Further evidence against the routine use of parathyroid ultrasonography prior to initial neck exploration for hyperparathyroidism.

Abstract:

:The role of preoperative localization tests in patients undergoing initial neck exploration for hyperparathyroidism (HPT) is controversial. The use of parathyroid ultrasonography (US) in 46 patients (7 men, 39 women; mean age: 60 years) who underwent initial neck exploration for hypercalcemia and who had the diagnosis of HPT confirmed at surgery is reported. At surgery, a single adenoma was found in 40 patients and multiple hyperplastic glands in 6 patients. Of the 40 adenomas, only 22 (58%) were localized to the correct side by the preoperative US, and only 5 of 18 hyperplastic glands (28%) were correctly localized. The rates of false-positive and false-negative results were 10% and 46%, respectively. The sensitivity of parathyroid US was 54%, the specificity 90%, and the accuracy 70%. The low sensitivity and accuracy and the high rate of false-negative test results that were observed suggest that there is no role for the routine use of parathyroid US in patients undergoing initial neck exploration for HPT.

journal_name

Am J Surg

authors

Hasselgren PO,Fidler JP

doi

10.1016/s0002-9610(05)80900-6

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

337-40

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(05)80900-6

journal_volume

164

pub_type

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