caa a22 4500 477035272 CHVBK 20180405111303.0 cr unu---uuuuu 170330e19960701xx s 000 0 eng 10.1007/s002689900126 doi (NATIONALLICENCE)springer-10.1007/s002689900126 Parathyroid Incidentalomas in Normocalcemic Patients during Thyroid Surgery [Elektronische Daten] [Bruno M. Carnaille, François N. Pattou, Christophe Oudar, Martine C. Lecomte-Houcke, José E. Rocha, Charles A. Proye] Abstract. The aim of this study was to compare the clinical, biochemical, and pathologic findings of normocalcemic patients with macroscopically enlarged parathyroid tissue identified at thyroid surgery with those of patients treated surgically for preoperatively proved primary hyperparathyroidism (PHPT). The records of 28 patients with incidental parathyroid enlargement and 533 patients with PHPT were reviewed to compare age, sex, serum calcium and phosphate, intact parathyroid hormone (iPTH), parathyroid weight, number of diseased glands, cell and histologic types, PTH content, and cure rate. Incidentally found lesions were lighter and developed in younger patients. Biochemistry and pathology found them to be less hyperfunctioning. Sex, number of diseased glands per patient, and cell type were not different. PTH content was low in the incidental lesions. Incidentally discovered enlarged parathyroid glands are mildly hyperfunctioning at the time of discovery. They may represent an early stage of lesion responsible for overt PHPT. In the absence of knowledge concerning their significance and evolution, we recommend that enlarged parathyroids found during the course of a thyroid operation be removed.: 1996 by the Société Internationale de Chir, ugie Carnaille Bruno M. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut Pattou François N. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut Oudar Christophe Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut Lecomte-Houcke Martine C. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut Rocha José E. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut Proye Charles A. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut https://doi.org/10.1007/s002689900126 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900126 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Carnaille Bruno M. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut NATIONALLICENCE 700 1- Pattou François N. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut NATIONALLICENCE 700 1- Oudar Christophe Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut NATIONALLICENCE 700 1- Lecomte-Houcke Martine C. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut NATIONALLICENCE 700 1- Rocha José E. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut NATIONALLICENCE 700 1- Proye Charles A. Departments of General and Endocrine Surgery and Pathology, University Hospital, CHU, 59037 Lille Cedex, France, FR aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer