Thyroid and Parathyroid
The thyroid gland is a butterfly-shaped organ located in the lower central neck below the voicebox which can develop benign or cancerous nodules. Thyroid nodules are not uncommon and most of the time they remain asymptomatic for a long time. An ultrasound usually helps to identify and further define the nodule, and in some cases, it is recommended to obtain a fine needle aspiration biopsy. Â
An enlargement of the thyroid is called goiter, which may cause “compressive” symptoms including choking when swallowing or difficulty breathing when lying down.Â
Once thyroid nodules reach a certain size a fine-needle aspiration should be performed which will help answer the question if a thyroid should be removed or not.Â
Parathyroids are the 4 pea-sized glands that lie in the vicinity of the thyroid gland and they control the body's calcium levels. Sometimes, one or more of the parathyroid glands become overactive, and they have to be removed.Â
Dr. Weidenbecher is an experienced thyroid and parathyroid surgeon who works with a team of experts to guarantee the highest level of care and the best possible outcomes. His team includes endocrinologists, but also radiologists to locate nodules or abnormal parathyroids with ultrasound, CT imaging, or nuclear studies (SPECT-CT / 4D CT).Â
He uses intraoperative monitoring tools for the vocal nerve as well as rapid parathyroid hormone testing to improve outcomes and reduce operative time.Â
SPECT CT shows a left lower parathyroid adenoma
Ultrasound image of a thyroid nodule that is cancerous (green circle)