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Biomedical subjects

C Parmentier

Publications and source records attributed to C Parmentier.

At least 163 records · Page 9Linked to original sources
PubMed1982

[Value of serum thyroglobulin assays in cancers of the thyroid].

Serum thyroglobulin (Tg) assays provide no clue as to the nature of a cold thyroid nodule, but they provide guidelines for isotope exploration tests in differenciated epitheliomas. Undetectable Tg levels during hormonal treatment make these tests unnecessary, while measurable levels in the absence of residual thyroid tissue should encourage investigations for metastases, and the higher these levels the more thorough the investigation. When thyroid residues are present Tg levels are usually within the normal range for a healthy population (2.5-28 ng/ml) and no conclusion can be drawn. The destruction of thyroid residues with Iodine 131 in poor prognosis patients facilitates monitoring by means of Tg assays.

Bone Neoplasms↗
PubMed1981

Thyroglobulin assay in the follow-up of patients with differentiated thyroid carcinomas: comparison of its value in patients with or without normal residual tissue.

The usefulness of serum thyroglobulin (Tg) assay in the follow-up of differentiated thyroid carcinomas has been evaluated in 109 subjects divided into two groups. Group 1 included 64 patients who had undergone total thyroid ablation. In 40 of the 41 patients in complete remission serum Tg was undetectable during replacement therapy (TSH below 5 microunits/ml). In 18 out of the 40 patients serum TG was detectable following endogenous TSH stimulation. As 83% of these patients had ectopic uptake prior to the last radioiodine treatment, this release of Tg under TSH stimulation suggests the persistence of occult neoplastic tissue. Of the other 23 patients, 20 had bone or lung metastases and 3 patients had lymph node recurrences: in all these patients, serum Tg was detectable during replacement therapy and increased after TSH stimulation. Group 2 included 45 patients in whom normal residual thyroid tissue was present at the time of the investigation. Of these, 35 patients were in apparent remission and 19 of them had detectable Tg level within the normal range. The other 10 patients had detectable metastases and in 4 of these the Tg level was also within the normal range. Thus, no conclusion can be drawn from a normal Tg level in the presence of residual thyroid tissue. Bovine TSH stimulation did not improve significantly the diagnostic value of Tg assay in this group of patients.

Bone Neoplasms↗
PubMed1981

[Measurement of intrathyroidal iodine content by X fluorescence: usefulness and application (author's transl)].

X fluorescence quantification of thyroid gland iodine content was performed in 113 subjects. Euthyroid patients averaged 15.6 +/- 4.8 mg in the absence of goiter (18 subjects) and 23.7 +/- 11 mg when the gland was goitrous (11 subjects p less than 0.05). In Grave's disease (28 patients), thyroid iodine content increased significantly (21.7 +/- 11 mg, p less than 0.05. No correlation was found between this parameter and thyroid hormone blood level. During the treatment by carbimazole, patients can be divided in 2 groups; the first group with high initial iodine content (30.3 +/- 15.6 mg 9 patients) decreased it under treatment; on the contrary, the second group with normal initial iodine content (16.9 +/- 7.5 mg 10 patients) increased its iodine content under treatment. No significant difference in T3 and T4 serum levels was found between these two groups. In toxic goiter (6 patients) the initial iodine content was elevated (43.4 +/- 33 mg) and decreased under carbimazole in all the cases. 15 patients with solitary autonomous thyroid nodules were scanned with 99mTc and by X fluorescence imaging. The iodine content of the nodule was 9.9 +/- 4.7 mg; controlateral non suppressed tissue was observed in 11 patients while no 99mTc accumulation was found. The association of these 2 techniques allow to avoid a TSH stimulation test in 70% of the cases. In hypothyroid patients, a low iodine content was found in acquired disease (4.5 +/- 5.6 mg 9 patients); it was increased in congenital hypothyroid goiter. In iodine load (12 patients) the iodine content was increased especially after lymphography. In the initial phase of subacute thyroiditis (11 patients) X fluorescence showed 127I thyroid stores were still normal (14.3 +/- 11.6 mg) while there was no radioactive uptake.

Carbimazole↗
PubMed1980

Granulocytic progenitor cells (CFC) in a child with infantile genetic agranulocytosis (IGA) and in phenotypically normal parents.

Granulocytic progenitor cells (CFC) from the bone marrow of a child with infantile genetic agranulocytosis (IGA) were cultured twice in vitro, and the bone marrow colony-forming ability was found to be elevated. Nevertheless, when the colony-forming ability was considered in view of the differential marrow cell count and the level of circulating granulocytes, an ineffective granulopoiesis was suggested. In this patient, the blood culture showed a high number of circulating CFC. Bone marrow and blood CFC cultures were also done for the child's two parents, who were phenotypically normal and unquestionably blood-related. The number of circulating CFC was low for the father and normal for the mother. The marrow colony-forming ability of both parents was greatly reduced at the time of two cultures. This fact could constitute a way to detect the risk of IGA in descendants of blood-related subjects.

Agranulocytosis↗
PubMed1980

[Granulocyte progenitor cells (CFC) culture in the adult chronic idiopathic neutropenia. A study of 12 cases (author's transl)].

Granulocyte progenitors (CFC) from 12 patients with idiopathic neutropenia were cultured in vitro and followed, in some cases, for several months. The results were similar whatever the degree of neutropenia and in the presence or absence of medullary hypoplasia. The medullary concentration of CFC was always clearly depressed, which correlated with a very low total number of CFC. In every case, when the cloning efficiency was low, there were few CFC per 10(5) metamyelocytes plated, which suggests an increase in mitotic amplification between the progenitor and the mature granulocytes. When circulating CFC were cultured, there was little or no growth, confirming the paucity of CFC in the host. No patient had an increase in cloning efficiency in marrow or blood that might have suggested ineffective granulopoiesis. In four patients, stimulatory or inhibitory activity in serum was studied; one serum was stimulatory, another, on two occasions, inhibitory. Possible machanisms for these results and their prognostic value are discussed.

Adolescent↗
PubMed1979

[Strategy for the diagnosis of thyrotoxicosis (author's transl)].

A study carried out on 808 patients examined because hyperthyroidism was suspected has shown that the most discriminating thyroid test is the free thyroxin index (FT4) in the plasma. For about 70% of the patients the comparison between the clinical diagnosis made by a clinician at his first interview and the results of FT4, leads one to an accurate assessment of the thyroid function. For the remaining 30% of the patients the assay of triiodothyronin (T3) in the plasma is the best laboratory test; it enables a diagnosis in 20% of those patients. It is therefore only in about 10% of the patients that more sophisticated laboratory tests would be necessary, such as TRH stimulation test and a technetium uptake whenever a scintigraphy is performed. Scintigraphy with technetium is only required to look for a possible toxic adenoma. In summary such a decision tree makes it possible to reduce considerably the cost of the diagnosis.

Cost Control↗
PubMed1979

Renal consequences of irradiation of the spleen in lymphoma patients.

The authors have studied the consequences of irradiation of the upper part of the left kidney during treatment of the spleen. Seventy-four patients with lymphoma were entered in the study. They have all been followed up for between three and five years. Renal function was assessed by physical examination, biological tests, intravenous pyelograms and nephrotomographies, isotope scans with 197Hg neohydrin, dynamic studies with 131I hippuran and 99Tcm DTPA. No significant changes have been noted for blood pressure, biological tests or IVP. Eighteen months after irradiation renal tomograms showed cortical atrophy of the superior pole of the left kidney. 197Hg neohydrin started to show reduced uptake of the isotope in the irradiated region of the left kidney by the eighth month. 131I hippuran and 99Tcm DTPA detected abnormalities respectively five and three months after irradiation. No compensatory hypertrophy nor change in the overall kidney function have been noted. In Hodgkin's disease, radiotherapy has proved its efficiency in splenic involvement and the lack of secondary renal side effects. On the other hand, morbidity was shown to occur in 5% of cases after splenectomy. From these data, it is proposed to prefer radiotherapy rather than surgery for splenic treatment.

Adolescent↗