طـرق تشـخيص وعلاج أورام الغدد جار الدرقية

Abstract

Primary hyperparathyroidism emerged from relative obscurity before the 1970s to become the third most common endocrine disorder in more recent times. With the advance of routine serum calcium testing, the majority of patients with benign hyperparathyroidism are now diagnosed incidentally and asymtomatically. Parathyroid adenoma the most common cause of primary hyperparathyroidism (80-85%). Patients with primary hyperparathyroidism and symptoms or signs should undergo surgi¬cal removal of their parathyroid gland. Parathyroid surgery has evolved from conventional open parathyroidectomy, with exploration of all four parathyroid glands, to minimal access open or endoscopic parathyroidectomy. Preoperative accurate localization is critical in this situation, the modern surgical treatment of parathyroid pathology is based on accurate topical diagnosis of the pathologic focus. That influences the choice of the method and technique of surgical intervention.