Anatomical distribution and number of parathyroid glands, and parathyroid function, after total parathyroidectomy and bilateral cervical thymectomy

The normal distribution of parathyroid glands is well documented. However, this study aims to evaluate the efficacy of total parathyroidectomy (TPTx) and bilateral cervical thymectomy (BCTx) for the treatment of secondary hyperparathyroidism (SHPT) through identifying the location of parathyroid gla...

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Veröffentlicht in:	Medicine (Baltimore) 2019-06, Vol.98 (23), p.e15926-e15926
Hauptverfasser:	Uslu, Adam, Okut, Gokalp, Tercan, Ismail Can, Erkul, Zehra, Aykas, Ahmet, Karatas, Murat, Simsek, Cenk, Tatar, Erhan
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Choristoma - pathology Female Humans Hyperparathyroidism, Secondary - pathology Hyperparathyroidism, Secondary - physiopathology Hyperparathyroidism, Secondary - surgery Male Middle Aged Neck Observational Study Parathyroid Glands - pathology Parathyroid Glands - physiopathology Parathyroidectomy - methods Postoperative Period Thymectomy - methods Young Adult
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Zusammenfassung:	The normal distribution of parathyroid glands is well documented. However, this study aims to evaluate the efficacy of total parathyroidectomy (TPTx) and bilateral cervical thymectomy (BCTx) for the treatment of secondary hyperparathyroidism (SHPT) through identifying the location of parathyroid glands with attention to the pattern and frequency of orthotopic and ectopic glands.Between 2013 and 2018, sixty chronic hemodialysis patients with medically refractory SHPT underwent TPTx & BCTx. The adequacy of the operation was defined by the pathological confirmation of at least 4 parathyroid glands, accompanied by an intact parathormone (iPTH) value of
ISSN:	0025-7974 1536-5964
DOI:	10.1097/MD.0000000000015926