[The sonographic diagnosis of recurrences after parathyroid autotransplantation. The preliminary results of a prospective study].
Reactive renal hyperparathyroidism is a complication of chronic renal failure. The treatment of choice is resection of all four parathyroid glands and autotransplantation of a piece of parathyroid into the muscles of the fore-arm. In a prospective study, the transplant site was examined postoperatively in 35 patients by sonography on at least one occasion. In 3 patients (8.6%) enlargement of the autotransplant was observed and in 2 patients this was associated with clinical and biochemical changes; these were also confirmed histologically. The sonographic appearances of satisfactory and abnormal transplants are described. The value of the method remains to be determined.
Winkelbauer
F
F
Universitätsklinik für Radiodiagnostik, Universität Wien.
Ammann
M
M
Längle
F
F
Niederle
B
B
Lechner
G
G
D000328:Adult; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000000981:diagnostic imaging* / Q000637:transplantation*; D016105:Parathyroidectomy; D011446:Prospective Studies; D012008:Recurrence; D013934:Thymectomy; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic; D014463:Ultrasonography