Preoperative Localization of Abnormal Parathyroid: Neck Massage versus Arteriography and Selective Venous Sampling
Authors: A. M. SPIEGEL
Journal: Annals of Internal Medicine (1978)

Brief Reports1 December 1978Preoperative Localization of Abnormal Parathyroid: Neck Massage versus Arteriography and Selective Venous SamplingA. M. SPIEGEL, M.D., J. L. DOPPMAN, M.D., S. J. MARX, M.D., M. F. BRENNAN, M.D., E. M. BROWN, M.D., R. W. DOWNS Jr., M.D., D. G. GARDNER, M.D., M. ATTIE, M.D., G. D. AURBACH, M.D.A. M. SPIEGEL, M.D.Search for more papers by this author, J. L. DOPPMAN, M.D.Search for more papers by this author, S. J. MARX, M.D.Search for more papers by this author, M. F. BRENNAN, M.D.Search for more papers by this author, E. M. BROWN, M.D.Search for more papers by this author, R. W. DOWNS Jr., M.D.Search for more papers by this author, D. G. GARDNER, M.D.Search for more papers by this author, M. ATTIE, M.D.Search for more papers by this author, G. D. AURBACH, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-89-6-935 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPreoperative localization is desirable in patients with primary hyperparathyroidism who have had previous neck surgery (1-3). Arteriography and selective venous sampling, the most effective localization techniques (3, 4), have several drawbacks including cost and lack of general availability. In 1969 Reiss and Canterbury reported (5) that measurement of serum parathyroid hormone (PTH) before and after massage of either side of the neck permitted preoperative localization of hyperfunctioning parathyroid glands. The advantages of neck massage, noninvasiveness and technical simplicity, prompted us to re-examine its efficacy as a parathyroid localization technique.We studied 11 patients with primary hyperparathyroidism; informed consent was obtained....References1. SATAVABEAHRSSCHOLZ ROD: Success rate of cervical exploration for hyperparathyroidism. Arch Surg 110:625-628, 1975 CrossrefMedlineGoogle Scholar2. WELLSDOPPMANBILEZIKIANSHIMKINPOWELLKETCHAMAURBACH SJJPDAG: Repeated neck exploration in primary hyperparathyroidism: localization of abnormal glands by selective thyroid arteriography, selective venous sampling, and radioimmunoassay. Surgery 74:678-686, 1973 MedlineGoogle Scholar3. BRENNANDOPPMANMARXSPIEGELBROWNAURBACH MJSAEG: Reoperative parathyroid surgery for persistent hyperparathyroidism. Surgery 83:669-676, 1978 MedlineGoogle Scholar4. BILEZIKIANDOPPMANSHIMKINPOWELLWELLSHEATHKETCHAMMONCHIKMALLETTEPOTTSAURBACH JJPDSDAJLJG: Preoperative localization of abnormal parathyroid tissue: Cumulative experience with venous sampling and arteriography. Am J Med 55:505-514, 1973 CrossrefMedlineGoogle Scholar5. REISSCANTERBURY EJ: Primary hyperparathyroidism. N Engl J Med 280:1381-1385, 1969 CrossrefMedlineGoogle Scholar6. DOPPMAN J: Parathyroid localization. Radiol Clin N Am 14:163-188, 1976 MedlineGoogle Scholar7. STEINERKIPNISUTIGERPARKER ADCC: Radioimmunoassay for the measurement of adenosine 3′, 5′-cyclic phosphate. Proc Natl Acad Sci USA 64:367-373, 1969 CrossrefMedlineGoogle Scholar8. SEGREHABENERPOWELLTREGEARPOTTS GJDGJ: Parathyroid hormone in human plasma. J Clin Invest 51:3163-3172, 1972 CrossrefMedlineGoogle Scholar9. BERSONYALOW SR: Radioimmunoassays of peptide hormones in plasma. N Engl J Med 277:640-647, 1967 CrossrefMedlineGoogle Scholar10. SPIEGELMARXBRENNANBROWNKOEHLERAURBACH ASMEJG: Urinary cyclic AMP excretion during surgery: An index of successful parathyroidectomy in patients with primary hyperparathyroidism. J Clin Endocrinol 47:537-542, 1978 CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: National Institutes of Health Bethesda, Maryland PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByGuide to Preoperative Parathyroid Localization TestingSelective Venous Sampling for Parathyroid Hormone ExcessPre-Operative Localisation of Parathyroid Tumours Using Neck Vein Catheterisation and Radioimmunoassay for Parathyroid Hormone: The Glasgow ExperienceReoperation for suspected hyperparathyroidismHYPERPARATHYROIDISM; EXPERIENCES WITH TREATED AND UNTREATED PATIENTSDIETARY ANTIGEN AVOIDANCE: POSTPONEMENT OR PREVENTION?ULTRASOUND TO LOCALISE PARATHYROID ADENOMAPreoperative Parathyroid Localization 1 December 1978Volume 89, Issue 6Page: 935-936KeywordsAngiographyHyperparathyroidismParathyroidParathyroid hormoneSurgery Issue Published: 1 December 1978 PDF DownloadLoading ...