SIÊU ÂM CHẨN ĐOÁN BỆNH LÝ CƯỜNG TUYẾN CẬN GIÁP NGUYÊN PHÁT: NHÂN 26 TRƯỜNG HỢP ĐƯỢC PHÁT HIỆN TẠI HỆ THỐNG Y KHOA MEDIC TPHCM VÀ CẦN THƠ

Abstract

Primary hyperparathyroidism is a rare disease, difficult to diagnose early due to non specific clinical findings. The radiographic signs often misinterpreted. X-ray signs often show a condition of osterosporosis, fractures or urinary tract stones. Biochemical examination are still insufficient at some hospital, so a majority of cases were detected too late with severe skeletal sequelae, and sometimes irreversible.
Retrospective study of 26 cases diagnosed at Medic Medical system and follow-up after treatment, we observed that:
- 26 Patients: 8 Man (31%) 18 Female (69%), 15YO-54YO, Average:38.5YO
- Clinical symtoms are often nonspecific, often showing pathology of the skeletal system 92%, urinary stones : 46%, digestive tract: 77%-85%.
- Radiographic skeletal specific sign of of osterosporosis77% , fractures 42%, Osteolytic 52% or urinary tract stones.46%. suggest diagnosing hyperparathyroidism.
- PTH (Parathyroid hormone) value are elevated in 100% of cases.
- Neck ultrasound: 100% of patients (26/26) have parathyroid adenoma, most on one side of the lower lobe is the main cause of hyperparathyroidism.
- Primary hyperparathyroidism are radically cured by surgically removal of the adenoma, so the early diagnosis of this condition is imperative before severe skeletal deformities occurred.