Clinical Study

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.

PatientInitial surgeryIOPTH resultRemedial Follow-up Diagnosis
Ultra soundSesta mibiN° glands excisedIOPTH decayUltra soundSesta mibiN° glands excised

M, 26 yLeftNeg142.4TNRightneg189.4126Doublé Adenoma
F, 38 yNegNeg132.4TNRightneg189.454Doublé Adenoma
F, 32 yNegRight133.5TN370.378MEN1
M, 22 yNegNeg351.6TNRight185.484MEN1
F, 62 yRightRight1 84.1FP36Carcinoma
F, 59 yRightRight150.9FPNegwaiting remedial surgeryMGD

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.