<abstract xmlns="http://www.w3.org/1999/xhtml"> Primary hyperparathyroidism (PHPT) is a frequent endocrine disorder that can only be cured by a surgical procedure that is parathyroidectomy. The main causes are usually solitary benign adenoma (80-85%), diffuse or nodular hyperplasia (10-15%), or parathyroid carcinoma (&lt;1%). Out of the known localization techniques, ultrasonography, nuclear scintigraphy and computer tomography (CT scan) are most commonly used [1]. The aim of this study is to evaluate the sensibility of ultrasonography by comparison to scintigraphy and CT scan for the preoperative localization of parathyroid adenoma in patients with biochemically confirmed primary hyperparathyroidism. Localization studies were correlated with intraoperative findings, histopathological outcomes. In a retrospective study we analyzed 60 patients out of 245 patients who had undergone parathyroidectomy for PHPT between 2012-2013 in the Surgery Department of the National Institute of Endocrinology, Bucharest. Preoperative evaluation included imaging explorations (ultrasonography, scintigraphy and cervical CT scan) and therapeutic success was confirmed by histopathological result and the evolution of hormonal and biochemical tests. Intraoperative exploration revealed a single adenoma in 59 patients and one double adenoma. Thyroid disease was associated in 27 (45%) patients </abstract>

Primary hyperparathyroidism (PHPT) is a frequent endocrine disorder that can only be cured by a surgical procedure that is parathyroidectomy. The main causes are usually solitary benign adenoma (80-85%), diffuse or nodular hyperplasia (10-15%), or parathyroid carcinoma (<1%). Out of the known localization techniques, ultrasonography, nuclear scintigraphy and computer tomography (CT scan) are most commonly used [1]. The aim of this study is to evaluate the sensibility of ultrasonography by comparison to scintigraphy and CT scan for the preoperative localization of parathyroid adenoma in patients with biochemically confirmed primary hyperparathyroidism. Localization studies were correlated with intraoperative findings, histopathological outcomes. In a retrospective study we analyzed 60 patients out of 245 patients who had undergone parathyroidectomy for PHPT between 2012-2013 in the Surgery Department of the National Institute of Endocrinology, Bucharest. Preoperative evaluation included imaging explorations (ultrasonography, scintigraphy and cervical CT scan) and therapeutic success was confirmed by histopathological result and the evolution of hormonal and biochemical tests. Intraoperative exploration revealed a single adenoma in 59 patients and one double adenoma. Thyroid disease was associated in 27 (45%) patients

Parathyroid adenoma imaging-preoperative localization

C.I. Parhon National Institute of Endocrinology, Bucharest, Romania

ARS Medica Tomitana

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Parathyroid adenoma imaging-preoperative localization"}

Primary hyperparathyroidism (PHPT) is a frequent endocrine disorder that can only be cured by a surgical procedure that is parathyroidectomy. The main causes...

Parathyroid adenoma imaging-preoperative localization

Publicado en línea: 25 ago 2015

Páginas: 116 - 123

DOI: https://doi.org/10.1515/arsm-2015-0031

Palabras clave
parathyroid adenoma, ultrasonography

© by Adina Ghemigian

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Parathyroid adenoma imaging-preoperative localization

Publicado en línea: 25 ago 2015

Páginas: 116 - 123

DOI: https://doi.org/10.1515/arsm-2015-0031

Palabras claveparathyroid adenoma, ultrasonography

© by Adina Ghemigian

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
parathyroid adenoma, ultrasonography