Clinical Study

Incidental Parathyroid Disease during Thyroid Surgery: Should We Remove Them?

Table 1

Histological analysis of the parathyroid tissue excised.

PatientAgeSexThyroid operationPreoperative TSH/fT4Parathyroid histologyWeight Size (mm)Preoperative corr. calciumPostoperative corr. calciumHypo-calcaemia

A40FTotal1.06/14.0Adenoma0.319 g 1 5 × 1 0 × 1 5 Not done1.96Temporary
B40FTotal0.99/14.7Adenoma/hyperplasia0.501 g 2 1 × 7 × 6 2.192.02Pt refused followup
C30FTotal2.63/8.8Hyperplasia0.163 g 8 × 7 × 3 2.261.89Temporary
D66MTotal46.3/5.7No specific type0.6 g 3 0 × 8 × 5 Not done2.31No
E50FTotal0.01/12.1Adenoma0.319 g102.332.28No
F60FTotal0.22/12.8Adenoma<1 g 1 7 × 7 × 5 2.321.80Temporary
G40FLeft lobectomy0.9/13.9Normal histologyNot stated 1 0 × 5 2.292.25No
H57FTotal0.16/13.5Adenoma/hyperplasia0.844 g 2 0 × 1 5 × 5 2.502.14No

Normal ranges: TSH: 0.35–5.50 mu/l, fT4: 9.4–22.7 pmol/l, corr. Ca 2.15–2.60 mmol/l.