| The role of ultrasonography in parathyroid surgery. | |
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MedLine Citation:
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PMID: 18086966 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Bridget A Boudreaux; J Scott Magnuson; Scott A Asher; Renee Desmond; Glenn E Peters |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2007-12-18 Completed Date: 2008-02-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8603209 Medline TA: Arch Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1240-4 Citation Subset: AIM; IM |
Affiliation:
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Division of Otolaryngology, Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL 35294-0012, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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