Surgical exploration should be tried for patients with primary hyperparathyroidism even the imaging localization is uncertain
10.3760/cma.j.issn.1000-6699.2017.11.002
- VernacularTitle:原发性甲状旁腺功能亢进症患者即使影像学定位不能确定也应手术探查治疗
- Author:
Yang HE
1
;
Lihao SUN
;
Jianmin LIU
Author Information
1. 200025 上海交通大学医学院附属瑞金医院内分泌代谢病科,上海市内分泌代谢病临床医学中心,上海市内分泌代谢病研究所
- Keywords:
Primary hyperparathyroidism;
Surgery;
Imageological examination
- From:
Chinese Journal of Endocrinology and Metabolism
2017;33(11):920-922
- CountryChina
- Language:Chinese
-
Abstract:
Primary hyperparathyroidism (PHPT) with negative or inconsistent imaging is a significant clinical problem. Surgery is the best chance in curing PHPT. Preoperative imaging is performed for lesion localization to help selecting the proper operative approaches. However,negative or inconsistent imaging could not exclude the diagnosis of PHPT and should not be ruled out the decision of operation. Therefore, for PHPT patients who had indication for surgery but with negative or inconsistent imaging result(s), it is better to transfer the patient to experienced center and surgeons for a proper surgical treatment.