Confocal laser microscopy in the diagnosis of parathyroid gland pathology

Abstract

We have analyzed clinical observations and examination results of 60 patients. The first group consisted of 30 patients who were treated for primary and secondary hyperparathyroidism. The second group consisted of 30 patients who underwent thyroidectomy for thyroid pathology.In patients of both groups, the concentration of PTH in venous blood was determined 30 minutes before the surgery and in the postoperative period. During the surgery in both study groups, we performed confocal laser microscopy of the normal parathyroid glands (second group) and parathyroid glands with pathology (first group).Confocal laser microscopy for intraoperative differential diagnosis of pathological and normal conditions of the parathyroid glands has identical diagnostic characteristics with histological examination performed on a regular basis.