[Pre-operative detection of parathyroid adenomas with ultrasound echography (author's transl)].
Pre-operative ultrasound echography (USE) was performed in 24 patients with primary hyperparathyroidism. Surgical exploration showed 23 adenomas and was negative in 2 cases. USE gave 14 true positive, 3 false positive, 4 true negative and 6 false negative results. The specificity of the method was 79% and its sensitivity 93%. These figures are similar to those of recently published series. USE is a delicate but rewarding technique. In the hands of sonographists trained in cervical ultrasonography, it might eventually be used routinely to localize parathyroid tumours prior to surgery.
D000236:Adenoma / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D000368:Aged; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000175:diagnosis* / Q000601:surgery; D011300:Preoperative Care; D014054:Tomography; D014463:Ultrasonography
Dépistage ultrasonographique pré-opératoire des adénomes parathyroïdiens.