A 10-Year Experience in Intraoperative Parathyroid Hormone Measurements for Primary Hyperparathyroidism: A Prospective Study of 91 Previous Unexplored Patients
Table 5
Cases of operative failure.
Patient
Initial surgery
IOPTH result
Remedial
Follow-up
Diagnosis
Ultra sound
Sesta mibi
N° glands excised
IOPTH decay
Ultra sound
Sesta mibi
N° glands excised
M, 26 y
Left
Neg
1
42.4
TN
Right
neg
1
89.4
126
Doublé Adenoma
F, 38 y
Neg
Neg
1
32.4
TN
Right
neg
1
89.4
54
Doublé Adenoma
F, 32 y
Neg
Right
1
33.5
TN
3
70.3
78
MEN1
M, 22 y
Neg
Neg
3
51.6
TN
Right
1
85.4
84
MEN1
F, 62 y
Right
Right
1
84.1
FP
36
Carcinoma
F, 59 y
Right
Right
1
50.9
FP
Neg
waiting remedial surgery
MGD
Neg: negative; TP: true positive; TN: true negative; FP: false positive; MGD: multiple glandular disease; MEN1: multiple endocrine neoplasia type 1. Decay values are in %; follow-up period in months.