Surgical experiences of hyperparathyroidism
Joint Authors
Kumar, V.
Kazemi, K.
Soveid, M.
Davari, Hamid Rida
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 7, Issue 2 (30 Sep. 2004), pp.18-22, 5 p.
Publisher
Publication Date
2004-09-30
Country of Publication
United Arab Emirates
No. of Pages
5
Main Subjects
Topics
Abstract EN
Objectives : This retrospective article reports the diagnostic experiences of forty six cases of hyperparathyroidism confirmed by operation and pathologic examination.
Methods : From for hyperparathyroidism were investigated.
Eleven surgeons performed the operations by doing only 1 up to 18 procedures.
Experience of surgeon and the result of frozen section were determined adequacy of procedure and completeness of operation.
Results : The clinical presentation was divided into four type : 24 cases (52.17 %) with bone resorption : 15 case (32.60 %) with bone lesions plus urinary calculus : 4 cases (8.69 %) with urinary calculus and 3 cases (6.52 %) with asymptomatic hypercalcemia.
The mean age of 46 patients (35 women, 11 men) was 44 (rang 1 month to 67) years.
Mean preoperative serum calcium was 13 (range 10.5 to 30) mg / 100ml.
Two patients had chronic renal failure.
Neck sonography was done in 18 and parathyroid (Sestamibi) scan was done in 3 with accuracy of 66.66% and 100% subsequently.
The pathological diagnosis was parathyroid adenoma in 37, hyperplasia in 5, parathyroid carcinoma in 1 and negative exploration in 3.
Conclusion : The clinical picture of PHPT in south of Iran is similar to that recognized previously in west.
We are expected routine measurement of serum calcium and highly suspicious of physician in patients with symptoms of musculoskeletal system or renal stone can lead to early diagnosis.
By using parathyroid scan and sonography of neck localization of most parathyroid adenoma is possible.
Therefore minimal access adenomectomy can be replaced conventional neck exploration
American Psychological Association (APA)
Davari, Hamid Rida& Soveid, M.& Kumar, V.& Kazemi, K.. 2004. Surgical experiences of hyperparathyroidism. Iranian Red Crescent Medical Journal،Vol. 7, no. 2, pp.18-22.
https://search.emarefa.net/detail/BIM-30023
Modern Language Association (MLA)
Davari, Hamid Rida…[et al.]. Surgical experiences of hyperparathyroidism. Iranian Red Crescent Medical Journal Vol. 7, no. 2 (Sep. 2004), pp.18-22.
https://search.emarefa.net/detail/BIM-30023
American Medical Association (AMA)
Davari, Hamid Rida& Soveid, M.& Kumar, V.& Kazemi, K.. Surgical experiences of hyperparathyroidism. Iranian Red Crescent Medical Journal. 2004. Vol. 7, no. 2, pp.18-22.
https://search.emarefa.net/detail/BIM-30023
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 21-22
Record ID
BIM-30023