Table 3 Intraoperative course and pathological results
Characteristics | Patient | |||||||
|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | ||
Intraoperative findings | Lesion A1 in the left thyroid lobe, toughLesion A2 (about 1 cm) posterior to the right thyroid lobe, soft | Lesion B1 (2x3cm) in the left thyroid zone, adherence to adjacent tissueLesion B2 inferior pole of the right thyroid lobeLesion B3 in the right thyroid lobe | Lesion C1 in the right thyroid lobe, toughLesion C2 posterior to the right thyroid lobe | Lesion D1 in the left thyroid lobe, toughLesion D2 (about 1 cm) posterior to the left thyroid lobe, soft | Several nodules in both thyroid lobe, toughMultiple enlarged lymph nodes in the cervical central regionLesion E posterior to the right thyroid lobe | Lesion F1 in the left thyroid lobe, toughLesion F2 (about 1 cm) posterior to the left thyroid lobe | Lesion G1 (2.5 cm) in the right thyroid lobe, toughLesion G2 (4 cm) in the left thyroid lobe | |
Section frozen results | Lesion A1: PTCLesion A2: Parathyroid adenoma | Lesion B1: Wait for final pathologic resultLesion B2: Parathyroid adenomaLesion B3: PTMC (about 0.3 cm) | Lesion C1: PTC (0.4 cm)Lesion C2: Highly suspected parathyroid adenoma, wait for final pathologic result | Lesion D1: PTC (1.3 × 1 × 0.6 cm)Lesion D2: Parathyroid adenoma | Lesion E: Parathyroid adenomaBoth thyroid lobe: Multi-focal PTC (3 in the left, 1 in the right) | Lesion F1: PTC(0.5 cm)Lesion F2: Parathyroid adenoma | Lesion G1: PTC(2 × 1.5x1cm)Lesion G2: Thyroid adenoma with cystic degeneration and interstitial fibrosis; Suspected parathyroid carcinoma, wait for final pathologic result | |
Surgical approach | Left thyroid lobectomy + Dissection of left central cervical lymph nodes + Exploration of left recurrent laryngeal nerve + Right parathyroidectomy | Bilateral parathyroidectomy+ Right thyroid lobectomy + Dissection of right central cervical lymph nodes + Exploration of bilateral recurrent laryngeal nerve | Right thyroid lobectomy + Dissection of right central cervical lymph nodes + Exploration of right recurrent laryngeal nerve + Right parathyroidectomy | Left thyroid lobectomy + Dissection of left central cervical lymph nodes + Exploration of left recurrent laryngeal nerve + Left parathyroidectomy | Total thyroidectomy + Dissection of central cervical lymph nodes + Right parathyroidectomy | Left thyroid lobectomy + Dissection of left central cervical lymph nodes + Exploration of left recurrent laryngeal nerve + Left parathyroidectomy | Total thyroidectomy + Exploration of bilateral recurrent laryngeal nerve + Dissection of right central cervical lymph nodes | |
Pathological results | Parathyroid | Parathyroid adenoma | Parathyroid adenoma (Lesion B1 & B3) | Parathyroid adenoma | Parathyroid adenoma | Parathyroid adenoma | Parathyroid adenoma | Parathyroid carcinoma |
Thyroid | PTMC | PTMC | PTMC | PTC | Multi-focal PTC with metastasis of cervical lymph nodes | PTMC | PTC and Thyroid adenoma | |
Consistency with US | Y | Y | Y | Y | Y | Y | Y/N* | |