CLINICAL CASE OF INITIAL HYPERPARATHYROIDISM WITH MULTIPLE ADENOMAS
Abstract
In the present article we described an interesting clinical case with multiple adenomas of parathyroid gland. We demonstrated proper combined application of visualising methods. Scintigraphy as a method of preoperative visualisation is defined as improving surgical results and reducing operative time.
About the Authors
A. V. Romash
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Russian Federation
E. A. Terman
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Russian Federation
References
1. Morris A.D., Boyle D. IR., MacAlpine R., Emslie Smith А., Jung R.T., Newton R.W., MacDonald T.M. The diabetes audit and research in Tayside Scotland (DARTS) study: electronic record linkage to create a diabetes register. Br Med. J. 1997; 315: 524-528.
2. Flynn R.W., MacDonald T.M., Jung R.T., Morris A.D., Leese G.P. Mortality and vascular outcomes in patients treated for thyroid dysfunction. J. Clin. Endocrinol. Metab. 2006; 91: 2159-2164.
3. Diaz Soto G., Julian M.T., Puig Dominigo M. Normocalcemic primary hyperparathyroidism: a newly emerging disease needing therapeutic intervention. Hormones (Athens). 2012; 11: 390-6.
4. Kaplan E.L., Yashiro T., Salti G. Primary hyperparathyroidism in the 1990s. Choice of surgical procedures for this disease. Ann. Surg. 1992; 4(215): 300-317.
5. Marcocci C., Cetani F. Clinical practice. Primary hyperparathyroidism. N Engl J Med. 2011; 365: 2389-2397.
6. Coakley A.J., Kettle A.G., Wells C.P., O’Doherty M.J., Collins R.E. 99Tcm sestamibi - a new agent for parathyroid imaging. Nucl. Med. Commun. 1989; 10: 791-794.
7. Johnson N.A., Tublin M.E., Ogilvie J.B. Parathyroid imaging: Technique and role in the preoperative evaluation of primary hyperparathyroidism. AJR. 2007; 188: 1706-1715.
8. Randolph G.W. Surgery of the thyroid and parathyroid glands. Philadelphia: Elsevier Science (USA). 2003. P. 620.
9. Allendorf J., Kim L., Chabot J., Digiorgi М, Spanknebel К, Logerfo Р. The impact of Sestamibi scanning on the outcome of parathyroid surgery. J. Clin. Endocrinol. Metab. 2003; 88: 3015-3018.
10. Lumachi F., Zucchetta Р., Marzola М.С., Boccagni Р., Angelini F., Bui F., D’Amico D.F., Favia1 G. Advantages of combined techneticum-99m-sesta-mibi scintigraphyand high-resolution ultrasonography in parathyroid localization: comparative study in 91 patients with primary hyperparathyroidism. European Journal of Endocrinology. 2000; 143: 755-760.
11. Haciyanli M., Lal G., Morita E., Duh Q.Y., Kebebew E., Clark O.H. Accuracy of preoperative localization studies and intraoperative parathyroid hormone assay in patients with primary hyperparathyroidism and double adenoma. J. Am.Coll. Surg. 2003; 197: 739-746.
12. Johnson N.A., Tublin M.E., Ogilvie J.B. Parathyroid imaging: Technique and role in the preoperative evaluation of primary hyperparathyroidism. AJR. 2007; 188: 1706-1715.
13. Fuster D., Ybarra J., Ortin J., Torregrosa J.V., Gilabert R., Setoain X. et al. Role of pre-operative imaging using (99m)Tc-MIBI and neck ultrasound in patients with secondary hyperparathyroidism who are candidates for subtotal parathyroidectomy. Eur. J. Nucl. Med. Mol. Imaging. 2006; 33: 467-473.
14. Kasai E.T., da Silva J.W., Mandarim de Lacerda C.A., Boasquevisque E. Parathyroid glands: combination of sestamibi-(99m) Tc scintigraphy and ultrasonography for demonstration of hyperplasic parathyroid glands. Rev. Esp. Med. Nucl. 2008; 27: 8-12.
Review
For citations:
Romash A.V., Terman E.A. CLINICAL CASE OF INITIAL HYPERPARATHYROIDISM WITH MULTIPLE ADENOMAS. Innovative Medicine of Kuban. 2018;(2):57-61. (In Russ.)
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