Naslov
Possibility of distinguishing pathologically altered parathyroid glands from other neck structures

Autori
Fuštar Preradović, Ljubica ; Đanić, Davorin ; Đanić- Hadžibegović, Ana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Acta Medica Saliniana 2011 ; 40(suppl.2) / Brkić, Fuad - Tuzla, 2011

Skup
3rd Congress Otorhinolaryngologists and Head and Neck Surgeons of Federation of Bosnia and Herzegovina. 1st Turkish-Bosnian ORL-HNS Joint Meeting

Mjesto i datum
Konjic, Bosna i Hercegovina, 06.10.2011. - 08.10.2011

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Parathyroid glands ; pathological changes

Sažetak
The first case of hyperparathyroidism, which was associated with disease of parathyroid glands (DZ) was described in 1926. Since that time the surgeon to the problem of preoperative localization DZ. The aim is to explore the possibility of distinguishing pathologically altered DZ from other strustures of the neck using ultrasound with targeted cytological puncture in order to better preoperative treatment of patients. Ultrasound examination is performed with standard appliances, a linear transducer 7.5 to 14 MHz. Cytological puncture is performed under ultrasound control. The resulting material is paint by May-Grunwald Giemsa, cytochemically by Grimelius, imunocytochemical (chromogranin A and parathormone), and is used to determine the levels of parathyroid hormone. For a successful ultrasound examination is necessary to know the anatomy of the body and neck anatomy DZ, possible variations in the number and location DZ. Therefore, it is always necessary to review the entire neck and when he found one or more of the DZ, as it is possible that this is a multiple adenomas or more hyperplastic glands, and should always think of the excess glands. Often the examination of the neck with ultrasound for other reasons find themselves DZ increased as an incidental finding. In recognition of pathologically altered DZ, ultrasound is highly sensitive but insufficiently specific method, because of the numerous variations in their echographically screen and place, and it is therefore necessary to combine with FNA cytology. In conclusion it can be noted that the preoperative localization of pathological processes in patients with hyperparathyroidism, shortens the time of surgery, improve the treatmet results in cases of solitary lesions appear saves the patient from bilateral neck exploration. At the same time reducing the number of recurrent hyperparathroidism requiring technically difficult and uncertain prognostic Re-operations.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA