Parathyroid adenoma arising within the sternocleidomastoid muscle: a rare complication of autotransplantation

Touska, Philip; Srikanthan, Ahgi; Amarasinghe, Kavita; Jawad, Susan

doi:10.1136/bcr-2015-213184

Cited by 4 publications

(7 citation statements)

References 12 publications

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“…Fifty-one reports were retrieved and assessed for eligibility. Finally, 40 articles were shortlisted and included in this review 7 - 46 . ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…In the 40 studies, 139 patients were reported to have CL after head and neck surgeries (26 left neck dissections, 4 right neck dissections, 19 bilateral neck dissections, 85 neck dissections with side unspecified, and 6 patients who underwent other procedures of the neck such as lobectomy, thyroidectomy, or parathyroidectomy) 7 - 46 . ( Table 1 , Supplementary Table 1 )…”

Section: Resultsmentioning

confidence: 99%

“…As an exception, Meyer et al 29 administered 50 µg SC TID. Touska et al 10 and Srikumar et al 11 administered 200 µg SC TID in their studies. The duration of treatment ranged from 2-22 days, with an average of 8.9 days.…”

Section: Resultsmentioning

confidence: 99%

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Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies

Ganesan,

Singh,

Khatri

et al. 2024

JKAOMS

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Chyle leaks are uncommon complications after head and neck surgeries. Although uncommon, such a complication is noteworthy mention due to its perplexing diagnosis and management strategies. This scoping review aims to highlight and emphasize the diagnosis and management options proposed in the literature. A comprehensive search was performed in PubMed, Google Scholar, Cochrane Library, and Scopus databases and identified 617 articles that were reduced to 40 studies and reports after applying the eligibility criteria. Although numerous treatment options ranging from simple, conservative measures to invasive surgical procedures have been mentioned for low-output, high-output, and massive leaks, there is no concrete evidence on the best method. Thus, a combination of management options must be customized by case for optimum results.

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“…Fifty-one reports were retrieved and assessed for eligibility. Finally, 40 articles were shortlisted and included in this review 7 - 46 . ( Fig.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies

Ganesan,

Singh,

Khatri

et al. 2024

JKAOMS

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“…It is known that there are two well-established risk factors for the development of PTC: previous radiation exposure ( 27 ) and family history ( 28 ). A number of other possible risk factors have been reported, such as elevated TSH levels ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

The role of Graves’ disease in the development of thyroid nodules and thyroid cancer

Soares

Borges‐Canha

Neves

et al. 2023

European Thyroid Journal

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Aim: The prevalence of thyroid nodules and the risk of thyroid cancer in patients with Graves’ disease is uncertain. We aimed to evaluate the prevalence of thyroid nodules and cancer in patients with Graves’ disease. Methods: Retrospective observational study of adult subjects with Graves' disease (positive autoantibodies TRAbs) between 2017 and 2021 at our center. We evaluated the prevalence of thyroid nodules and cancer in this population and characterized the predictive factors for thyroid malignancy using linear and logistic regression models. Results: We evaluated a total of 539 patients with Graves' disease during a median follow-up of 3.3 years (25th-75th percentiles 1.5-5.2 years). Fifty-three percent had thyroid nodules and 18 (3.3%) were diagnosed with thyroid cancer (12 papillary microcarcinomas). All tumors were classified using TNM classification as T1, and only one had lymph node metastasis; there were no recordings of distant metastasis. Sex, age, body mass index, smoking, TSH and TRAbs levels were not significantly different between patients with and without thyroid cancer. Patients with multiple nodules on ultrasound (OR 1.61, 95%CI 1.04-2.49) and with larger nodules (OR 2.96, 95%CI 1.08-8.14, for 10mm increase in size) had a greater risk of thyroid cancer diagnosis. Conclusion: Patients with Graves’ disease had a high prevalence of thyroid nodules and their nodules had a significant risk of thyroid cancer. The risk was higher in those with multiple and larger nodules. Most had low grade papillary thyroid cancer. More studies are needed to clarify the clinical relevance of these findings.

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“…More than one-third of patients with MEN1 are undiagnosed upon initial operation, and approximately half develop persistent disease after initial operation [24]. Rarer causes of initial failure include parathyromatosis ( Figure 1), parathyroid carcinoma, and adenoma arising from autotransplanted parathyroid glands following surgical exploration (Figures 1 and 2), each accounting for ≤3% of reoperative cases [12,19,25,26]. e development of a second adenoma in a previously normal gland is rare except for in patients with prior neck radiation [27].…”

Section: Common Causes Of Initialmentioning

confidence: 99%

Localization of Parathyroid Disease in Reoperative Patients with Primary Hyperparathyroidism

Parikh

Grogan

Morón

2020

International Journal of Endocrinology

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The localization of persistent or recurrent disease in reoperative patients with primary hyperparathyroidism presents challenges for radiologists and surgeons alike. In this article, we summarize the relevant imaging modalities, compare their accuracy in identifying reoperative disease, and outline their advantages and disadvantages. Accurate localization by preoperative imaging is a predictor of operative success, whereas negative or discordant preoperative imaging is a risk factor for operative failure. Ultrasound is a common first-line modality because it is inexpensive, accessible, and radiation-free. However, it is highly operator-dependent and less accurate in the reoperative setting than in the primary setting. Sestamibi scintigraphy is superior to ultrasound in localizing reoperative disease but requires radiation, prolonged imaging times, and reader experience for accurate interpretation. Like ultrasound, sestamibi scintigraphy is less accurate in the reoperative setting because reoperative patients can exhibit distorted anatomy, altered perfusion of remaining glands, and interference of radiotracer uptake. Meanwhile, four-dimensional computed tomography (4DCT) is superior to ultrasound and sestamibi scintigraphy in localizing reoperative disease but requires the use of radiation and intravenous contrast. Both 4DCT and magnetic resonance imaging (MRI) do not significantly differ in accuracy between unexplored and reoperative patients. However, MRI is more costly, inaccessible, and time-consuming than 4DCT and is inappropriate as a first-line modality. Hybrid imaging with positron emission tomography and computed tomography (PET/CT) may be a promising second-line modality in the reoperative setting, particularly when first-line modalities are discordant or inconclusive. Lastly, selective venous sampling should be reserved for challenging cases in which noninvasive modalities are negative or discordant. In the challenging population of reoperative patients with PHPT, a multimodality approach that utilizes the expertise of high-volume centers can accurately localize persistent or recurrent disease and enable curative parathyroidectomy.

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Parathyroid adenoma arising within the sternocleidomastoid muscle: a rare complication of autotransplantation

Cited by 4 publications

References 12 publications

Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies

Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies

The role of Graves’ disease in the development of thyroid nodules and thyroid cancer

Localization of Parathyroid Disease in Reoperative Patients with Primary Hyperparathyroidism

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