Abstract
Background: Operation for multiple endocrine neoplasia (MEN)1-related hyperparathyroidism (HPT) includes a neck exploration with resection of 3.5 or 4 parathyroid glands and transcervical thymectomy (TCT). We reviewed our experience with initial operation for primary HPT to determine the outcome and utility of routine TCT. Methods: All patients with MEN1 who underwent initial neck exploration from 1993 to 2007 under an institutional review board-approved protocol were reviewed. Results: We identified 66 patients with initial operation for HPT in MEN1. In 34 patients, 4 glands were found; in 32 patients, <4 glands were found. In 2 of the 34 (6%) and 17 of the 32 (53%), intrathymic parathyroid tissue was found on permanent pathology. No thymic carcinoid tissue was found in any specimen. Conclusion: These data highlight the importance of performing TCT when <4 entopic parathyroid glands are found at first operation.
Original language | English (US) |
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Pages (from-to) | 878-884 |
Number of pages | 7 |
Journal | Surgery |
Volume | 144 |
Issue number | 6 |
DOIs | |
State | Published - Dec 2008 |
Externally published | Yes |
ASJC Scopus subject areas
- Surgery