J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 428KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 83(4): 352-356, 1982

Original article

PREOPERATIVE IMAGE DIAGNOSIS OF HYPERTROPHIED PARATHYROID GLANDS IN PATIENTS WITH RENAL OSTEODYSTROPHY

*) Third Department of Surgery, Aichi Cancer Center Hospital, Nagoya, Japan
**) Organ Transplant Center, Nagoya Second Red Cross Hospital, Nagoya, Japan

Hiroshi Takagi, M.D.*), Yoshihiro Tominaga, M.D.**), Kazuharu Uchida, M.D., others**)

Computed tomography (CT) of the neck and mediastinum was performed in 16 patients with renal osteodystrophy. Thirty out of 34 excised parathyroid glands weighing more than 500mg were diagnosed preoperatively (88.2%).
Scintigraphy of the neck with 201TlCl and 99mTcO4- was also performed in 15 patients. The introduction of subtraction method with a mini-computor in the scintigraphy has remarkably improved the visualization rate of parathyroid glands.
Ultrasonic echography (US) of the neck which is able to obtain not only transverse but also longitudinal imaging was done in 7 patients. It has about same detection rate of the glands with CT.
The visualization of enlarged parathyroid glands is valuable not only for localization but also for undeniable evidence of hyperparathyroidism. Also, repeated follow-up examination can determine the effectiveness of conservative treatment.

<< To previous pageTo next page >>

To read the PDF file you will need Adobe Reader installed on your computer.