Video 56.1 Introduction to Chapter 56, Standard Bilateral Parathyroid Exploration. Modern management of parathyroid disease has evolved with the influence of several fundamentally new and important factors. First is the reality that primary hyperparathyroidism (PHPT) is no longer a rare…
In this chapter, we discuss the current approach to preoperative workup for primary hyperparathyroidism (primary HPT), determine appropriate surgical candidacy, review parathyroid surgical anatomy, and detail a comprehensive search algorithm for surgical exploration. Preoperative Evaluation Background Primary HPT is a…
Video 54.1 Introduction to Chapter 54, Guide to Preoperative Parathyroid Localization Testing. Introduction The skill of an experienced parathyroid surgeon remains the most important asset in identifying abnormal parathyroid glands. Results of initial operations for primary hyperparathyroidism (PHPT) are similar…
Primary hyperparathyroidism (PHPT) is characterized classically by hypercalcemia and levels of parathyroid hormone (PTH) that are frankly elevated or inappropriate in the presence of hypercalcemia. Patients with the disease today in the United States bear little resemblance to those with…
Video 52.1 Introduction to Chapter 52, Medical Treatment Horizons for Metastatic Differentiated and Medullary Thyroid Cancer. Introduction Metastatic differentiated thyroid cancer (DTC) and medullary thyroid cancer (MTC) are rare tumors with limited treatment options and an overall poor response to…
Video 51.1 Floating Debris Video 51.2 Percutaneous Ethanol Injection: Cyst Injection Video 51.3 Percutaneous Ethanol Injection: Toxic Adenoma Video 51.4 Percutaneous Ethanol Injection: Metastasis Video 51.5 Ultrasound Cord Check Introduction Thyroid neoplasms and cysts are common in the general population.…
Video 50.1 Introduction to Chapter 50, Reoperative Thyroid Surgery Introduction Approximately one-third of patients with differentiated thyroid cancer (DTC) have tumor recurrence, and most are diagnosed within 10 years of initial treatment. Locoregional recurrences may arise in the thyroid bed,…
Introduction Surgery is, with the exception of lymphomas described in this chapter, the mainstay of therapy for all types of thyroid cancer. However, if there is an increased risk of recurrence, further additional treatment may be warranted. In differentiated thyroid…
Video 48.1 Introduction to Chapter 48, Postoperative Radioactive Iodine Ablation and Treatment of Differentiated Thyroid Cancer. Introduction The role of radioactive iodine (RAI) therapy in the postoperative management of patients with newly diagnosed differentiated thyroid cancer (DTC) is a highly…
Goals of Postoperative Management Differentiated thyroid cancer (DTC) is being diagnosed with increasing incidence, but the mortality rate has remained low. The vast majority of these tumors are low-risk cancers, limited to the thyroid gland, which have a 20-year disease-specific…