Evaluation of patients with primary hyperparathyroidism: Role of high-resolution ultrasound

D. Bradley Koslin, Jeffery Adams, Peter Andersen, Edwin Everts, James Cohen

Research output: Contribution to journalArticle

58 Scopus citations

Abstract

Unilateral parathyroid exploration with adenoma removal and identification of a normal parathyroid gland is an accepted surgical approach for the treatment of patients with primary hyper-parathyroidism. This study prospectively evaluated the ability of high-resolution sonography to localize adenomas preoperatively and the effect of this localization on operative time and cost in 37 previously untreated patients undergoing surgical treatment for primary hyperparathyroidism. The sensitivity and positive predictive value of the sonographic examination were 84% and 90%, respectively. A true positive sonographic examination decreased surgical time by an average of 40 minutes and reduced operative charges by $564, including the cost of the test ($156). In experienced hands high-resolution sonography can be a cost-effective means of localizing parathyroid adenomas where unilateral exploration is considered an accepted surgical approach.

Original languageEnglish (US)
Pages (from-to)1249-1253
Number of pages5
JournalLaryngoscope
Volume107
Issue number9
DOIs
StatePublished - Sep 1 1997

ASJC Scopus subject areas

  • Otorhinolaryngology

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