Ultrasound diagnosis of the parathyroid glands changes during the clinical examination

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Within the planned ultrasound examination of the thyroid gland during the clinical examination, an assessment was made of the detection of extrathyroid formations, correlated by topography with a probable lesion of the parathyroid glands, in 778 men (age 65.30±19.54 years) and 556 women (67.55±11.03 years). In 10 and 11 patients (1.72% of all examined), focal changes were visualized in interest (without significant gender differences, p=0.75) – variants of the echographic picture: a classic formation occupying the entire volume (n=12; dimensions 12.2±6.06 mm) or a part (n=8; 5.1±1.52 mm) of the parathyroid gland (p=0.0048), as well as «mimicry» of the affected organ (n=4; 6.83±1.47 mm). When compared with the results of laboratory data (concentration of parathyroid hormone/total calcium), the relationship was determined arbitrarily in 1/3 of the cases. The rest showed «dissociation» between the methods of correlation (r=0). Despite the high resolution of ultrasound examination in determining focal changes located paratracheally and paraesophageally at the poles of the thyroid gland, a targeted search for changes in the parathyroid glands during a planned ultrasound examination of the thyroid gland is inappropriate both because of the ambiguity of the data got in the diagnosis of hyperparathyroidism, and distracting the attention of a specialist from paramount task.

作者简介

P. Kraynyukov

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: rss_@list.ru

доктор медицинских наук, доцент, генерал-майор медицинской службы

俄罗斯联邦, Moscow

S. Rybchinsky

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

编辑信件的主要联系方式.
Email: rss_@list.ru

кандидат медицинских наук, подполковник медицинской службы

俄罗斯联邦, Moscow

N. Kotkovets

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: rss_@list.ru
俄罗斯联邦, Moscow

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