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Nancy D. Perrier, M.D., F.A.C.S.

Present Title & Affiliation

Primary Appointment

Professor, Department of Surgical Oncology, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX
Chief-Section of Surgical Endocrinology, Department of Surgical Oncology, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX
Associate Medical Director, Department of Surgical Oncology, Endocrine Center, The University of Texas MD Anderson Cancer Center, Houston, TX
Fellowship Program Director, Surgical Endocrinology, Department of Surgical Oncology, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX

Office Address

The University of Texas MD Anderson Cancer Center
Department of Surgical Oncology
1400 Pressler Street
Unit Number: Unit 1484
Houston, TX 77230-1402
Room Number: FCT17.6014
Phone: (713) 794-1345
Fax: (713) 563-5727
Email: nperrier@mdanderson.org

Education & Training

Degree-Granting Education

1993 Louisiana State University Medical School, New Orleans, LA, MD, Doctor of Medicine
1989 Louisiana State University, Baton Rouge, LA, BS, Microbiology

Postgraduate Training

7/1998-7/1999 Fellowship, Clinical Training in Endocrine Surgical Oncology, University of California at San Francisco, Mt. Zion Medical Center, San Francisco, CA
7/1998-7/1999 Fellowship, Advanced Training in Outcomes Based Research and Clinical Epidemiology (ORACLE), T32 Training Grant, National Institutes of Health (NIH), University of California at San Francisco, San Francisco, CA
6/1997-6/1998 Chief Resident, Mayo Clinic, Rochester, MN
6/1994-6/1998 Clinical Residency, Mayo Clinic, Rochester, MN
6/1993-6/1994 Clinical Internship, Mayo Clinic, Rochester, MN
12/1988-5/1989 Post-Baccalaureate Academic Studies Abroad, University of East Anglia, Norwich

Board Certifications

12/2007 American Board of Surgery

Honors and Awards

2012 James IV International Surgeon Travel Award
2010 James E. Thompson Award, Texas Surgical Society
2010 Arthur M. Shipley Award, Southern Surgical Association
2001-present Fellow, American College of Surgeons

Professional Memberships

American Association of Endocrine Surgeons
Secretary-Treasurer, 2012-2015
American Surgical Association
Member, 2013

Selected Publications

Peer-Reviewed Original Research Articles

1. Romero Arenas MA, Ryu H, Lee S, Morris LF, Grubbs EG, Lee JE, Perrier ND. The Role of Thyroidectomy in Metastatic Disease to the Thyroid Gland. Ann Surg Oncol. e-Pub 10/2013. PMID: 24081800.
2. Rich TA, Liu M, Etzel CJ, Bannon SA, Mork ME, Ready K, Saraiya DS, Grubbs EG, Perrier ND, Lu KH, Arun BK, Woodard TL, Schover LR, Litton JK. Comparison of attitudes regarding preimplantation genetic diagnosis among patients with hereditary cancer syndromes. Fam Cancer. e-Pub 9/2013. PMID: 24072553.
3. Stang MT, Perrier ND,. Robotic thyroidectomy: do it well or don't do it. JAMA Surgery 148(9):806-8, 9/2013.
4. Lee S, Skelton TS, Zheng F, Schwartz KA, Perrier ND, Lee JE, Bassett RL, Ahmed S, Krishnamurthy S, Busaidy NL, Grubbs EG. The biopsy-proven benign thyroid nodule: is long-term follow-up necessary? J Am Coll Surg 217(1):81-8, 7/2013. e-Pub 5/2013. PMID: 23659946.
5. Treter S, Perrier ND, Sosa JA, Roman S. Telementoring: A multi-institutional experience with the introduction of a novel surgical approach for adrenalectomy. Ann Surg Oncol 20(8). e-Pub 3/2013. PMID: 23512076.
6. Ayala-Ramirez M, Feng L, Habra MA, Rich T, Dickson PV, Perrier N, Phan A, Waguespack S, Patel S, Jimenez C. Clinical benefits of systemic chemotherapy for patients with metastatic pheochromocytomas or sympathetic extra-adrenal paragangliomas: insights from the largest single-institutional experience. Cancer 118(11):2804-12, 6/2012. e-Pub 10/2011. PMID: 22006217.
7. Rianon N, Alex G, Callender G, Jimenez C, Hu M, Grubbs E, Moreno M, Wathoo C, Petak S, Perrier N. Preoperative serum osteocalcin may predict postoperative elevated parathyroid hormone in patients with primary hyperparathyroidism. World J Surg 36(6):1320-6, 6/2012. e-Pub 1/2012. PMID: 22278606.
8. Plouin PF, Fitzgerald P, Rich T, Ayala-Ramirez M, Perrier ND, Baudin E, Jimenez C. Metastatic pheochromocytoma and paraganglioma: focus on therapeutics. Horm Metab Res 43(5):1-10, 5/2012. e-Pub 2/2012. PMID: 22314389.
9. Landry CS, Grubbs EG, Warneke CL, Ormond M, Chua C, Lee JE, Perrier ND. Robot assisted transaxillary thyroid surgery in the United States: Is it comparable to open thyroid lobectomy? Ann Surg Oncol 19(4):1269-1274, 4/2012. e-Pub 11/2011. PMID: 22065191.
10. Dickson PV, Rich TA, Xing Y, Cote GJ, Wang H, Perrier ND, Evans DB, Lee JE, Grubbs EG. Achieving eugastrinemia in MEN1 patients: Both duodenal inspection and formal lymph node dissection are important. Surgery 150(6):1143-1152, 2011.
11. Moreno MA, Callender GG, Woodburn K, Edeiken BS, Grubbs EG, Evans DB, Lee JE, Perrier ND. Common locations of parathyroid adenomas. Ann Surg Oncol 18(4):1047-1051, 2011.
12. Landry CS, Grubbs EG, Busaidy N, Perrier ND, Edeiken BS. Cystic lymph nodes in the lateral neck are an indicator of metastatic papillary thyroid cancer. Endocrine Practice 17(2):240-2, 2011.
13. Randolph GW, Dralle H, with the International Intraoperative Monitoring Study Group, Abdullah H, Barczynski M, Bellantone R, Brauckhoff M, Carnaille B, Cherenko S, Chiang FY, Dionigi G, Finck C, Hartl D, Kamani D, Lorenz K, Miccolli P, Mihai R, Miyauchi A, Orloff L, Perrier ND, Poveda MD, Romanchishen A, Serpell J, Sitges-Serra A, Sloan T, Van Slycke S, Snyder S, Takami H, Volpi E, Woodson G. Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: International standards guideline statement. Laryngoscope 121:S1-S8, 2011.
14. Vu TH, Guha-Thakurta N Harrell RK, Ahmed S, Kumar AJ, Johnson VE, Perrier ND, Schellingerhout D. Imaging characteristics of hyperfunctioning parathyroid adenomas using multiphase multidetector computed tomography. J Comput Asst Tomogr 35(5):560-7, 2011.
15. Dickson PV, Jimenez C, Chisholm GB, Kennamer DL, Ng C, Grubbs EG, Evans DB, Lee JE, Perrier ND. Posterior retroperitoneoscopic adrenalectomy: A contemporary American experience. J Am Coll Surg 212(4):659-665, 2011.
16. Dickson PV, Alex GC, Grubbs EG, Ayala-Ramirez M, Jimenez C, Evans DB, Lee JE, Perrier ND. Posterior retroperitoneoscopic adrenalectomy is a safe and effective alternative to transabdominal laparoscopic adrenalectomy for pheochromocytoma. Surgery 150(3):452-8, 2011.
17. Waguespack SG, Rich T, Ying AK, EG Grubbs, Perrier ND, Ayala-Ramirez M, Jimenez C. A current review of the etiology, diagnosis, and treatment of pediatric pheochromocytoma and paraganglioma. J Clin Endocrinol Metab 95(5):2023-27, 2010.
18. Mammen J, Rafeeq S, Holmes H, Thompson NE, Gantela S, Perrier ND. A sucessful strategy for recruiting elderly patients with mild hyperparathyroidsim into a randomized controlled trial. World J Endocrine Surgery 2(1):1-4, 2010.
19. Landry CS, Grubbs EG, Perrier ND. Bilateral robotic-assisted transaxillary surgery. Arch Surg 145(8):717-20, 2010.
20. Grubbs EG, Waguespack SG, Rich TA, Xing Y, Ying AK, Evans DB, Lee JE, Perrier ND. Do the recent American Thyroid Association (ATA) guidelines accurately guide the timing of prophylactic thyroidectomy in MEN2A? Surgery 148(6):1302-10, 2010.
21. Pettiford J, Erasmus J, Grubbs EG, Perrier ND. Dysphagia Lucoria: consideration for the endocrine surgeon. Surgery 147(6):890-92, 2010.
22. Landry CS, Grubbs EG, Lee JE, Perrier ND. From scalpel to console: A suggested model for surgical skill acquisition. Bulletin of the American College of Surgeons 95(8):21-24, 2010.
23. Ayala-Ramirez M, Callender G, Kupferman M, Rich T, Chuang H, Trent J, Perrier ND, Goodarzi M, Jimenez C. Paraganglioma syndrome type 1 in a patient with Carney-Stratakis syndrome. Nat Rev Endocrinol 6(2):110-115, 2010.
24. Morris GS, Grubbs EG, Hearon CM, Gantela S, Lee JE, Evans DB, Holmes HM, Busaidy NL, Jimenez C, Perrier ND. Parathyroidectomy improves functional capacity in "asymptomatic" older patients with primary hyperparathyroidism. Ann Surg 251(5):832-37, 2010.
25. Grubbs EG, Callender GG, Xing Y, Perrier ND, Evans DB, Phan AT, Lee JE. Recurrence of adrenal cortical carcinoma following resection: Surgery alone can achieve results equal to surgery plus mitotane. Ann Surg Oncol 17(1):263-270, 2010.
26. Perrier ND, Edeiken B, Nunez R, Gayed I, Jimenez C, Busaidy N, Potylchanski E, Vu T. A novel nomenclature to classify parathyroid adenomas. World J Surg 33(3):412-416, 2009.
27. Iyer R, Guo CC, Perrier ND. Adrenal pheochromocytoma with brown fat stimulation. American Journal of Roentgenology 192(1):300-1, 2009.
28. Williams MD, Suliburk JW, Staerkel GA, Busaidy NL, Clayman GL, Evans DB, Perrier ND. Clinical significance of distinguishing between follicular lesion and follicular neoplasm in thyroid fine-needle aspiration biopsy. Ann Surg Onc 16(11):3146-3153, 2009.
29. Benge JF, Perrier ND, Massman PJ, Meyers CA, Kayl AE, Wefel JS. Cognitive and affective sequelae of primary hyperparathyroidism and early resonse to parathyroidectomy. J International Neuropsychological Society 15(6):1002-1011, 2009.
30. Weaver S, Doherty DB, Jimenez C, Perrier ND. Peer-reviewed, evidence-based analysis of vitamin D and primary hyperparathyroidism. World J Surg 33(11):2292-302, 2009.
31. Perrier ND, Balachandran D, Wefel J, Jimenez C, Busaidy N, Morris G, Dong W, Jackson E, Weaver S, Gantela S, Grubbs EG, Lee JE. Prospective, randomized, controlled trial of parathyroidectomy in patients with asymptomatic primary hyperparathyroidism. Surgery 146(6):1116-1122, 2009.
32. Marshall CL, Lee JE, Xing Y, Perrier ND, Edeiken BS, Evans DB, Grubbs EG. Routine pre-operative ultrasonography for papillary thyroid cancer: effects on cervical recurrence. Surgery 146(6):1063-72, 2009.
33. Callender GG, Grubbs EG, Vu T, Hofstetter WL, Fleming JB, Woodburn KI, Lee JE, Evans DB, Perrier ND. The fallen one: The inferior parathyroid gland that descends into the mediastinum. J Amer Coll Surg 208(5):887-895, 2009.
34. Grubbs EG, Rafeeq S, Jimenez C, Feng L, Lee JE, Evans DB, Perrier ND. Preoperative vitamin D replacement therapy in primary hyperparathyroidism: Safe and Beneficial? Surgery 144(6):852-859, 12/2008.
35. Mortenson MM, Evans DB, Lee JE, Hunter GJ, Shellingerhout D, Vu T, Edeiken BS, Feng L, Perrier ND. Parathyroid exploration in the reoperative neck: improved preoperative localization with 4D-computed tomography. J Am Coll Surg 206(5):888-95, 5/2008.
36. Anaya DA, Holsinger FC, Perrier ND. Parathyroid preservation and autografting in thyroid surgery. Curr Probl Surg 45(3):220-226, 3/2008.
37. Grubbs EG, Rich TA, Li G, Sturgis EM, Younes MN, Myers JN, Edeiken-Monroe B, Fornage BD, Monroe DP, Staerkel GA, Williams MD, Waguespack SG, Hu MI, Cote G, Gagel RF, Cohen J, Weber RS, Anaya DA, Holsinger FC, Perrier ND, Clayman GL, Evans DB. Recent advances in thyroid cancer. Curr Probl Surg 45(3):156-250, 3/2008.
38. Van Emburgh BO, Hu JJ, Levine EA, Mosley LJ, Case LD, Lin HY, Knight SN, Perrier ND, Rubin P, Sherrill GB, Shaw CS, Carey LA, Sawyer LR, Allen GO, Milikowski C, Willingham, MC, Miller MS. Polymorphisms in drug metabolism genes, smoking, and p53 mutations in breast cancer. Mol Carcinog 47:88-99, 2/2008.
39. Wray CJ, Rich TA, Waguespack BG, Lee JE, Perrier ND, Evans DB. Failure to recognize multiple endocrine neoplasia 2B: more common than we think? Ann Surg Oncol 15(1):293-301, 1/2008.
40. Philip M, Guerrero MA, Evans DB, Hunger GJ, Edeiken B, Vu T, Perrier ND. Efficacy of 4D-CT preoperative localization in 2 patients with MEN 2A. J Surg Education 65(3):182-6, 2008. PMID: 18571130.
41. Monroe DP, Edeiken-Monroe BS, Lee JE, Evans DB, Perrier ND. Impact of preoperative thyroid ultrasonography on the surgical management of primary hyperparathyroidism. Br J Surg 95(8), 2008.
42. Van Emburgh BO, Hu JJ, Levine EA, Mosley LJ, Perrier ND, Freimanis RI, Allen GO, Rubin P, Sherrill GB, Shaw CS, Carey LA, Sawyer LA, and Miller MS. Polymorphisms in CYP1B1, GSTM1, GSTT1 and GSTP1, and susceptibility to breast cancer. Oncology Reports 19:1311-21, 2008.
43. Perrier ND, Kennamer DL, Bao R, Jimenez C, Grubbs EG, Lee JE, Evans DB. Posterior retroperitoneoscopic adrenalectomy (PRA): Preferred technique for removal of benign tumors and isolated metastases. Ann Surg 248(4):666-74, 2008.
44. Rich TA, Perrier ND. Risk assessment and genetic counseling for multiple endocrine neoplasia type 1 (MEN1). Community Oncology 5(9):502-514, 2008.
45. Guerrero MA, Evans DB, Lee JE, Bao R, Bereket A, Gantela S, Perrier ND. Viability of cryopreserved parathyroid tissue: when is continued storage versus disposal indicated? World J Surg 32(5):836-39, 2008.
46. Perrier ND. Impact of 25 hydroxyvitamin D deficiency in perioperative parathyroid hormone kinetics and results in patients wiith primary hyperparathyroidism. Surgery 142(6):1027-29, 12/2007.
47. Mittendorf EA, Wefel JS, Meyers CA, Shapiro SE, Doherty DB, Lee JE, Evans DB, Perrier ND. Improvement of sleep disturbance and neurocognitive function after parathyroidectomy in patients with primary hyperparathyroidism. Endocr Pract 13(4):338-44, 7/2007.
48. Guerrero MA, Wray CJ, Kee SS, Frenzel JC, Perrier ND. Minimally invasive parathyroidectomy complicated by pneumothoraces: A report of 4 cases. J Surg Educ 64(2):101-07, 3/2007.
49. Mittendorf EA, Wang X, Perrier ND, Francis AM, Edeiken BS, Shapiro SE, Lee JE, Evans DB. Followup of patients with papillary thyroid cancer: in search of the optimal algorithm. J Am Coll Surg 205:239-247, 2007.
50. Perrier ND, Silberfein EJ. How to take the ambiguity out of parathyroidectomy. Contemp Surg 63(9):452-453, 2007.
51. Gonzalez RJ, Tamm EP, Ng C, Phan AT, Vassilopoulou-Sellin R, Perrier ND, Evans DB, Lee JE. Response to mitotane predicts outcome in patients with recurrent adrenal cortical carcinoma. Surgery 142:867-75, 2007.
52. Rodgers SE, Hunter GJ, Hamberg LM, Schellingerhout D, Doherty DB, Ayers GD, Shapiro SE, Edeiken BS, Truong MT, Evans DB, Lee JE, Perrier ND. Improved preoperative planning for directed parathyroidectomy with 4-dimensional computed tomography. Surgery 140(6):932-40; discussion 940-1, 12/2006. PMID: 17188140.
53. Evans DB, Perrier ND. On "Posterior retroperitoneoscopic adrenalectomy--results of 560 procedures in 520 patients". Surgery 140(6):951-2, 12/2006. PMID: 17188143.
54. Elliott DD, Monroe DP, Perrier ND. Parathyroid histopathology: Is it of any value today? J Am Coll Surg 203(5):758-65, 11/2006. PMID: 17084340.
55. Rodgers SE, Evans DB, Lee JE, Perrier ND. Adrenocortical carcinoma. Surg Oncol Clin N Am 15(3):535-53, 7/2006. PMID: 16882496.
56. Delman KA, Shapiro SE, Jonasch EW, Lee JE, Curley SA, Evans DB, Perrier ND. Abdominal visceral lesions in von Hippel-Lindau disease: incidence and clinical behavior of pancreatic and adrenal lesions at a single center. World J Surg 30(5):665-9, 5/2006. PMID: 16617420.
57. Kouvaraki MA, Shapiro SE, Cote GJ, Lee JE, Yao JC, Waguespack SG, Gagel RF, Evans DB, Perrier ND. Management of pancreatic endocrine tumors in multiple endocrine neoplasia type 1. World J Surg 30(5):643-53, 5/2006. PMID: 16680581.
58. Perrier ND, Coker LH, Rorie KD, Burbank NS, Kirkland KA, Passmore LV, Tembreull T, Stump DA, Laurienti PJ. Preliminary report: functional MRI of the brain may be the ideal tool for evaluating neuropsychologic and sleep complaints of patients with primary hyperparathyroidism. World J Surg 30(5):686-96, 5/2006. PMID: 16528460.
59. Kouvaraki MA, Greer M, Sharma S, Beery D, Armand R, Lee JE, Evans DB, Perrier ND. Indications for operative intervention in patients with asymptomatic primary hyperparathyroidism: practice patterns of endocrine surgery. Surgery 139(4):527-34, 4/2006. PMID: 16627063.
60. Stoeckel WT, David L, Levine EA, Argenta AE, Perrier ND. Vacuum-assisted closure for the treatment of complex breast wounds. Breast 15(5):610-13, 1/2006. PMID: 16443363.
61. Mullen JT, Wang H, Yao JC, Lee JH, Perrier ND, Pisters PW, Lee JE, Evans DB. Carcinoid tumors of the duodenum. Surgery 138(6):971-7; discussion 977-8, 12/2005. PMID: 16360380.
62. Gonzalez RJ, Shapiro S, Sarlis N, Vassilopoulou-Sellin R, Perrier ND, Evans DB, Lee JE. Laparoscopic resection of adrenal cortical carcinoma: a cautionary note. Surgery 138(6):1078-85; discussion 1085-6, 12/2005. PMID: 16360394.
63. Matsuzu K, Segade F, Wong M, Clark OH, Perrier ND, Bowden DW. Glucose transporters in the thyroid. Thyroid 15(6):545-50, 6/2005. PMID: 16029120.
64. Kouvaraki MA, Shapiro SE, Perrier ND, Cote GJ, Gagel RF, Hoff AO, Sherman SI, Lee JE, Evans DB. RET proto-oncogene: a review and update of genotype-phenotype correlations in hereditary medullary thyroid cancer and associated endocrine tumors. Thyroid 15(6):531-44, 6/2005. PMID: 16029119.
65. Kouvaraki MA, Shapiro SE, Lee JE, Evans DB, Perrier ND. Surgical management of thyroid carcinoma. J Natl Compr Canc Netw 3(3):458-66, 5/2005. PMID: 16002007.
66. Lambert LA, Shapiro SE, Lee JE, Perrier ND, Truong M, Wallace MJ, Hoff AO, Gagel RF, Evans DB. Surgical treatment of hyperparathyroidism in patients with multiple endocrine neoplasia type 1. Arch Surg 140(4):374-82, 4/2005. PMID: 15841561.
67. Kraas J, Clark PB, Perrier ND, Morton KA. The scintigraphic appearance of subcapsular parathyroid adenomas. Clin Nucl Med 30(4):213-7, 4/2005. PMID: 15764873.
68. Clark PB, Perrier ND, Morton KA. Detection of an intrathymic parathyroid adenoma using single-photon emission CT 99mTc sestamibi scintigraphy and CT. AJR Am J Roentgenol 184(3 Suppl):S16-8, 3/2005. PMID: 15728008.
69. Kleinpeter KP, Lovato JF, Clark PB, Wooldridge T, Norman ES, Bergman S, Perrier ND. Is parathyroid carcinoma indeed a lethal disease? Ann Surg Oncol 12(3):260-6, 3/2005. PMID: 15827819.
70. Kouvaraki MA, Solorzano CC, Shapiro SE, Yao JC, Perrier ND, Lee JE, Evans DB. Surgical treatment of non-functioning pancreatic islet cell tumors. J Surg Oncol 89(3):170-85, 3/2005. PMID: 15719379.
71. Cofield KR, 3rd, Cantley LK, Geisinger KR, Zagoria RJ, Perrier ND. Adrenocortical carcinoma arising from a long-standing adrenal mass. Mayo Clin Proc 80(2):264-6, 2/2005. PMID: 15704782.
72. Perrier ND. Asymptomatic hyperparathyroidism: a medical misnomer? Surgery 137(2):127-31, 2/2005. PMID: 15674190.
73. Coker LH, Rorie KD, Kirkland KA, Stump DA, Cantley L, Burbank NS, Tembreull T, Williamson J, Perrier ND*. Primary hyperparathyroidism, cognition, and health related quality of life. Ann Surg 242(5):642-50, 2005.
74. Kikuchi S, Perrier ND, Cheah WK, Siperstein AE, Duh QY, Clark OH. Complication of thyroidectomy in patients with radiation-induced thyroid neoplasms. Arch Surg 139(11):1185-8, 11/2004. PMID: 15545564.
75. Clark PB, Wooldridge T, Kleinpeter K, Perrier ND Lovato J, Morton K. Providing optimal preoperative localization for recurrent parathyroid carcinoma: a combined parathyroid scintigraphy and computed tomography approach. Clin Nucl Med 29:681-84, 11/2004.
76. Matsuzu K, Segade F, Matsuzu U, Carter A, Bowden DW, Perrier ND. Differential expression of glucose transporters in normal and pathologic thyroid tissue. Thyroid 14(10):806-12, 10/2004. PMID: 15588375.
77. Perrier ND, Boger MS. Medicine's greatest gifts to surgery. World J Surg 28(10):1057-9, 10/2004. PMID: 15573266.
78. Boger MS, Perrier ND. Advantages and disadvantages of surgical therapy and optimal extent of thyroidectomy for the treatment of hyperthyroidism. Surg Clin North Am 84(3):849-74, 6/2004. PMID: 15145239.
79. Barker H, Caldwell L, Lovato J, Woods KF, Perrier ND. Is there a racial difference in presentation of primary hyperparathyroidism. Am Surg 70:504-6, 6/2004. PMID: 15212403.
80. Kikuchi S, Perrier ND, Ituarte P, Siperstein AE, Duh QY, Clark OH. Latency period of thyroid neoplasia after radiation exposure. Ann Surg 239(4):536-43, 4/2004. PMID: 15024315.
81. Creager AJ, Geisinger KR, Perrier ND, Shen P, Shaw JA, Young PR, Case D, Levine EA. Intraoperative imprint cytologic evaluation of sentinel lymph nodes for lobular carcinoma of the breast. Ann Surg 239(1):61-6, 1/2004. PMID: 14685101.
82. Berger WS, Trupiano JK, Clark PB, Smith R, Higgins KB, Perrier ND. Pheochromocytomas and GI stromal tumors in a patient with neurofibroma type I. Surg Rounds 27:262-66, 2004.
83. Clark PB, Case D, Watson NE, Jr, Perrier ND, Morton KA. Enhanced scintigraphic protocol required for optimal preoperative localization before targeted minimally invasive parathyroidectomy. Clin Nucl Med 28(12):955-60, 12/2003. PMID: 14663315.
84. Mondi MM, Rich R, Ituarte P, Wong M, Bergman S, Clark OH, Perrier ND. HER2 expression in thyroid tumors. Am Surg 69(12):1100-3, 12/2003. PMID: 14700299.
85. Smith TR, Levine EA, Perrier ND, Miller MS, Freimanis RI, Lohman K, Case LD, Xu J, Mohrenweiser HW, Hu JJ. DNA-repair genetic polymorphisms and breast cancer risk. Cancer Epidemiol Biomarkers Prev 12(11 Pt 1):1200-4, 11/2003. PMID: 14652281.
86. Zhao L, Freimanis R, Bergman S, Shen P, Perrier ND, Lesko N, Pulaski T, Pulaski S, Carr JJ, Levine EA. Biopsy needle technique and the accuracy of diagnosis of atypical ductal hyperplasia for mammographic abnormalities. Am Surg 69(9):757-62; discussion 762, 9/2003. PMID: 14509322.
87. Kikuchi S, Perrier ND, Ituarte PH, Treseler PA, Siperstein AE, Duh QY, Greenspan FS, Clark OH. Accuracy of fine-needle aspiration cytology in patients with radiation-induced thyroid neoplasms. Br J Surg 90(6):755-8, 6/2003. PMID: 12808628.
88. Haynes G, Garske D, Case D, Shen P, Levine EA, Perrier ND. Effect of massage technique on sentinel lymph node mapping for cancer of the breast. Am Surg 69(6):520-2, 6/2003. PMID: 12852511.
89. Clark PB, Case D, Watson NE, Morton KA, Perrier ND. Experienced scintigraphers contribute to success of minimally invasive parathyroidectomy by skilled endocrine surgeons. Am Surg 69(6):478-83; discussion 483-4, 6/2003. PMID: 12852504.
90. Genc H, Morita E, Perrier ND, Miura D, Ituarte P, Duh QY, Clark OH. Differing histologic findings after bilateral and focused parathyroidectomy. J Am Coll Surg 196(4):535-40, 4/2003. PMID: 12691927.
91. Levine EA, Freimanis RI, Perrier ND, Morton K, Lesko NM, Bergman S, Geisinger KR, Williams RC, Sharpe C, Zavarzin V, Weinberg IN, Stepanov PY, Beylin D, Lauckner K, Doss M, Lovelace J, Adler LP. Positron emission mammography: initial clinical results. Ann Surg Oncol 10:86-91, 1/2003. PMID: 12513966.
92. Greer S, Mitchell J, Torti FM, Perrier ND. Metachronous metastasis of renal cell carcinoma to the thyroid gland. Contemp Surg 59:121-24, 2003.
93. Eskridge M, Perrier ND,. Temporal artery biopsy. Oper Tech Gen Surg 4:239-50, 2002.

Invited Articles

1. Perrier ND. "How I Do It" - Dissection of the superior thyroid pole. World J Endocrine Surgery 1(1):37-38, 2009.
2. Rizwan MM and Perrier ND. Long-term lithium therapy leading to hyperparathyroidism: A Case Report. Perspectives in Psychiatric Care 45(1):62-5, 2009.
3. Monroe DP and Perrier ND. Life on the Savanna: appreciating the wildlife in the workplace. General Surgery News, 11/2008.
4. Perrier, ND and Gantela S. Primary hyperparathyroidism. Epocrates Online, 7/2008.
5. Mittendorf EA, Evans DB, Lee JE, Perrier ND. Pheochromocytoma: Advances in genetics, diagnosis, localization, and treatment. Hematol Oncol Clin N Am 21:509-25, 6/2007.
6. Suliburk JW, Perrier ND. Primary Hyperparathyroidism. The Oncologist 12:644-53, 6/2007.
7. Rodgers SE, Perrier ND. Parathyroid carcinoma. Curr Opin Oncol 18:16-22, 1/2006. PMID: 16357559.
8. Perrier ND. Incidence, presentation, and indication for surgical intervention in primary hyperparathyroidism. Wake Forest University Baptist Medical Center Clinical Update, 2003.
9. Perrier ND. Spotlight on endocrine surgery: adrenal incidentalomas lecture. Audio-Digest General Surgery 50:1047-54, 2003.
10. Perrier ND. Lipstick and pearls. Surgery 131:663-4, 6/2002. PMID: 12075179.
11. Perrier ND. War on terrorism parallels war on cancer. National Association for Women’s Health: Focus 15:1, 2002.

Editorials

1. Perrier ND. Why I have abandoned robot-assisted transaxillary thyroid surgery. Surgery 152(6):1025-1026, 12/2012. e-Pub 11/2012. PMID: 23158176.
2. Perrier ND, Evans DB. Population-level predictors of persistent hyperparathyroidism. Surgery 150(4):1120-1121, 12/2011. PMID: 22136830.
3. Perrier ND. COMMENTARY - Robotic thyroidectomy: A transaxillary approach without CO2 insufflation. Atlas of Head and Neck Surgery, 2011.
4. Perrier ND. COMMENTARY - The Parathyroid Glands: What the endocrine surgeon should know "Indian Rhino Club". Endocrine Practice 17(Suppl 1), 2011.
5. Perrier ND. COMMENTARY Thyroidectomy is optimal treatment for Graves' disease. J Am Coll Surg 212:714-721, 2011.
6. Perrier ND. Response to: bilateral robotic transaxillary thyroid surgery. Arch Surg, 2010.
7. Perrier ND, Vu T. Computed tomography can guide focused exploration in select patients with primary hyperparathyroidism and negative sestamibi scanning. Surgery 144(6):978-979, 12/2008.
8. Monroe DP, Edeiken-Monroe BS, Perrier ND. Light and dark: surgeons, radiologists, and why they need mutual understanding to succeed. J Am Coll Surg 205(6):805-06, 9/2007.
9. Perrier ND, Ituarte P, Kikuchi S, Siperstein AE, Duh QY, Clark OH, Gielow R, Hamil T. COMMENTARY - Intraoperative parathyroid aspiration and parathyroid hormone assay as an alternative to frozen section for tissue identification. World J Surg 24(11):1319-1322, 2000.

Abstracts

1. Wong F, Vu T, Duan X, Chuang H, Schellingerhout D, Kappadath SC, Johnson V, Rohren E, Perrier ND, Kim EE. Comparison of ultrasonography, Tc-99m sestamibi SPECT-CT and contrast-CT in the localization of parathyroid adenoma. Society of Nuclear Medicine, 2011.
2. Rich TA, Waguespack SG, Gagel R, Cote G, Ying A, Hu M, Perrier ND, Lee JE, Grubbs EG. Age-specific identification of medullary thyroid cancer (MTC) in presymptomatically screened American Thyroid Association (ATA) levels A and B RET mutation carriers. 12 International Workshop on Multiple Endocrine Neoplasia, Gubbio, Italy, 9/2010.
3. Ayala-Ramirez M,Perrier ND. Role of systemic therapy in patients with metastatic pheochromocytomas and sympathetic paragangliomas - insights from a review of the largest single institutional experience. 12 International Workshop on Multiple Endocrine Neoplasia, Gubbio, Italy, 9/2010.
4. Landry CS, Rich TA, Jimenez C, Grubbs EG, Lee JE, Hai T, Cote G, Gagel RF, Perrier ND. Screening for multiple endocrine neoplasia 1 in young patients with primary hyperparathyroidism. 12th International Workshop on Multiple Endocrine Neoplasia, Gubbio, Italy, 9/2010.
5. Grubbs EG, Mittendorf EA, Phan AT, Perrier ND, Evans DB, Callender GG, Xing Y, Lee JE. Recurrence of adrenocortical carcinoma following resection: Surgery alone can achieve results equal to surgery plus mitotane. Society of Surgical Oncology, 62nd Annual Cancer Symposium, St. Louis, MO, 3/2010.
6. Vu T, Perrier ND. Assessment of hyperfunctioning parathyroid adenomas using multiphase multidetector CT. Society of Neuroradiology, 2010.
7. Kim EE, Song Y-S, Wong F, Lee D-S, Perrier ND. Correlation of 99mTc sestamibi uptake with size and weight of parathyroid adenoma as well as serum levels of calcium, PTH and vitamin D. Society of Nuclear Medicine, 2010.
8. Grubbs EG, Xing Y, Callender GG, Perrier ND, Evans DB, Phan AT, Lee JE. Comparison of adrenal cortical carcinoma (ACC) staging sysems by combined large database analysis. IAES Conference, Adelaide, Australia, 9/2009.
9. Grubbs EG, Callender GG, Perrier ND, Phan AT, Lee JE. Mitotane for treatment of advanced adrenal cortical carcinoma (ACC): relationship of drug level and length of treatment to disease progression. IAES Conference, Adelaide, Australia, 9/2009.
10. Grubbs EG, Marshall CL, Evans DB, Lee JE, Perrier ND. Preoperative ultrasound for papillary thyroid cancer: Long-term results in 236 patients. AAES Annual Meeting, Madison, WI, 5/2009.
11. Holmes HM, Callender GG, Luo R, Du Beau CE, Perrier ND. Development of a geriatrics training initiative in surgical oncology: A Learners' Needs Assessment. American Geriatrics Society Annual meeting, Chicago IL, 2009.
12. Balachandran D, Bashoura L, Gantela S,Aaron-Remmert B, Thompson N, Faiz S, Hirschkowitz M, Perrier ND. Effect of parathyroidectomy on sleep. Sleep, 2008.
13. Gayed I, Perrier ND. Is coronary arteries calcification on contrast-enhanced chest computed tomography scans an indication for stress myocardial perfusion studies?. Radiology Society of North America (#6017368), 2008.
14. Benge J, Perrier ND, Massman PJ, Wefel JS. Neurocognitive sequelae of primary hyperparathyroidism and their response to parathyroidectomy. International Neuropsychology, 2008.
15. Grubbs EG, Morris GS, Gantela S, Bao R, Perrier ND. Parathyroidectomy (PTX) improves functional capacity in geriatric patients (pts) with seemingly "Asymptomatic" primary hyperparathyroidism (PHPT). Society of Surgical Oncology, 2008.
16. Shin S, Bao R, Jimenez C, Evans DB, Lee JE, Perrier ND. Parathyroidectomy for elderly patients is safe. American College of Surgeons, 2008.
17. Rich TA, Perrier ND, Evans DB, Gagel RF, Cote G, Marani SK, Matthews J, Peterson SK. Tumor surveillance attitudes and behaviors in patients with multiple endocrine neoplasia (MEN) types 1 and 2. World MEN, 2008.
18. Wray CJ, Rich TA, Waguespack SG, Gagel RF, Lee JE, Perrier ND, Evans DB. Lymphadenectomy at initial operation for medullary thyroid carcinoma in MEN2B patients improves disease free survival. Society of Surgical Oncology, 2007.
19. Mortenson MM, Perrier, ND. Reoperative parathyroid surgery: Improved preoperative localization with 4D-computed tomography. Southern Surgical Association, 2007.
20. Gonazlez RJ, Tamm EP, Ng C, Phan AT, Vassilopoulou V, Sellin R, Perrier ND, Evans DE, Lee JE. Response to mitotane predicts outcome and increases survival in surgically resected patients with recurrent adrenal cortical carcinoma. American Association of Endocrine Surgeons, 2007.
21. Mittendorf EA, Perrier ND, Shapiro S, Lee JE, Sherman SI, Evans DE. Annual RAI imaging after treatment for papillary thyroid cancer: Is it necessary?. The Endocrine Society, 2006.
22. Doherty D, Rodgers SE, Hunter GJ, Hamberg LM, Schellingerhout D, Evans DE, Lee JE, Perrier ND. Four-dimensional computed tomography: A novel imaging modality for localization of parathyroid tumors. Society of Surgical Oncology, 2006.
23. Doherty D, Rodgers SE, Hunter GI, Hamberg LM, Schellingerhout D, Ayers GD, Shapiro SE, Evans DE, Lee JE, Perrier ND. Four-dimensional computed tomography permits improved preoperative planning for directed parathyroidectomy. American Association of Endocrine Surgeons, 2006.
24. Mittendorf EA, Wefel JS, Meyers CA, Shapiro SE, Doherty DB, Lee JE, Evans DB, Perrier ND. Parathyroidectomy improves sleep disturbance and neurocognitive function in patients with primary hyperparathyroidism. Asian Association of Endocrine Surgeons, 2006.
25. Zager JS, Rodgers SE, Shapiro SE, Lee JE, Evans DE, Perrier ND. Retroperitoneoscopic adrenalectomy: The preferred approach for benign and metastatic adrenal tumors. The Endocrine Society, 2006.
26. Mullen JT, Wang H, Yao JC, Lee JH, Perrier ND, Pisters PW, Lee JE, Evans DB. Carcinoid tumors of the duodenum. American Association of Endocrine Surgeons Annual Conference, 2005.
27. Lakkis C, Malik I, Perrier ND, Castriotta R. Evaluation of sleep in end-stage renal failure patients with secondary hyperparathyroidism (HPT). Associated Professional Sleep Societies, LLC 19th Annual Meeting, 2005.
28. Perrier ND, Wefel JS, Coker LH, Rorie KD, Kirkland KA, Stump DA, Cantley L, Burbank NS, Tembreull T, Williamson J. Functional MRI of the brain may prove to be ideal tool for evaluating neuropsychologic and sleep complaints of patients with primary hyperparathyroidism. . International Association of Endocrine Surgeons (IAES) Annual Conference, 2005.
29. Gonzalez RJ, Shapiro S, Sarlis N, Vassilopoulou-Sellin R, Perrier ND, Evans DB, Lee JE. Laparoscopic resection of adrenal cortical carcinoma: a cautionary note. American Association of Endocrine Surgeons Annual Meeting, 2005.
30. Kouvaraki MA, Shapiro SE, Lee JE, Yao JC, Evans DB, Perrier ND. Management of pancreatic endocrine tumors in multiple endocrine neoplasia type 1 syndrome. International Association of Endocrine Surgeons (IAES) Annual Conference, 2005.
31. Bauer TW, Shapiro SE, Waguespack SG, Lee JE, Evans DB, Perrier ND. MEN “X”: uncharacterized multiple endocrine neoplasia syndromes. Society of Surgical Oncology 58th Annual Cancer Symposium P111, 2005.
32. Van Emburgh BO, Hu JJ, Levine EA, Mosley LJ, Case DL, Knight SN, Perrier ND, Rubin P, Sherrill GB, Shaw CS, Carey LA, Sawyer L, Willingham MC, Miller MS. Phase I and phase II enzyme polymorphisms and p53 mutations in breast cancer. American Association for Cancer Research, 2005.
33. Habra MA, Thompson MA, Rodriguez MA, Routbort MJ, Holsinger FC, Perrier ND, Waguespack SG. Primary natural killer/t cell lymphoma of the adrenal gland: a unique presentation of a rare disorder. The Endocrine Society’s 87th Annual Meeting Poster (#851217), 2005.
34. Delman KA, Shapiro SE, Jonasch W, Lee JE, Evans DB, Perrier ND. Von Hippel-Lindau disease: a reminder for the abdominal endocrine surgeon. International Association of Endocrine Surgeons (IAES) Annual Conference, 2005.
35. Weinberg I, Beylin D, Yarnall S, Anashkin E, Stepanov P, Dolinsky S, Zavarzin V, Peter W, Lauckner K, Morton K, Freimanis R, Lesko N, Levine E, Perrier ND, Lovelace J, Geisinger K, Williams R, Wollenweber S, Narayanan D, Doss M, Torosian M, Adler L. Applications of a PET devise with 1.5 mm FWHM intrinsic spatial resolution to breast cancer imaging. IEEE International Symposium on Biochemical Imaging, 2004.
36. Beylin D, Lauckner K, Wollenweber SD, Anashkin E, Dolinsky S, Keen R, Zavarzin V, Weinberg IN, Yarnall S, Stepanov P, Narayanan D, Williams RC, Freimanis RL, Sigurdson E, Evers K, Levine EA, Lesko NM, Morton K, Perrier ND, Lovelace J, Gage D, Doss M, Adler LP. Improving posterior breast access with high-resolution positron emission mammography. Society of Nuclear Medicine 1340:429-30, 2004.
37. Kleinpeter KP, Clark PB, Lovato JF, Perrier ND. Is parathyroid carcinoma a lethal disease?. The Society of Surgical Oncology 400, 2004.
38. Lambert LA, Shapiro SE, Lee JE, Perrier ND, Truong M, Hoff AO, Gagel RF, Evans DB. Surgical treatment of hyperparathyroidism in patients with MEN1. 85th Annual meeting of the New England Surgical Society 116:B8, 2004.
39. Matsuzu K, Segade F, Wong MG, Clark OH, Perrier ND. TSH stimulates glucose uptake in thyroid carcinoma cells. 76th Annual Meeting of the American Thyroid Association:160, 2004.

Book Chapters

1. Perrier ND, Gantela S, Rao DS. Non-classical primary hyperparathyroidism: A brief review of the manifestations and potential mechanisms. In: Parathyroid Gland Handbook. In Press.
2. Perrier ND, Parangi S. Minimally Invasive Single Gland Parathyroid Exploration. In: Surgery of the Thyroid and Parathyroid Glands. Elsevier, Inc. Philadelphia, PA, 580-589, 2013. ISBN: 978-1-4377-2227-7.
3. Perrier ND, Weaver S, Gantela S, Rao DS. Nonclassic, Extraskeletal Manifestations of Primary Hyperparathyroidism. In: Handbook of Parathyroid Diseases. Ed(s) AA Kahn, OH Clark. Springer: New York, 123-139, 2012.
4. Ayala-Ramirez M, Jimenez C, Feng L, Habra MA, Rich TA, Dickson PV, Perrier ND, Phan A, Waguespack S, Patel S. Clinical benefits of systemic chemotherapy for patients with metastatic pheochromocytomas or sympathetic extra-adrenal paragangliomas: Insights from a large, single institutional experience. In: Cancer, e-Book 2011.
5. Silberfein EJ, Perrier ND. Management of Pheochromocytoma. In: Current Surgical Therapy, Tenth. Ed(s) Cameron JL, Cameron A. Elsevier Mosby: Philadelphia, 579-584, 2011.
6. Landry CS, Grubbs EG, Edeiken-Monroe BS, Vu T, Kim E, Perrier ND. Parathyroid Imaging. In: Handbook of Endocrine Surgery. Ed(s) Chen H. World Scientific Publishing, 159-170, 2011.
7. Moreno M, Perrier ND, Clark OH. Surgery for Thyrotoxicosis. In: Oxford Textbook of Endocrinology and Diabetes, 2nd. Ed(s) John A.H. Wass and Paul M. Stewart. Oxford University Press: London, 484-489, 2011.
8. Callender GG, Hu M-I, Evans DB, Perrier ND. Medullary Thyroid Carcinoma. In: Manual of Endocrine Surgery. Ed(s) Morita SY, Dackiw APB, Zeiger MA. McGraw-Hill: New York, 89-109, 2010.
9. Grubbs EG, Nunez RF, Iyer RB, Perrier ND. Adrenal Imaging. In: Endocrine Surgery: Principles and Practice. Ed(s) Hubbard JGH, Inabnet WB, Lo C-Y. Springer: London, 343-357, 2009.
10. Callender GG, Kennamer DL, Grubbs EG, Lee JE, Evans DB, Perrier ND. Posterior Retroperitoneoscopic Adrenalectomy. In: Advances in Surgery. 43. Ed(s) Cameron JL, Evers BM, Fong Y, Herndon D, Lillemoe K, Mannnick JA, Wong J, Yeo CJ. Elsevier Mosby: Philadelphia, 147-157, 2009.
11. Landry CS, Waguespack SG, Perrier ND. Surgical Management of non-Multiple Endocrine Neoplasia Endocrinopathies: State-of-the-Art Review. In: Surgical Clinics of North America. 89. Ed(s) MA Zeiger, RF Martin. W.B. Saunders: Philadelphia, 1069-1089, 2009.
12. Callender GG, Rich TA, Perrier ND. Multiple endocrine neoplasia syndromes. In: Surgical Clinics of North America. 88. Elsevier Saunders, 863-895, 2008.
13. Mittendorf EA, Perrier ND. Persistent or recurrent hyperparathyroidism. In: Current Surgical Therapy, 9th. Ed(s) JL Cameron. Mosby: Philadelphia, 630-34, 2008.
14. Kouvaraki MA, Perrier, ND, Rich TA, Lee JE, Evans DB. Surgical treatment of MEN I disease. In: Advanced Therapy in Surgical Oncology, 1st. Ed(s) Pollock RE, Curley SA, Ross MI, Perrier NE. B.C. Decker Inc., 449-64, 2008.
15. Kouvaraki MA, Perrier ND, Shapiro SE, Lee JE, Evans DB. Surgical treatment of MEN II disease. In: Advanced Therapy in Surgical Oncology, 1st. Ed(s) Pollock RE, Curley SA, Ross MI, Perrier ND. B.C. Decker Inc., 465-73, 2008.
16. Guerrero MA, Perrier ND. Thyroid Cancer. In: Conn's Current Therapy. Ed(s) RE Rakel, ET Bope. W.B. Saunders: Philadelphia, 655-59, 2008.
17. Boger MS, Perrier ND. Graves' and Plummer's diseases. In: Medical and Surgical Management. Textbook of Endocrine Surgery. W.B. Saunders Co., 54-67, 2005.
18. Boger MS, Perrier ND. Surgical anatomy. In: Surgery of the Adrenal Glands. Springer-Verlag, 7-18, 2005.
19. Boger MS, Perrier ND. Advantages and disadvantages of surgical therapy and the optimal extent of thyroidectomy for the treatment of hyperthyroidism. In: Surgical Clinics of North America. W.B. Saunders: Philadelphia, 849-74, 2004.
20. Boger MS, Perrier ND. Cushing's syndrome. In: Surgical Decision Making. W.B. Saunders, 314-17, 2004.
21. Boger MS, Perrier ND. Benign primary tumors: primary hyperparathyroidism. In: Endocrine Tumors. B.C. Decker, Inc., 58-73, 2003.
22. Boger MS, Tatar F, Perrier ND. Benign secondary tumors: secondary hyperparathyroidism. In: Endocrine Tumors. B.C. Decker, Inc., 74-83, 2003.
23. Perrier ND, Clark OH. Surgery for thyrotoxicosis. In: Oxford Textbook of Endocrinology and Diabetes. Oxford University Press, 448-52, 2002.
24. Perrier ND, Clark OH. Hyperparathyroidism. In: The Practice of General Surgery. W.B. Saunders, 1071-76, 2001.

Books (edited and written)

1. Pollock RE, Curley SA, Ross MI, Perrier ND. Ed(s) Pollock RE, Curley SA, Ross MI, Perrier ND. Advanced Therapy in Surgical Oncology, 1st. B.C. Decker: Ontario, Canada, 2008.
2. Clark OH, Duh Q, Perrier ND, Jahan TM. Ed(s) Clark OH, Duh Q, Perrier ND, Jahan TM. Endocrine Tumors. In: American Cancer Society Atlas of Clinical Oncology, 1st. B.C. Decker, Inc. London, 2003.

Letters to the Editor

1. Doherty DB, Mittendorf EA, Perrier ND. An elderly woman with hyperparathyroidism exhibits improvement of neurocognitive dysfunction after parathyroidectomy. J Am Geriatr Soc 55:1689-91, 10/2007.

Manuals, Teaching Aids, Other Teaching Publications

1. Video: Robotic Assisted Thyroid Surgery (RATS). American College of Surgeons Clinical Congress, 10/2010.
2. Video: Posterior Retroperitoneoscopic Adrenalectomy, 3/2009.
3. Video: The diagnosis and treatment of adrenal disease, 7/2007.
4. Video: Patient care after parathyroid surgery, 6/2007.
5. Video: Patient care after thyroid surgery, 5/2007.
6. Video: Hyperparathyroidism patient, 2005.
7. Video: Treatment options for the breast cancer patient. 2002.

Last updated: 2/11/2014