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Measurement of the AST to LD Ratio in Parathyroid Tissue Suspension Can Precisely Differentiate a Hyperfunctioning Parathyroid
http://hdl.handle.net/2237/00033227
http://hdl.handle.net/2237/00033227b3221151-11b6-4ea0-b9da-11d0014697b7
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
jc.2020-00270_R1 (566.8 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2020-12-22 | |||||
| タイトル | ||||||
| タイトル | Measurement of the AST to LD Ratio in Parathyroid Tissue Suspension Can Precisely Differentiate a Hyperfunctioning Parathyroid | |||||
| 言語 | en | |||||
| 著者 |
Kikumori, Toyone
× Kikumori, Toyone× Ichikawa, Takahiro× Inaishi, Takahiro× Miyajima, Noriyuki× Shibata, Masahiro× Takeuchi, Dai |
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| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 権利 | ||||||
| 言語 | en | |||||
| 権利情報 | This is a pre-copyedited, author-produced version of an article accepted for publication in [The Journal of Clinical Endocrinology & Metabolism] following peer review. The version of record [The Journal of Clinical Endocrinology & Metabolism. v.105, n.8, 2017, p.e2764-e2769] is available online at: http://doi.org/10.1210/clinem/dgaa264. | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | parathyroid | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | hyperparathyroidism | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | biochemical confirmation | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | frozen section | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | tissue suspension | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Frozen section of excised tissue is used to confirm removal of the etiology of primary hyperparathyroidism in the current era of intraoperative parathyroid hormone measurement and provides safeguards for surgeons. We recently reported that the aspartate aminotransferase (AST)/lactate dehydrogenase (LD) ratio in tissue suspension can accurately distinguish normal parathyroid tissue from other tissues. Therefore, we hypothesized that this ratio may also be applied to distinguish hyperfunctioning parathyroid tissue (HPT) from other tissues. Methods: We prospectively analyzed 22 patients who underwent parathyroidectomy for primary hyperparathyroidism (benign, 21; malignant, 1) from July 2018 to October 2019. In total, 27 specimens were examined. Approximately 1 mm3 of minced HPT as confirmed by frozen sections was suspended in 1 mL of normal saline and AST and LD levels were measured. The AST/LD ratios of other tissues (normal parathyroid tissue, thyroid gland, adipose tissue, and others; n = 94) were obtained from our previous report. Results: The AST/LD ratio of benign HPT was consistently higher than that of other tissues (P < 0.001). The optimal cut-off value was 0.36 according to the receiver operating characteristic curve, with 100% sensitivity and specificity. The AST/LD ratio in malignant HPT was also markedly lower than that in benign HPT. Conclusion: This method might be a new adjunct for intraoperative differentiation of HPT with an accuracy and turnaround time comparable with those of frozen sections, minimal cost, and no need for dedicated pathological staff. Additionally, this method might increase the treatment success rate in settings with limited medical resources. | |||||
| 言語 | en | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | ファイル公開日: 2021/08/01 | |||||
| 言語 | ja | |||||
| 出版者 | ||||||
| 出版者 | Oxford University Press | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
| タイプ | journal article | |||||
| 出版タイプ | ||||||
| 出版タイプ | AM | |||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.1210/clinem/dgaa264 | |||||
| ISSN（print） | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0021-972X | |||||
| 書誌情報 |
en : The Journal of Clinical Endocrinology & Metabolism 巻 105, 号 8, p. e2764-e2769, 発行日 2020-08 |
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| 著者版フラグ | ||||||
| 値 | author | |||||
