Computed tomography in the localization of parathyroid glands in primary hyperparathyroidism

ABSTRACT

Twenty three patients with a diagnosis of primary hyperparathyroidism [PHP] were treated at Jordan University Hospital [JUH] between June 1984 and June 1990. After establishing the diagnosis of PHP clinically and biochemically, localization of the diseased gland [s] was attempted by computerized tomography [CT] in 15 patients. CT findings were later correlated with the surgical and pathological results. In 10 patients, the surgical and pathological findings corresponded to those reported by CT. Identification of parathyroid tumours on CT scan was made retrospectively in three patients. In two other patients the diseased glands did not correspond to the CT findings. The accuracy of CT localization in this study is 66.6% prospectively and 86.6% retrospectively