I.Z. GALIEV, S.V. ZINCHENKO, E.YU. MINGALIMOVA

 Kazan (Volga Region) Federal University, Kazan

Republic Clinical Oncology Dispensary, Kazan

 Contact details:

Galiev I.Z. — Senior Lecturer of the Department of Surgery, Obstetrics and Gynecology

Address: 29 Sibirskiy tract, Kazan, Russian Federation, 420088, tel.: +7-951-063-31-78, e-mail: galiev-i-1990@mail.ru

 The problem of diagnosing and treatment 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 6 x 3 x 1.5 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.

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