Preoperative Localization for Parathyroid Surgery in Primary and Secondary Hyperparathyroidism

May 31, 2017 by in ENDOCRINOLOGY Comments Off on Preoperative Localization for Parathyroid Surgery in Primary and Secondary Hyperparathyroidism

Fig. 9.1 Echo-color-Doppler longitudinal view: left lower hyperplastic parathyroid (thick arrow); left lower thyroid lobe (thin arrow) Fig. 9.2 Echo-color-Doppler transversal view: left lower hyperplastic parathyroid (white arrow); common carotid…

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Genetic Syndromes Associated with Primary Hyperparathyroidism

May 31, 2017 by in ENDOCRINOLOGY Comments Off on Genetic Syndromes Associated with Primary Hyperparathyroidism

Syndromic Nonsyndromic MEN1 FIHPT MEN2 FHH MEN4 NSHPT HPT-JT ADMH ADMH, autosomal dominant moderate hyperparathyroidism; FHH, familial hypocalciuric hypercalcemia; FIHPT, familial isolated hyperparathyroidism; HPT-JT, hyperparathyroidism-jaw tumor syndrome; MEN, multiple endocrine…

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Minimally Invasive Video-Assisted Parathyroidectomy

May 31, 2017 by in ENDOCRINOLOGY Comments Off on Minimally Invasive Video-Assisted Parathyroidectomy

Absolute contraindications Relative contraindications Previous neck surgerys Previous neck irradiation Large goiter Large adenoma (<3.5 cm) Parathyroid carcinoma Lack of preoperative localization MEN and familial pHPT  MEN, multiple endocrine neoplasia…

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Parathyroid Carcinoma

May 31, 2017 by in ENDOCRINOLOGY Comments Off on Parathyroid Carcinoma

Fig. 15.1 MIBI scan (technetium and subtraction images): large inferior right parathyroid lesion that histologically proved to be parathyroid carcinoma. From [16] with permission Fig. 15.2 Surgical specimen: parathyroid carcinoma;…

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Surgical Technique in Reoperations

May 31, 2017 by in ENDOCRINOLOGY Comments Off on Surgical Technique in Reoperations

Fig. 13.1 Multiple cervical scars in a patient with persistent primary hyperparathyroidism MEN1-related, after three previous failed operations due to incorrect diagnosis and inadequate surgical approach Moreover, both negative preoperative…

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