Oncohema Key

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…

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…

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…

Fig. 18.1 Number of PTx performed for sHPT in the 3rd General and Esophageal Surgical Unit, San Giovanni Battista Hospital, University of Turin, Italy from 1975 to 2014 Fig. 18.2…

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;…

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…

Corrected total calcium or ionized calcium Both elevated or only free calcium Second or third PTH generation assays High or inappropriately normal 25-OH-vitamin D The deficit should be corrected to…

Fig. 2.1 Embryologic origin of the parathyroid glands, thyroid, and thymus (Source: Ferrari CC et al. Surgical strategy for primary hyperparathyreoidism with thyroid hemiagenesis. Langenbecks Arch Surg 2014;399:1077–1081. Springer) The…