دورية أكاديمية
Intraoperative Post-parathyroidectomy Correlation of PTH Hormone Values with Preoperative Scintigraphy
| العنوان: | Intraoperative Post-parathyroidectomy Correlation of PTH Hormone Values with Preoperative Scintigraphy |
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| المؤلفون: | Iulian SLAVU, Cornelia NITIPIR, Cristina ORLOV-SLAVU, Alexandru DOGARU, Raluca TULIN, Constantin OPRESCU, Adrian TULIN |
| المصدر: | Modern Medicine, Vol 30, Iss 2, Pp 95-99 (2023) |
| بيانات النشر: | Media Med Publicis, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine LCC:Medicine (General) |
| مصطلحات موضوعية: | hyperparathyroidism, sestaimibi, surgery, Medicine, Medicine (General), R5-920 |
| الوصف: | Preoperative parathyroid evaluation through nuclear medicine and intraoperative hormone monitoring has significantly increased the success of the surgical intervention. Material and method: Our study is descriptive, the database is retrospective but it is maintained prospectively. The preoperative protocol included single photon emission computed tomography (SPECT) with the use of technetium-99 sestamibi tracer. We preferred this approach as it allowed 3-D localization of the adenomas. PTH values were obtained from blood drawn from the ipsilateral jugular vein at the regular intervals of 5, 10 and 15 minutes post excision. Results: We had 6 cases with false negative which led to the necessary dissection of the contralateral neck. Two had previous surgery and 4 had tumors in other locations which were observed after the surgical intervention through methodical investigations. We encountered 3 patients with false positive results. 2 had intrathyroidal adenomas and 1 was diagnosed with thyroid papillary carcinoma. Causes of a misinterpretation are related to thyroid disease in association with hyperparathyroidism, a history of parathyroid surgery or multiple locations of hyperproductive parathyroid glands. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1223-0472 2360-2473 |
| Relation: | https://medicinamoderna.ro/wp-content/uploads/2023/06/Intraoperative-Post-parathyroidectomy-Correlation-of-PTH-Hormone-Values-with-Preoperative-Scintigraphy.pdf; https://doaj.org/toc/1223-0472; https://doaj.org/toc/2360-2473 |
| DOI: | 10.31689/rmm.2023.30.2.95 |
| URL الوصول: | https://doaj.org/article/7b1d7d72fa7d4c77a8a29e85d3153eae |
| رقم الأكسشن: | edsdoj.7b1d7d72fa7d4c77a8a29e85d3153eae |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 12230472 23602473 |
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| DOI: | 10.31689/rmm.2023.30.2.95 |