Karcinom příštitného tělíska- méně obvyklá příčina primární hyperparatyreózy
| Title in English | Carcinoma of parathyroid gland- unusual cause of the primary hyperparathyreosis |
|---|---|
| Authors | |
| Year of publication | 2008 |
| Type | Conference abstract |
| MU Faculty or unit | |
| Citation | |
| Description | Prime hyperparathyreosis (PHP) is frequent causation of disturbances calcium-phosphate drug metabolism. High surface parathyroid hormone that the completion hypercalcemia and hypophosphatemia is typical biochemical triassic PHP. In practice is known, that the definition of the diagnosis isn't such problem like retrieval sources autonomous performance parathyroid hormone. PHP occur sporadically or discuss form of the familiar appereance. Man be also piece of the complex MEN. Basis for PHP is most often adenoma parathyroid gland, less often hyperplasia and at least often discuss carcinoma parathyroid gland(0,5 1,0%). Base of the therapy of the prime hyperparatyreoidism is the therapy of th hypercalcemy in conjunction with excision adenoma and exploration of all of others parathyroid glands. Detection adenoma man be in no which cases questionable. Basic imaging method is ultrasonografie neck. Currently completion scintigraphy MIBI, on the contrary Rarely is necessary use CT or MR. diagnostically no when post man and biopsy with biochemical - by wake-up of aspiration biopsy. Succesfull operation depends upon experiences of the operator. Ours experience in addition denote great contribution usage gammanavigation during detection adenoma. Since 2002 by the year end 2007 skirted ours ambulance 29 inmate with diagnosed and prime hyperparatyreosis. Near 25 inmate discuss adenoma, near 2 about nodularni hyperplasion, once wasn't parathyroid land found (late excise atypical saved adenoma on other "friendly" workplace), , 1x was confirmed carcinoma PTG. |