Abstract | BACKGROUND: The relationship between the number of parathyroid glands preserved and hypoparathyroidism is not well understood. We sought to determine the number of parathyroid glands that need to be preserved to prevent hypoparathyroidism. METHODS: RESULTS: Incidental parathyroidectomy occurred in 19.8% of the patients; one parathyroid gland in 17.6%, two in 1.5%, and three in 0.7%. Transient hypoparathyroidism was increased when incidental parathyroidectomy occurred (odds ratio 1.83, 95% confidence interval 1.04 to 3.23, P = 0.036) on multivariate regression analysis, but was not influenced by the actual number of parathyroid glands removed. There was no relationship between the number of parathyroid glands preserved and permanent hypoparathyroidism (P = 0.147). CONCLUSIONS:
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Authors | Chang Myeon Song, Joo Hwan Jung, Yong Bae Ji, Hyun Jung Min, You Hern Ahn, Kyung Tae |
Journal | World journal of surgical oncology
(World J Surg Oncol)
Vol. 12
Pg. 200
(Jul 07 2014)
ISSN: 1477-7819 [Electronic] England |
PMID | 25000948
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Carcinoma, Papillary
(pathology, surgery)
- Female
- Follow-Up Studies
- Humans
- Hypoparathyroidism
(etiology, physiopathology, prevention & control)
- Male
- Middle Aged
- Neoplasm Staging
- Organ Sparing Treatments
- Parathyroid Glands
(physiopathology)
- Parathyroidectomy
- Prognosis
- Retrospective Studies
- Thyroid Neoplasms
(pathology, surgery)
- Thyroidectomy
- Young Adult
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