Document Detail


The role of ultrasonography in parathyroid surgery.
MedLine Citation:
PMID:  18086966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the role of high-resolution ultrasonography in the preoperative evaluation of patients with hyperparathyroidism. DESIGN: Retrospective cohort. SETTING: Tertiary care university hospital. PATIENTS: Three hundred seventeen patients with hyperparathyroidism who underwent preoperative assessment with ultrasonography and/or sestamibi scan and surgical treatment between October 2003 and October 2006. MAIN OUTCOME MEASURES: Descriptive statistics of localization imaging studies and detection of concomitant thyroid disease in patients presenting with hyperparathyroidism. RESULTS: Ultrasonography correctly localized the parathyroid adenoma(s) in 148 (69.4%) of the 229 patients with these lesions. Sestamibi scans correctly localized the parathyroid adenoma(s) in 133 (58.1%) of the 229 patients. The agreement between the 2 imaging procedures was moderate (kappa = 0.23; 95% confidence interval, 0.12-0.36). Of 317 patients with hyperparathyroidism, 96 (30.3%) had clinically significant concomitant thyroid disease requiring partial or total thyroidectomy. Histopathologic examination revealed benign thyroid disease in 80 (83.0%) of the 96 patients and thyroid carcinoma in 16 (16.6%). CONCLUSION: Ultrasonography is a useful tool in the preoperative evaluation of patients with hyperparathyroidism both for localization of parathyroid adenomas and for the diagnosis of concomitant thyroid disease.
Authors:
Bridget A Boudreaux; J Scott Magnuson; Scott A Asher; Renee Desmond; Glenn E Peters
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  133     ISSN:  0886-4470     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-18     Completed Date:  2008-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1240-4     Citation Subset:  AIM; IM    
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL 35294-0012, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Male
Middle Aged
Parathyroid Diseases / surgery*,  ultrasonography*
Parathyroidectomy / methods*
Preoperative Care / methods
Retrospective Studies
Sensitivity and Specificity
Treatment Outcome
Ultrasonography, Doppler, Color / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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