Entire DC Network | Open Access Articles | Digital Commons Network™
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.
Secondary and tertiary hyperparathyroidism state of the art surgical management.
Pulmonary Neuroendocrine Tumor with Thyroid Gland Metastasis ...
Surg Clin North Am. DOI: Paricalcitol- or cinacalcet-centred therapy affects markers of bone mineral disease in patients with secondary hyperparathyroidism receiving haemodialysis: results of the IMPACT-SHPT study.
Nephrol Dial Transplant. Elder GJ.
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].
Parathyroidectomy in the calcimimetic era. Nephrology Carlton. Parathyroidectomy in chronic renal failure: has medical care reduce the need for surgery?
Mircescu G Stanescu B. Surgical or medical therapy for severe hyperparathyroidism of chronic kidney disease? An appraisal of current practice guidelines Acta Endo Buc.
Jamal SA Paul D. Miller PD. Secondary and Tertiary Hyperparathyroidism. J Clin Densitom.
- Virus papilloma humano italiano
- Cancer de san si fitoestrogeni
- Hpv throat diagnosis
Subtotal parathyroidectomy in the treatment of renal hyperparathyroidism - single center initial experience. Acta Endo Buc.
Parathyroidectomy improves symptomatology and quality of life in patients with secondary hyperparathyroidism. Improved long-term survival of dial ysis patients after near-total parathyroidectomy. J Am Coll Surg.
Covic A Schiller A. Clin Nephrol. Parathyroidectomy for secondary hyperparathyroidism in the era of calcimimetics.