Hyperfunctioning intrathyroid parathyroid gland: a potential cause of failure in parathyroid surgery

Chiu-an Wang
January 1981
Journal of the Royal Society of Medicine;Jan1981, Vol. 74 Issue 1, p49
Academic Journal
Four patients with hyperfunctioning intrathyroid parathyroid are reported. In each case the intrathyroid parathyroid was embedded within the thyroid parenchyma and appeared as a solitary ‘cold’ thyroid nodule by radioactive iodine scanning. It is believed that the intrathyroid parathyroid evolves as the lateral lobe of the thyroid fuses with the isthmus in the early development of the thyroid. Embryologically, an intrathyroid parathyroid is thus likely to be the superior gland. When the superior parathyroid gland is missing at the time of exploration, a nodule within the ipsilateral lobe of the thyroid may well be an intrathyroid parathyroid. Under these conditions, lobectomy for the exclusion of such a gland is mandatory.


Related Articles

  • Pathomorphological and immunohistochemical analysis of autoimmune processes in the thyroid gland. D. Androsova; M. Barakat; Yu. Pruglo // Bulletin of Experimental Biology & Medicine;Jun2007, Vol. 143 Issue 6, p757 

    Abstract  The morphology and function of TG were studied in residents of an East Kazakhstan region with unfavorable ecology. One-third of the population developed autoimmune processes in this organ. The morphogenesis and regeneratory processes in the thyroid gland against the background...

  • An Unusual 'W' Shaped Thyroid Gland with Absence of Isthmus - A Case Report. SINGLA, RAJAN; SHARMA, RAVIKANT; KAUR, KULBIR // Journal of Clinical & Diagnostic Research;Oct2014, Vol. 8 Issue 10, p3 

    Thyroid gland is one of the largest endocrine glands located in the neck opposite C6-T1 vertebrae. It consists of 2 lobes connected to each other by an isthmus. It depicts a number of congenital anomalies. One such variant was seen in a 55-year-old male cadaver whereby the gland was 'W shaped in...

  • Paratiroid adenomu ve papiller tiroid karsinom birlikteliÄŸi: Tek merkez deneyimi. Gündeş, Ebubekir; Çakır, Murat; Aksoy, Faruk; Küçükkartallar, Tevfik; Taşcı, H. İbrahim // Dicle Medical Journal / Dicle Tip Dergisi;2013, Vol. 40 Issue 2, p237 

    Objective: The aim of this study was to describe experiences with concurrent parathyroid adenoma and papillary thyroid carcinoma. Methods: Eight patients with concurrent parathyroid adenoma and papillary thyroid carcinoma were identified between 2005 and 2012, and their medical records were...

  • Importance of the intraoperative appearance of preserved parathyroid glands after total thyroidectomy. Sung, Tae-Yon; Lee, Yu-mi; Yoon, Jong; Chung, Ki-Wook; Hong, Suck // Surgery Today;Mar2016, Vol. 46 Issue 3, p356 

    Purpose: Hypocalcemia after total thyroidectomy is a concern for every endocrine surgeon. We conducted this study to establish the value of the macroscopic appearance of preserved parathyroid glands after thyroidectomy in predicting post-thyroidectomy hypocalcemia. Methods: In 2009, 237 patients...

  • Reply. Romanowicz, G.; Lass, P. // European Journal of Nuclear Medicine & Molecular Imaging;2004, Vol. 31 Issue 6, p925 

    Presents a reply to a letter to the editor on the impact of stable iodide pool on radioiodine kinetics in thyroid carcinoma patients. Sources of iodine in patients.

  • Radioiodine treatment of non-toxic multinodular goitre: effects of combination with lithium. Vannucchi, Guia; Chiti, Arturo; Mannavola, Deborah; Dazzi, Davide; Rodari, Marcello; Tadayyon, Sara; Beck-Peccoz, Paolo; Fugazzola, Laura // European Journal of Nuclear Medicine & Molecular Imaging;Sep2005, Vol. 32 Issue 9, p1081 

    Purpose: This study aimed to evaluate the effects of radioiodine (131I), alone or in combination with lithium, on thyroid volume and the prevention of radioiodine-induced thyrotoxicosis. This is the first clinical trial including only patients with multinodular goitre, normal TSH values and...

  • thyroid gland.  // Taber's Cyclopedic Medical Dictionary;2005, p2187 

    A definition of the medical term "thyroid gland" is presented. It refers to an endocrine gland located in the base of the neck on both sides of the lower part of the larynx and upper part of the trachea. Two lateral lobes connected by an isthmus constitute thyroid gland.

  • Clinical, Safety, and Economic Evidence in Radioactive Iodine-Refractory Differentiated Thyroid Cancer: A Systematic Literature Review. Anderson, Roger T.; Linnehan, John E.; Tongbram, Vanita; Keating, Karen; Wirth, Lori J. // Thyroid;Apr2013, Vol. 23 Issue 4, p392 

    Background: Thyroid cancer is the most common endocrine malignancy, with differentiated thyroid cancer (DTC) comprising ∼93% of all thyroid cancers. While most cases of DTC are curable with the use of surgery and radioactive iodine (RAI) ablation of the remaining thyroid remnant, prognosis...

  • Parathyroiditis. Thompson, Lester D. R. // ENT: Ear, Nose & Throat Journal;Oct2005, Vol. 84 Issue 10, p636 

    This article provides information on a medical condition called parathyroiditis. Parathyroiditis is characterized by a slightly enlarged gland, although the macroscopic appearance is not specific. It is thought that parathyroiditis represents an autoimmune process similar to thyroid gland...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics