Der Stellenwert präoperativer Lokalisationsmethoden beim primären Hyperparathyreoidismus View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1999-10

AUTHORS

G. Prager, C. Czerny, A. Kurtaran, Ch. Passler, Ch. Scheuba, B. Niederle

ABSTRACT

Summary. Bilateral neck exploration is the standard procedure in primary hyperparathyroidism. Using a bilateral approach, preoperative localization studies are not mandatory. A localized single gland disease is the basis for a minimally invasive procedure. Therefore preoperative localization techniques play an important role in planning (minimally invasive) first time exploration for primary hyperparathyroidism. The combination of 99 mTc-SestaMIBI scintigraphy with ultrasound allows correct localization of the parathyroid adenoma in 86 % of all single gland diseases. Multiple gland disease could be predicted in isolated cases only. Computerized tomography and magnetic resonance imaging could not improve the results. Surgery for persistent or recurrent hyperparathyroidism should only be performed after positive localization studies. More... »

PAGES

1082-1088

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s001040050869

DOI

http://dx.doi.org/10.1007/s001040050869

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1008278033

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/10550337


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