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- Title
Parathyroid adenoma localization: surgeon-performed ultrasound versus sestamibi.
- Authors
Steward DL; Danielson GP; Afman CE; Welge JA; Steward, David L; Danielson, Gregory P; Afman, Chad E; Welge, Jeffrey A
- Abstract
<bold>Objectives: </bold>Compare surgeon-performed ultrasound versus sestamibi for preoperative parathyroid adenoma localization. <bold>Study Design: </bold>Single-institutional cohort. <bold>Methods: </bold>One hundred six consecutive patients undergoing parathyroidectomy at an academic institution between 2004 to 2005 were included. Of those, 103 underwent both surgeon-performed ultrasound and sestamibi-Tc99m localization preoperatively. Primary outcome is sensitivity for adenoma localization to correct quadrant (right vs. left, superior vs. inferior). <bold>Results: </bold>Hypercalcemia resolved in 97% of patients. Sensitivities for correct quadrant localization for ultrasound versus sestamibi were 87% versus 58% (P < .001). Specificities were 95%. Positive and negative predictive values were 85% versus 78% and 96% versus 87%, respectively. Combined sensitivity was 93%. Sensitivities for correct side localization were 91% and 74% (P = .002). <bold>Conclusions: </bold>Ultrasound appears more sensitive than sestamibi for localization to correct quadrant or side when performed in-office by the author in this cohort.
- Publication
Laryngoscope, 2006, Vol 116, Issue 8, p1380
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1097/01.mlg.0000227957.06529.22