IMPORTANCE OF INTRAOPERATIVE PARATHYROID HORMONE MEASUREMENT IN THE DIAGNOSIS OF PARATHYROID LIPOADENOMA

被引：8
|
作者：
Lee, Ann Y. [1 ]
Wang, Beverly Y. [2 ]
Heller, Keith S. [1 ]
机构：
[1] NYU, Dept Surg, Langone Med Ctr, Div Endocrine Surg, New York, NY 10016 USA
[2] NYU, Dept Pathol, Langone Med Ctr, New York, NY 10016 USA
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2011年 / 33卷 / 06期
关键词：
parathyroid lipoadenoma; intraoperative PTH; parathyroidectomy; hyperparathyroidism; ASSAY;
D O I：
10.1002/hed.21339
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background. Parathyroid lipoadenoma is an uncommon tumor that may be difficult to diagnose on intraoperative frozen section. Intraoperative parathyroid hormone (PTH) measurement is useful in assessing the adequacy of parathyroidectomy. This case demonstrates the value of intraoperative PTH measurement in recognizing a parathyroid lipoadenoma. Methods and Results. A case of a 62-year-old woman with primary hyperparathyroidism in which intraoperative PTH measurement helped confirm the diagnosis of parathyroid lipoadenoma is presented. Conclusions. In patients with primary hyperparathyroidism, a significant decrease in intraoperative PTH confirms that an enlarged parathyroid with normal to low cellularity containing abundant fat is a lipoadenoma and that further exploration is not necessary. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 917-919, 2011
引用
收藏
页码：917 / 919
页数：3
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