectomy and partial resection of the contralateral lobe. Twenty-eight patients had a pathologically T1 lesion (pT1); two patients had a pT2 lesion and four had a pT3 lesion. Five patients (14.7%) had papillary carcinoma detected in one of the pretracheal lymph nodes. Thirty-two patients had a solitary lesion confined to the thyroid isthmus. One patient had two lesions in the thyroid isthmus and another one had two lesions located in the thyroid isthmus and right lobe respectively. With a median follow-up of 94 months (range, 12 -274), two patients had a recurrence and both survived after a re-operation. There was no regional lymph node or distant organ recurrences. No deaths occurred. Conclusions: Isthmusectomy or wide field isthmusectomy could be a sufficient treatment for PTC confined to the thyroid isthmus. We also recommend that pretracheal lymph node dissection be considered.

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“…The inferior PGs irrigation is predominantly given by branches of the inferior thyroid artery, and, less frequently by branches of the STA, depending on its location (when located in the thyrothymic ligament there is no additional supply by the STA). In a few cases the irrigation comes from branches of the internal mammary artery [4][5][6].…”

Section: Workupmentioning

confidence: 99%