ABSTRACT
La prevalencia del hiperparatiroidismo ha aumentado significativamente en los últimos 20 años debido a un mayor número de determinaciones boquímicas, observando en muchas ocasiones hipercalcemia por azar. La sintomatología del hiperparatiroidismo primario es muy sutil e incluso nula en un 80 por ciento aproximadamente de los pacientes. Entre noviembre de 1996 y marzo de 2003 hemos intervenido 55 paratiroidectomías. Treinta y seis pacientes (65,4 por ciento) presentaban hiperparatiroidismo primario, dieciséis (29,1 por ciento) hiperparatiroidismo secundario, y el resto (5,4 por ciento) hiperparatiroidismo terciario. Nuestro hospital posee un aparato de detección rápida de nivel de hormona paratiroidea desde febrero de 2000, permitiéndonos en pocos minutos su determinación intraoperatoria de forma satisfactoria, valorando el descenso a valores inferiores a la mitad de su nivel basal (AU)
Subject(s)
Middle Aged , Male , Female , Aged , Adult , Humans , Parathyroid Hormone , Retrospective Studies , HyperparathyroidismABSTRACT
The prevalence of hyperparathyroidism as increased in the last 20 years due to a longer number of biochemical determinations, in which we observe in many cases hipercalcemia by casualty. The simptomatology of the primary hyperparathyroidism is very subtile and sometimes none in an 80% of the patients. Between november 1996 and march 2003 we have operated 55 parathyroidectomies. 36 patients (65,4%) had primary hyperparathyroidism, 16 (29,1%) secondary hyperparathyroidism and the rest (5,4%) tertiary hyperparathyroidism. Our hospital has a device of rapid detection of the parathyroid hormone level since february 2000, allowing us its satisfactory intraoperative determination in few minutes, evaluating the decrease to values inferior to the half of its basal level.
Subject(s)
Hyperparathyroidism/blood , Hyperparathyroidism/surgery , Parathyroid Hormone/blood , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
The supracricoid laryngectomy is a surgical procedure clearly identifiable, deserving this denomination either in descriptive and differential sense. In the paper the AA. itemize the characteristics of the operation (concept, history, synonymy, the basic points of the technique) and the anatomopathologic fundamentals, even the results published in the literature. Display of own criteria and report of 41 cases operated on and followed up during 5 years (80 percent survivals without recurrence of the growth).
Subject(s)
Cricoid Cartilage/surgery , Laryngectomy/methods , Glottis , Humans , Laryngeal Neoplasms/physiopathology , Laryngeal Neoplasms/surgery , Terminology as TopicABSTRACT
We present a case of Thyroid cartilage Chondrosarcoma with growing out, without injury of intralaryngeal noble structures and whose symptom of presentation was a cervical tumour. We review the cases of thyroid cartilage Chondrosarcomas in the literature.
