Papillary thyroid cancer treatment guidelines.
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Article Recommendations Abstract Background. In spite of improved medical therapy, parathyroidectomy is still frequentely indicated for patients with medically refractory secondary and tertiary hyperparathyroidism. The aim of this study is to analyse the impact of parathyroidectomy, regardless of the surgical procedure, on perioperative and follow-up clinical symptoms and biochemistry tests. Material and method.
Outcome parameters included symptoms relieving bone pains, pruritus, etc and laboratory data intact parathyroid hormone iPthtotal calcium and phosphorus, serum alkaline phosphatase AlkPhoshematocrit and hemoglobinassesed before, shortly after and then at short-medium term follow-up.
Papillary thyroid cancer treatment guidelines majority of our patients had significant improvement of the symptoms during the follow-up period. The iPTH values considerably decreased after the operation. The postoperative calcemia mean value decreased and we have identified statistically significant differences between the monthly calcemia average values p The mean phosphorus level in the first 2 postoperative months decreased significantly p Both hematocit and hemoglobin levels experienced a statistical significant growth in the follow-up period.
Persistent HPT was encountered in two patients 6. We had few minor and transient postoperative complications and we did not encountered postoperative mortality in our series. Parathyroidectomy, regardless of the technical procedure, is feasible, safe and effective for patients with refractory secondary and tertiary hyperparathyroidism.
Keywords: hyperparathyroidism ; parathyroidectomy ; clinical and papillary thyroid cancer treatment guidelines follow-up ; hiperparatiroidism ; paratiroidectomie ; urmărire postoperatorie If the inline PDF is not rendering correctly, you can download the PDF file here.
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A celularitate abundentă într-o metastază de tumoare neuroendocrină în tiroidă. B celule cu nucleu mărit de volum și citoplasmă foarte puţină. Cromatină nucleară cu aspect granular. C, D celule izolate, foarte discret pleomorfe, cu nuclei măriți de volum și cu aspect de tip endocrinoid al cromatinei nucleare. Metastazează preponderent pe cale hematogenă în plămânul controlateral, ficat, glande suprarenale, creier, oase, măduva osoasă [2,3].
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