dc.contributor.author | Koyuncu, A | |
dc.contributor.author | Dokmetas, HS | |
dc.contributor.author | Aydin, C | |
dc.contributor.author | Turan, M | |
dc.contributor.author | Erselcan, T | |
dc.contributor.author | Sozeri, S | |
dc.contributor.author | Sen, M | |
dc.date.accessioned | 2019-07-27T12:10:23Z | |
dc.date.accessioned | 2019-07-28T10:22:21Z | |
dc.date.available | 2019-07-27T12:10:23Z | |
dc.date.available | 2019-07-28T10:22:21Z | |
dc.date.issued | 2005 | |
dc.identifier.issn | 1011-7571 | |
dc.identifier.issn | 1423-0151 | |
dc.identifier.uri | https://dx.doi.org/10.1159/000084639 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12418/11090 | |
dc.description | WOS: 000228847100013 | en_US |
dc.description | PubMed ID: 15863995 | en_US |
dc.description.abstract | Objective: This study was planned to investigate the efficacy of either Tc-99m-sestamibi scan or ultrasonography in predicting the operative treatment in patients with primary hyperparathyroidism (PHPT). Subjects and Method: Thirty patients (25 female, 5 male; mean age: 53 years) being operated for symptomatic primary PHPT were included in this study. Ultrasonography was used in 29 patients while Tc-99m-sestamibi scintigraphy was done in 28 patients to localize the hyperfunctioning gland(s). Standard bilateral neck exploration was done in 6 patients. Although unilateral intervention had been planned for 24 patients, bilateral intervention was performed in 9 of them. Results: Sensitivity of Tc-99m-sestamibi was 81%, while that of ultrasonography was 42%. Tc-99m-sestamibi localization method led to misleading results in 10/28 (35.7%) patients. False-positive localization and accompanying thyroid pathologies played an important role in determining transition from unilateral to bilateral intervention. Conclusion: Our findings indicate that bilateral intervention remains a successful management option without prior localization in patients with PHPT especially in an endemic goiter region. Copyright (C) 2005 S. Karger AG, Basel. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | KARGER | en_US |
dc.relation.isversionof | 10.1159/000084639 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | primary hyperparathyroidism | en_US |
dc.subject | hypercalcemia | en_US |
dc.subject | surgery | en_US |
dc.subject | unilateral neck exploration | en_US |
dc.subject | bilateral neck exploration | en_US |
dc.subject | sestamibi scintigraphy | en_US |
dc.title | Surgical management strategies in patients with primary hyperparathyroidism: Which technique in which patients? | en_US |
dc.type | article | en_US |
dc.relation.journal | MEDICAL PRINCIPLES AND PRACTICE | en_US |
dc.contributor.department | Cumhuriyet Univ, Fac Med, Dept Gen Surg, TR-58140 Sivas, Turkey -- Cumhuriyet Univ, Fac Med, Dept Endocrinol, TR-58140 Sivas, Turkey -- Cumhuriyet Univ, Fac Med, Dept Nucl Med, TR-58140 Sivas, Turkey | en_US |
dc.identifier.volume | 14 | en_US |
dc.identifier.issue | 3 | en_US |
dc.identifier.endpage | 198 | en_US |
dc.identifier.startpage | 194 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |