Risk factors for incidental parathyroidectomy during thyroidectomy

Braz J Otorhinolaryngol. 2012 Feb;78(1):57-61. doi: 10.1590/s1808-86942012000100009.
[Article in English, Portuguese]

Abstract

Incidental parathyroidectomy is a common event in thyroid surgery. The literature shows a finding of parathyroid glands ranging from 6.4% to 31% in pathological specimens of the thyroid gland.

Objective: To collect the amount of parathyroid glands found in surgical specimens of thyroidectomy and correlate with the histopathological and demographic variables.

Methods: Retrospective study based on pathological reports of thyroidectomy from January 2007 to December 2008.

Results: 442 patients were submitted to total thyroidectomy, and 2.93% had parathyroid glands, which corresponded to 13 of this total. The presence of papillary thyroid carcinoma associated with incidental parathyroidectomy was 10.11%, compared to the benign lesion: 1.4%.

Conclusion: Papillary thyroid carcinoma was the variable associated with increased number of incidental parathyroidectomy.

MeSH terms

  • Female
  • Humans
  • Male
  • Medical Errors / statistics & numerical data
  • Middle Aged
  • Parathyroidectomy / statistics & numerical data*
  • Retrospective Studies
  • Risk Factors
  • Thyroid Diseases / surgery*
  • Thyroidectomy / adverse effects*