Persistence and Cure Rates of Primary Hyperparathyroid Disease after Bilateral Neck Exploration (BNE)
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 4
Abstract
Eighteen patients suffering from primary hyperparathyroid (PHPT) disease underwent BNE in Alexandria University Hospital in the last two years with the objective to estimate the accuracy of imaging in localizing the site of the disease and the efficacy of BNE in cure rates in these patients. Single gland disease (SGD) was found in 13 patients (72%) and multigland disease (MGD) in 5 patients (28%). In the 13 patients with SGD, the disease was confined to one of the lower parathyroid glands (5 in the right gland and 8 in the left one). During the period of regular postoperative follow up for six months, 15 patients achieved complete cure (83%) and 3 patients (17%) showed persistence of the disease. These three patients were having SGD; one of them the cause of persistence was carcinoma of the excised PT gland while in the other two the cause of persistence was activation of an occult adenoma in the other neighboring lower PT gland
Authors and Affiliations
Mohamed Zaky Azzam
Keywords
Related Articles
- EP ID EP213516
- DOI -
- Views 58
- Downloads 0
Tranexamic Acid - Evaluation of its use in Decreasing Blood Loss and Transfusion in Knee Arthroplasty
Background: Peri-operative bleeding is one of the major indication for allogenic blood transfusion. To reduce Post-operative blood loss, a number of antifibrinolytic agents like tranexamic acid have been used, which act...
Awareness of CBCT among the Final Years and Interns- A Pilot Study
Objective: The main purpose of this study is to determine the knowledge and awareness of cone beam computed tomography among the final year dental students and interns. Materials and methods: A closed ended questionnaire...
Schwannoma of the Suprascapular Nerve Presenting With Atypical Neuralgia
The suprascapular nerve, being a mixed peripheral, supplies the supraspinatus and the infraspinatus muscles and posterior aspect of the capsule of the shoulder joint. Impairment of this nerve, therefore presents as weakn...
A retrospective analysis of Peripartum hysterectomy in a tertiary institute, Imphal
Introduction: Peripartum hysterectomy is performed as a life saving measure for intractable post partum hemorrhage not responding to conservative measures. The incidence of peripartum hysterectomy varies worldwide. In th...
Evaluation of Lesions of Lymph Node in a Rural Teaching Hospital in one year (2017)
Introduction: As a part of peripheral or secondary lymphoid organs, lymph nodes are a vital part of immune system. Their increase in size is referred to in a huge spectrum of diseases, inclusive of infections and maligna...