Open AccessBilateral neck exploration in patients with primary hyperparathyroidism and discordant imaging results: a single-centre study
Author(s) -
Mélanie Philippon,
Carole Guérin,
David Taïeb,
Josiane Vaillant,
Isabelle Morange,
Thierry Brue,
B. ConteDevolx,
Jean-Franois Henry,
Evelyne Slotema,
F. Sébag,
Frédéric Castinetti
Publication year - 2014
Publication title -
european journal of endocrinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.897
H-Index - 148
eISSN - 1479-683X
pISSN - 0804-4643
DOI - 10.1530/eje-13-0796
Subject(s) - medicine , primary hyperparathyroidism , scintigraphy , radiology , ultrasound , parathyroidectomy , pathological , concordance , hyperparathyroidism , pathology , parathyroid hormone , calcium
Focused parathyroidectomy is the treatment of choice for patients with concordant positive imaging. Bilateral cervical exploration is performed for cases with discordant imaging, yet more than 70% of those cases are the result of a single-gland disease. As focused parathyroidectomy is generally costless and harmless, for cases with discordant imaging, we tried to determine whether preoperative characteristics can lead to a diagnosis of single-gland disease.
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