原発性副甲状腺機能亢進症の局在診断法とその成績

武田 正之; 片山 靖士; 木村 元彦; 片桐 明善; 斉藤 和英; 小原 健司; 米山 健志; 佐藤 昭太郎; 木村 元政; 椎名 信; 高橋 栄明; 武田 正雄

doi:10.5980/jpnjurol1989.81.707

LOCALIZING METHODS OF PRIMARY HYPERPARATHYROIDISM AND THOSE RESULTS

Masayuki Takeda, Yasushi Katayama, Motohiko Kimura, Akiyoshi Katagiri, Kazuhide Saito, Kenji Obara, Takeshi Komeyama, Shotaro Sato, Motomasa Kimura, Makoto Shiina, Hideaki Takahashi, Masao Takeda

Author information

Masayuki Takeda
Department of Urology, Niigata University, School of Medicine
Yasushi Katayama
Department of Urology, Niigata University, School of Medicine
Motohiko Kimura
Department of Urology, Niigata University, School of Medicine
Akiyoshi Katagiri
Department of Urology, Niigata University, School of Medicine
Kazuhide Saito
Department of Urology, Niigata University, School of Medicine
Kenji Obara
Department of Urology, Niigata University, School of Medicine
Takeshi Komeyama
Department of Urology, Niigata University, School of Medicine
Shotaro Sato
Department of Urology, Niigata University, School of Medicine
Motomasa Kimura
Department of Radiology, Niigata University, School of Medicine
Makoto Shiina
Department of Radiology, Niigata University, School of Medicine
Hideaki Takahashi
Department of Orthopaedics, Niigata University, School of Medicine
Masao Takeda
Section of Urology, Koseiren Nagaoka Central General Hospital

Keywords: primary hyperpatathyroidism, localizing diagnosis, MRI

JOURNAL FREE ACCESS

1990 Volume 81 Issue 5 Pages 707-712

DOI https://doi.org/10.5980/jpnjurol1989.81.707

Details

Abstract

The results of severl pre-operative localizing methods and pathological findings were compared in 11 patients with primary hyperparathyroidism.
1. The accuracy rate was highest with selective blood sampling from the thyroid vein and MRI, which was 75% with both methods. The 3rd was dual photon scintigraphy, the accuracy rate being 62.5%. The 4th was ultrasonography, 57.1%, and the rate was lowest with CT, 25%.
2. MRI-a new localizing method-has a weak point that it cannot differentiate lymphnodes from parathyroid adenoma/hyperplasia.
3. Not to overlook small lesion of primary hyperplasia, several localizing methods should be performed before initial neck exploration.

Corresponding author

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