Archives of otolaryngology--head & neck surgery · 1994
Diagnostic localization studies for primary hyperparathyroidism. A suggested algorithm.
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Weinberger M S, Robbins K T
Аннотация
OBJECTIVE: To assess the accuracy of preoperative imaging studies in primary hyperparathyroidism.
DESIGN: Retrospective review of all patients treated surgically for primary hyperparathyroidism at The University of California-San Diego Medical Center between January 1990 and May 1992. Results of preoperative imaging studies were compared with surgical and pathologic findings.
SETTING: The University of California-San Diego Medical Center, a primary care and referral center.
PARTICIPANTS: Twenty-eight patients were included in the study, and a total of 41 imaging studies were obtained.
OUTCOME MEASURES: The accuracy of preoperative imaging studies in correctly localizing the site of a parathyroid adenoma.
RESULTS: Ultrasound correctly identified the site of a solitary parathyroid adenoma in 82% of cases, and magnetic resonance imaging in 80% of cases. The adenomas that were not localized by ultrasound were correctly localized by magnetic resonance imaging. These findings are discussed within the context of recent trends in parathyroid surgery.
CONCLUSIONS: Based on the results and a review of the literature, a simple algorithm for the use of these imaging studies is proposed. Use of this algorithm will improve preoperative planning, and potentially reduce operative time and morbidity.
DESIGN: Retrospective review of all patients treated surgically for primary hyperparathyroidism at The University of California-San Diego Medical Center between January 1990 and May 1992. Results of preoperative imaging studies were compared with surgical and pathologic findings.
SETTING: The University of California-San Diego Medical Center, a primary care and referral center.
PARTICIPANTS: Twenty-eight patients were included in the study, and a total of 41 imaging studies were obtained.
OUTCOME MEASURES: The accuracy of preoperative imaging studies in correctly localizing the site of a parathyroid adenoma.
RESULTS: Ultrasound correctly identified the site of a solitary parathyroid adenoma in 82% of cases, and magnetic resonance imaging in 80% of cases. The adenomas that were not localized by ultrasound were correctly localized by magnetic resonance imaging. These findings are discussed within the context of recent trends in parathyroid surgery.
CONCLUSIONS: Based on the results and a review of the literature, a simple algorithm for the use of these imaging studies is proposed. Use of this algorithm will improve preoperative planning, and potentially reduce operative time and morbidity.