Complex ultrasonic study of parathyroids in diagnostic and surgical treatment of primary hyperparathyroidism

Primary hyperparathyroidism is the most common disease in Russian Federation, cured by endocrine surgeons. Health status after surgical correction of primary hyperparathyroidism depends on availability of screening hypercalciemia, which is still absent in our country. Another problem is a model of s...

Full description

Saved in:
Bibliographic Details
Published inHirurgija (Moskva) no. 6; p. 13
Main Authors Chernousov, A F, Ippolitov, L I, Musaev, G Kh, Saliba, M B
Format Journal Article
LanguageRussian
Published Russia (Federation) 2014
Subjects
Adult
Aged
Comparative Effectiveness Research
Female
Humans
Hyperparathyroidism, Primary - diagnosis
Hyperparathyroidism, Primary - surgery
Male
Middle Aged
Monitoring, Intraoperative - methods
Moscow
Parathyroid Glands - diagnostic imaging
Parathyroidectomy - adverse effects
Parathyroidectomy - methods
Postoperative Complications - prevention & control
Preoperative Care - methods
Reproducibility of Results
Retrospective Studies
Tomography, Emission-Computed, Single-Photon - methods
Treatment Outcome
Ultrasonography - methods
Online AccessGet more information

Cover

More Information
Summary:Primary hyperparathyroidism is the most common disease in Russian Federation, cured by endocrine surgeons. Health status after surgical correction of primary hyperparathyroidism depends on availability of screening hypercalciemia, which is still absent in our country. Another problem is a model of surgical management of primary hyperparathyroidism (frozen section, intraoperative monitoring of parathyroid hormone, gamma-detection and so on). Although minimally invasive parathyroidectomy has become the only method of treatment in many countries, it is still crucial to identify and accurately localize parathyroid glands before bilateral neck exploration surgery. The diagnostic efficacy of the various imaging techniques is still the subject of current debate. The usefulness of preoperative parathyroid imaging with both dual scintigraphy-single-photon emission computed tomography (SPECT) Tc 99m and high-resolution ultrasonography (US) was studied in 92 patients undergoing operations for primary hyperparathyroidism. The accuracy of "integrated" ultrasonography ("check-up US", "target US" after SPECT) and "intraoperative US") of parathyroid glands was 92.9%, sensitivity - 91% and positive predictive value - 94%. This study supports an algorithm of obtaining "integrated" ultrasonography as the initial and in most cases the only preoperative localization tests for patients with primary hyperparathyroidism.
ISSN:0023-1207