D'Andrea V, Malinovsky L, Berni A, Corbellini L, Catania A, Biancari F, Di Matteo F M, Lippolis G, Nisati L, Santoni F, De Antoni E
III Clinica Chirurgica, Università degli Studi di Roma La Sapienza.
Ann Ital Chir. 1996 Sep-Oct;67(5):671-5; discussion 675-6.
The authors suggest a new method of biopsy of a seemingly normal human parathyroid gland during surgery for parathyroid adenoma. Such a method provides adequate surgical specimen to rule out a likely diffuse hyperplastic disease associated with the parathyroid adenoma, and for the ultrastructural study of the gland, without any risk of postoperative complication. In all patients, ultrastructural examination showed an abnormal cell population and signs of glandular atrophy as a consequence of the high level of serum calcium due to hormonal hyperfunction of the parathyroid adenoma.
作者们提出了一种在甲状旁腺腺瘤手术期间对看似正常的人甲状旁腺进行活检的新方法。这种方法能提供足够的手术标本,以排除与甲状旁腺腺瘤相关的可能的弥漫性增生性疾病,并用于该腺体的超微结构研究,且无任何术后并发症风险。在所有患者中,超微结构检查显示存在异常细胞群以及由于甲状旁腺腺瘤激素功能亢进导致血清钙水平升高而引起的腺体萎缩迹象。