Quick parathormone assay in the surgical management of hyperparathyroidism
| Autor: | Ariel, Halevy, Albert, Stepansky, Zvi, Halpern, Ilan, Wassermann, Zehava, Chen-Levy, Shlomo, Pytlovich, Ora, Marcus, Anat, Mor, Philip, Hagag, Tifha, Horne, Semione, Polypodi, Judith, Sandbank |
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| Rok vydání: | 2003 |
| Předmět: |
Adenoma
Adult Aged 80 and over Male Hyperplasia Intraoperative Care Hyperparathyroidism Choristoma Middle Aged Parathyroid Glands Outcome and Process Assessment Health Care Parathyroid Neoplasms Treatment Outcome Parathyroid Hormone Preoperative Care Thyroidectomy Humans Female Neck Aged Ultrasonography |
| Zdroj: | The Israel Medical Association journal : IMAJ. 5(11) |
| ISSN: | 1565-1088 |
| Popis: | Among the various new technologies in the field of parathyroid surgery is intraoperative quick parathormone measurements.To evaluate the contribution of QPTH measurements during parathyroidectomy to the achievement of higher success rates.QPTH assay using Immulite Turbo Intact PTH was measured in 32 patients undergoing parathyroidectomy: 30 for primary and 2 for secondary hyperparathyroidism. QPTH levels were measured at time 0 minutes (before incision) and at 10, 20, and 30 minutes after excision of the hyperfunctioning gland. Only a drop of 60% or more from the 0' level was considered to be a positive result.The mean QPTH level at time 0' for PHPT patients was 38.12 +/- 25.15 pmol/L (range 9.1-118 pmol/L). At 10 minutes post-excision of the hyperfunctioning gland (or glands), QPTH dropped by a mean of 73.80% to 9.89 +/- 18.78 pmol/L.Intraoperative QPTH level measurement is helpful in parathyroid surgery. A drop of 60% or more from 0' level indicates a successful procedure, and further exploration should be avoided. |
| Databáze: | OpenAIRE |
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