Preoperative localization of parathyroid adenoma in video-assisted era: is better cervical ultrasound or 99mTC Sesta MIBI scintigraphy?

CONCLUSIONS: C-US and MIBI-S are the best diagnostic tools for preoperative localization of SA, but both have decreased sensitivity in the presence of a concomitant thyroid diseases. In our experience c-US showed high sensitivity in the identification of inferior SA and MIBI-S showed a decreased sensitivity in the identification of superior SA. Discordant results in the identification of SA didn't contraindicate MIVAP. Intra-operative parathormone dosage is fundamental to guide the endocrine surgeon and to verify the completeness of surgical resection. PMID: 28465501 [PubMed - as supplied by publisher]
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research