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Radiologic Diagnosis and Surgical Treatment of Primary Hyperparathyroidism / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery ; : 733-739, 2006.
Artículo en Coreano | WPRIM | ID: wpr-655587
ABSTRACT
BACKGROUND AND

OBJECTIVES:

With the advance in serum chemical analyses, the diagnosis of primary hyperparathyroidism has become more common, and patients without signs or symptoms attributable to the disease have increased. We performed this study to obtain further understanding and more supporting ideas for the diagnosis and treatment of primary hyperparathyroidism. SUBJECTS AND

METHOD:

A retrospective study of 19 patients with primary hyperparathyroidism who were treated by surgery from march 1999 to June 2005 was performed.

RESULTS:

Preoperative localization was performed with computerized tomography, ultrasonography and 99m Tc-sestamibi scan. A 99m Tc-sestamibi scan has an accuracy of 84% and ultrasonography has an accuracy of 67% for parathyroid tumors. Combination of ultrasonography and 99m Tc-sestamibi scan had the accuracy of 93%. All patients were treated by surgery. After surgery, serum calcium and intact parathyroid hormone levels returned rapidly to normal. Parathyroid carcinomas were firm in consistency and adhered to the surrounding tissue and thyroid gland.

CONCLUSION:

Ultrasonogram and 99m Tc-sestamibi scan was effective for preoperative localization of tumor. If parathyroid carcinoma is suspected, the mass with potential local invasion or regional metastasis should be removed with en bloc resection.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Hormona Paratiroidea / Neoplasias de las Paratiroides / Glándula Tiroides / Calcio / Estudios Retrospectivos / Paratiroidectomía / Ultrasonografía / Diagnóstico / Hiperparatiroidismo Primario / Metástasis de la Neoplasia Tipo de estudio: Estudio diagnóstico / Estudio observacional Límite: Humanos Idioma: Coreano Revista: Korean Journal of Otolaryngology - Head and Neck Surgery Año: 2006 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Hormona Paratiroidea / Neoplasias de las Paratiroides / Glándula Tiroides / Calcio / Estudios Retrospectivos / Paratiroidectomía / Ultrasonografía / Diagnóstico / Hiperparatiroidismo Primario / Metástasis de la Neoplasia Tipo de estudio: Estudio diagnóstico / Estudio observacional Límite: Humanos Idioma: Coreano Revista: Korean Journal of Otolaryngology - Head and Neck Surgery Año: 2006 Tipo del documento: Artículo