Parathormone, Calcium And Phosphorus In Autotransplanted Parathyroid, Total Thyriodectomized Patients

Abstract

The success of parathyroid autotransplantation was indicated by the postoperative assay of serum parathormone in thirteen out of fourteen patients to whom total thyroidectomy was carried out because of thyroid cancer during the past three years. Four glands were autotransplanted in four patients and froam two to three glamds were trasplanted in the remaineng nime patients. All patients were followed up with daily calcium and phosphate determinations. Patients with low ca"1"1" level and with hypocalcemic manifestations were given oral and i.v. ca^. supplementation. Postoperatively, seven patients developed hypocalcemia (x 5.7 ± 1.12 mg.%) All patients were successively tapered from all supplementation within one to two monthes from thyroidectomy. The parathormone reached the normal value within 45 days. All have a normal level of serum calcium (x 9.4 ± 1.40 mg.%), phoshorus (x 3.6 l±0.93 mg.%) and parathormone (x 0.23 ± 0.04 ng^ml)-

من أرسة عشرة سالة استئصال للغدة الدرقية المصابة بالسرطان . تم بنجاح فراعة الغدد الجارعرقية الماخوذة من نفسى المرضى في غدد ثلاثة عشرة حالة من المرضى المترددين على معهد الأورام القومي في خلال الثلاث سنوات الماضية . في عدد أرع حالات تم زراعة أرسة غدد جاردوقية ، وفي باقي الحالات تم زراعة من اثنن إلى ثلاث غدد .