Case Studies in Thyroid and Parathyroid Tumors

Description

The book covers all aspects of thyroid and parathyroid surgery, including history and examination, pre-operative workup, and how ancillary specialties like pathology, radiology, radiotherapy, and nuclear medicine impact the outcome of thyroid and parathyroid patients. It offers a step-by-step approach to help the readers manage their cases in their practice. It includes numerous color photographs, anatomical and operative line diagrams for easy understanding. Chapters include flow charts explaining the case management and the decision-making process.  The book serves as a valuable resource to endocrine surgeons, general surgeons, endocrinologists, and internists. It also serves as reference material for the exit examination of masters of surgery and the super specialty entrance and exit exam for endocrine surgery. Additionally, it helps consultants and postgraduate students of radiology, pathology, nuclear medicine, and radiotherapy. Acknowledgments Contents About the Authors Part I: Primary Hyperparathyroidism (PHPT): Unusual Clinical Presentation PHPT Presenting as Osteitis Fibrosa Cystica Discussion References Truncal Calciphylaxis in Primary Hyperparathyroidism Without Renal Failure Discussion References Hypercalcemic Crisis Resulting in Acute Kidney Failure Discussion References Familial Isolated Hyperparathyroidism (FIHP) Discussion References PHPT Presenting as Pulmonary Thromboembolism Discussion References Juvenile PHPT Discussion Further Reading Loss of Height in PHPT Discussion References Maternal PHPT Discussion References PHPT Presenting with Psychiatric Symptoms Discussion References PHPT Presenting with Severe Proximal Muscle Weakness Discussion References PHPT with CKD Discussion References PHPT Presenting with Poor Mentation Discussion References PHPT Presenting as a Jaw Tumor Discussion Ossifying Fibroma Associated with HPT-JT Syndrome Fibrous Dysplasia Renal Osteodystrophy Brown Tumors Associated with Sporadic PHPT Lithium-Induced Primary Hyperparathyroidism Discussion References Hyperparathyroidism with Femur Fracture Discussion Conclusion References Hypercalcemic Crisis Discussion Conclusion References PHPT Presenting as Pancreatitis Discussion References Part II: PHPT: Diagnostic Dilemma Incidental Hyperparathyroidism Discussion References Negative Localization with USG and MIBI: Utility of 4D CT Discussion References PHPT Diagnosed on MDP Bone Discussion References Discordant Ultrasound Scan and Technetium 99m Sestamibi Scan Discussion References Familial Isolated Hyperparathyroidism with CDC73 Mutation Discussion References Double Parathyroid Adenomas Discussion References Sporadic Multi-glandular Disease Discussion References Ectopic Locations Discussion References Mediastinal Parathyroid Adenomas Discussion References Part III: PHPT: Surgical Challenges and Conundrum Bilateral Exploration in Non-localized PHPT Discussion References Difficult Parathyroidectomy Discussion References Intra-Thyroidal Parathyroid Adenoma Discussion References Parathyroid Cyst Discussion References Parathyroidectomy Under Regional Anesthesia Discussion References Secondary Hyperparathyroidism (SHPT) Discussion References Tertiary Hyperparathyroidism Requiring Parathyroidectomy Discussion References Surgery in MEN-1 Discussion References Surgery in MEN-2A Discussion References Pregnancy-Associated Hyperparathyroidism Complicated by Seizures Introduction Discussion Physiological Changes Obscuring Gestational PHPT Clinical Features Diagnosis Management Conclusion References HPT-JT Syndrome Discussion Jaw Tumor Hyperparathyroidism Syndrome Management Conclusion References Part IV: PHPT: Pathological Enigma Atypical Parathyroid Adenoma Discussion References Parathyroid Carcinoma Discussion References Part V: PHPT: Postoperative Issues Post Parathyroidectomy Thyrotoxicosis Discussion References Hungry Bone Syndrome: Still a Challenge in the Post-Operative Management of Primary Hyperparathyroidism Discussion References Persistent Hyperparathyroidism After Parathyroidectomy for Primary Hyperparathyroidism. Are We Missing the Obvious? Discussion References Part VI: Benign Thyroid Diseases Recurrence in a Pyramidal Lobe References Goitre and Dermoid Reference Hemi Agenesis of Thyroid References Autonomously Functioning Thyroid Nodule Reference Goiter Recurrence References Retrosternal Component Bigger than Cervical Component of Goiters References Airway Issues Leading to Difficult Intubation in Goiter Discussion References Benign Goiter Causing Preoperative RLN Palsy Discussion References Management Issues of Monstrous Goiters Discussion References Dyshormonogenetic Goiter Discussion References Graves’ Disease Due to a Large Goiter Discussion Further Reading Graves’ Disease with Nodule Discussion References Graves’ Eye Disease Discussion References Graves with Vitiligo and Papillary Thyroid Carcinoma Discussion References Toxic MNG Discussion References Histological Surprise of Malignancy in Toxic Goiter Discussion References Retrosternal Goiter Delivered by Cervical Route Discussion References Retrosternal Goiter Treated by Partial Sternotomy Discussion References Retrosternal Goiter Treated by Tracheal Stenting Discussion References Post-thyroidectomy Tracheomalacia in Large Goiters Discussion References Surgery Under Local Anaesthesia Discussion References Stridor Following Thyroidectomy Discussion References Implications of Bethesda Cytology Category 4 Discussion References Part VII: Malignant Thyroid Diseases Rapidly Enlarging Thyroid Mass Discussion References Papillary Carcinoma in a Retrosternal Component of Goiter Ulcerated Thyroid Cancer Causing Anaemia Thyroglossal Cyst (TGC) and Papillary Thyroid Cancer Discussion References CT Imaging in Thyroid Cancer Discussion References Papillary Thyroid Cancer in a Pregnant Patient Discussion References Child with DTC Discussion References Tall Cell Variant PTC Discussion References Recurrent Papillary Thyroid Cancer Discussion References Warthin-Like Variant of Papillary Thyroid Carcinoma Discussion References Papillary Thyroid Cancer Presenting with Lung Metastases Discussion References Follicular Adenoma Developing Bone Metastases Discussion References Minimally Invasive FTC Discussion References Follicular Thyroid Cancer with Skull Metastasis Discussion References Thyroxine Producing Metastases in Follicular Carcinoma of Thyroid Discussion References Thyroglobulin Elevation with No Uptake on Radioiodine Scan (TENIS) Discussion References Aggressive Sporadic Medullary Thyroid Cancer Discussion References Poorly Differentiated Thyroid Cancer Discussion References Assessing Operability in Anaplastic Thyroid Cancer Discussion References Intracranial Metastasis from Follicular Thyroid Carcinoma Discussion References Persistent Hypercalcitoninemia Discussion References Lymphoma of the Thyroid Discussion References Micro Papillary Thyroid Cancer Discussion References Part VIII: Case Snippets Retrosternal Dermoid Ancient Treatment Practices for Goiter