caa a22 4500 445336021 CHVBK 20180317142755.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1245/s10434-010-1429-x doi (NATIONALLICENCE)springer-10.1245/s10434-010-1429-x Common Locations of Parathyroid Adenomas [Elektronische Daten] [Mauricio Moreno, Glenda Callender, Katherine Woodburn, Beth Edeiken-Monroe, Elizabeth Grubbs, Douglas Evans, Jeffrey Lee, Nancy Perrier] Background: We have developed a nomenclature system that succinctly specifies the locations of parathyroid adenomas in the neck. We report our experience using the system in a large, contemporary cohort of patients. Methods: A prospective, endocrine surgery database at a single, tertiary care center was retrospectively analyzed. We reviewed the records of 271 patients operated on for sporadic primary hyperparathyroidism between January 2006 and May 2008 and analyzed the effect of adenoma location at operative intervention and outcome. Results: Adenomatous gland locations were classified intraoperatively as: A (adherent to posterior thyroid capsule) in 12.5% of cases; B (tracheoesophageal groove) in 17.3%; C TE groove but (close to clavicle) in 13.7%; D (directly over the recurrent laryngeal nerve) in 12.2%; E (easy to identify, inferior thyroid pole) in 25.8%; F (fallen into thymus) in 7.4%; and G gauge (within thyroid gland) in 0.4%. More than one enlarged gland was present in 10.7% of patients and usually involved coexistence of enlarged types A and E glands. Type F glands were associated with a longer mean operative time (p=0.0487) and type E glands with a higher rate of outpatient surgery (p=0.0195). At 6months from the surgery, 94.5% of the patients were normocalcemic. Conclusions: Our nomenclature system provides a simple way to describe the locations of parathyroid adenomas. Type E adenomas were associated with a higher rate of outpatient surgery and type F adenomas with a longer operative time. Biochemical cure rates were comparable for all locations of single adenomas. Society of Surgical Oncology, 2010 Moreno Mauricio Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA aut Callender Glenda Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut Woodburn Katherine Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut Edeiken-Monroe Beth Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut Grubbs Elizabeth Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut Evans Douglas Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA aut Lee Jeffrey Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut Perrier Nancy Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut Annals of Surgical Oncology Springer-Verlag 18/4(2011-04-01), 1047-1051 1068-9265 18:4<1047 2011 18 10434 https://doi.org/10.1245/s10434-010-1429-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1429-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Moreno Mauricio Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA aut NATIONALLICENCE 700 1- Callender Glenda Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut NATIONALLICENCE 700 1- Woodburn Katherine Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut NATIONALLICENCE 700 1- Edeiken-Monroe Beth Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut NATIONALLICENCE 700 1- Grubbs Elizabeth Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut NATIONALLICENCE 700 1- Evans Douglas Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA aut NATIONALLICENCE 700 1- Lee Jeffrey Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut NATIONALLICENCE 700 1- Perrier Nancy Department of Surgical Oncology, Unit 444, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/4(2011-04-01), 1047-1051 1068-9265 18:4<1047 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer