I.Z. Galiev, S.V. Zinchenko, E.Yu. Mingalimova
Kazan (Volga Region) Federal University, Kazan
Zinchenko Sergey V. ― Doct. of Sci. (Med.), Associate Professor, Head of the Department of Surgery, Obstetrics and Gynecology of Institute of Fundamental Medicine and Biology of Kazan (Volga Region) Federal University
74 Karl Marks Str., Kazan, 420012, Russian Federation, tel. +7-903-306-80-83, e-mail: zinchenkos.v@mail.ru, ORCID ID: 0000-0002-9306-3507
Abstract. The problem of secondary and tertiary hyperparathyroidism has not lost its relevance to date. Radical removal of transformed parathyroid glands with simultaneous free replantation of the unchanged part ensures the restoration of phosphorus-calcium metabolism. The issues of removal with subsequent autologous transplantation of parathyroid glands are associated with a number of difficulties for specialists: small size (less than 6x3x1,5 mm) and similarity with surrounding tissues.
This paper shows the effectiveness of the use of 5 ALA derivatives for fluorescent imaging of hyperplastic and adenomatous transformed parathyroid glands in a patient with tertiary hyperparathyroidism, visualization of the parathyroid glands before surgical treatment was not carried out in full due to the severity of the patient’s condition and the presence of contraindications for iodine contrast studies.
Key words: tertiary hyperparathyroidism, fluorescent diagnostics, parathyroid gland, parathyroidectomy.