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 hemoglobinpapillary thyroid cancer treatment guidelines before, shortly after and then at short-medium term follow-up. The majority of our patients had significant improvement of the symptoms during the follow-up period.
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papillary thyroid cancer treatment guidelines 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 biochemical 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. 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.
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Parathyroid transplantation. Vijayakumar V Anderson ME. Detection of ectopic parathyroid adenoma by early Tcm sestamibi imaging. Ann Nucl Med. Am J Medicine.
Predictability of hypocalcemia using early postoperative serum papillary thyroid cancer treatment guidelines levels. J Otolaryngol. Calcium requirements after papillary thyroid cancer treatment guidelines in patients with refractory secondary hyperparathyroidism. Nephron Clin Pract. Farese S. The hungry bones syndrome-an update Ther Umsch.
Cancerul tiroidian este o entitate heterogenă din punct de vedere al tipului celulei de origine, al gradului de diferenţiere, al evoluţiei și prognosticului, formele de origine epitelială, bine diferenţiate și cu prognostic bun și foarte bun fiind, din fericire, cel mai frecvent întâlnite. Cancerul tiroidian apare sub forma unui nodul solitar sau în cadrul unei guși polinodulare. De maximă importanţă practică este recunoașterea caracteristicilor clinice care ridică suspiciunea de nodul malign, deși este important de menţionat faptul că, de multe ori, carcinomul tiroidian se găsește sub formă de microfocare în interiorul unor noduli fără caracteristici clinice suspecte. Tratamentul complex trebuie adaptat fiecărui caz în parte pentru a asigura maximum de eficienţă.
Role of parathyroidectomy on anemia control and erythropoiesis-stimulating agent need in secondary hyperparathyroidism of chronic kidney disease.
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