Pre-operative localization of hyperfunctioning parathyroid tissue by parathyroid scintigraphy

Détails

ID Serval
serval:BIB_09239BC64455
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Pre-operative localization of hyperfunctioning parathyroid tissue by parathyroid scintigraphy
Périodique
Acta Endocrinologica
Auteur(s)
Burckhardt  P., Bischof-Delaloye  A., Ruedi  B., Delaloye  B.
ISSN
0001-5598 (Print)
Statut éditorial
Publié
Date de publication
02/1976
Volume
81
Numéro
2
Pages
298-309
Notes
Comparative Study
Journal Article --- Old month value: Feb
Résumé
In 22 patients who underwent surgery suspected of primary hyperparathyroidism, the surgical findings were compared with the results obtained by pre-operative parathyroid scanning and biochemical screening. Thirteen of 15 parathyroid adenomas were localized by pre-operative scanning, but in five of them a false positive focus was also described. The technique was less useful in primary hyperplasia. Comparable results were reported by other investigators. In both instances the best results were obtained in patients with high parathyroid activity as measured by plasma calcium, plasma alkaline phosphatase and tubular reabsorption of phosphorus (TRP). Parathyroid scintigraphy was especially helpful in the presence of ectopic adenomas and in patients who had undergone previous parathyroid surgery. Unfortunately, the possibility of false positive results makes it unreliable for the diagnosis of primary hyperparathyroidism.
Mots-clé
Adenoma/*diagnosis Adult Aged Alkaline Phosphatase/blood Calcium/blood/urine Creatinine/blood Female Humans Hyperparathyroidism/*diagnosis/metabolism Male Middle Aged Parathyroid Glands/*physiopathology Parathyroid Hormone/blood Parathyroid Neoplasms/*diagnosis Phosphorus/metabolism *Radionuclide Imaging Urea/blood
Pubmed
Web of science
Création de la notice
25/01/2008 12:21
Dernière modification de la notice
03/03/2018 13:31
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