Tratamento cirúrgico do hiperparatiroidismo primário não familiar
Abstract
O hiperparatiroidismo primário é uma doença endócrina comum e a principal causa de hipercalcemia na comunidade. Nas últimas décadas, o número de casos tem aumentado devido à realização de rastreios bioquímicos de rotina com doseamento de cálcio. O diagnóstico é feito, maioritariamente na fase assintomática, através de doseamento de cálcio e PTH. O tratamento cirúrgico representa a única possibilidade de cura. A cirurgia está indicada na maioria dos doentes sintomáticos e em casos selecionados de assintomáticos. Uma vez que até 90% dos casos se devem a adenoma único, e graças aos avanços recentes das técnicas de localização pré-operatória e doseamento intra-operatório da PTH, o tratamento tradicional com exploração bilateral tem vindo a ser substituído pela paratiroidectomia seletiva com taxas de cura e de complicações semelhantes. Existe controvérsia sobre qual o melhor método de localização pré-operatória, monitorização intra-operatória da PTH e a melhor estratégia cirúrgica. A decisão final deve ser baseada no doente, na experiência do cirurgião e nos recursos da instituição.
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References
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Published
2014-09-30
How to Cite
ESTEVINHO, Ana C.; TAVEIRA-GOMES, António.
Tratamento cirúrgico do hiperparatiroidismo primário não familiar.
Revista Portuguesa de Cirurgia, [S.l.], n. 30, p. 27-38, sep. 2014.
ISSN 2183-1165.
Available at: <https://revista.spcir.com/index.php/spcir/article/view/414>. Date accessed: 19 apr. 2024.
Section
Review Article
