Neck Exploration Versus Imaging Localization of Parathyroid in Secondary Hyperparathyroidism

Abstract

The aim of this study is to evaluate the effectiveness of preoperative imaging localization of hyper functioning parathyroid glands and comparing it with operative neck exploration in secondary hyperparathyroidism. This study was performed in Minia University Hospital between January 2017 and May 2018. Twenty patients with secondary hyperparathyroidism were included in this study. Ultrasonography was done for all patients, and then we classify our patients into two groups: in group 1 patients, Technetium-99 m sestamibi scan and computed tomography were done preoperatively while in group 2, patients underwent operation with neck exploration directly without other preoperative localization procedures. Mean age in our cases was 45.2 ± 9.46, while the most affected age group was (40–49) years by (35%), then (30–39) years by (30%), then (50–59) years by (25%), and then (≥ 60) years by (10%), while females were more affected than male by (75%) of cases. CT sensitivity in detection of parathyroid disease was 70%, and sestamibi detects 80% while neck exploration detection sensitivity was 100%. Neck exploration is the only reliable localization procedure in the cases of secondary hyperparathyroidism.