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일차성 및 이차성 부갑상선 기능항진증에서 초음파 검사의 유용성

Other Titles
 Usefulness of Ultrasonographic Evaluation in Primary and Secondary Hyperparathyroidism 
Authors
 전태주  ;  김은경  ;  이종두  ;  이종태  ;  유형식  ;  박정수 
Citation
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지), Vol.18(3) : 207-213, 1999 
Journal Title
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지) 
ISSN
 1015-7085 
Issue Date
1999
Keywords
Parathyroid hyperparathyroidism ; Parathyroid US ; Parathyroid radionuclide studies
Abstract
PURPOSE:To evaluate the accuracy and ultrasonographic findings of primary and secondary hyperparathyroidism (HPT) and correlate them with pathologic results. MATERIALS and METHODS: We reviewed 31 cases of surgically confirmed primary (n=22) and secondary (n=9) hyperparathyroidism. We used 10 or 7.5 MHz linear transducer and reviewed the location, contour, size and echogenicity of lesions. Then we evaluated the detection rate of parathyroid lesions based on surgical result and compared the result of 99mTc-sestamibi scan (15 cases). RESULTS: Location of primary HPT was left lower in 9, left upper in 5, right lower in 4, right upper in 3, left mid portion in 1 and superior mediastinum in 1. Lesions showed variable echogenicity -- mild low echo (2), moderate low echo (10), severe low echo (2), isoecho (4) and heterogeneous echo pattern (1). All the lesions except 5 were well defined and 3 lesions had echogenic rim. Posterior enhancement and lateral shadowing were noted in 3 and 4 lesions, respectively. Nineteen of 23 primary lesions were detected by ultrasonography (82.6%) and well correlated with sestamibi scan. In cases of secondary HPT, most were well defined low echoic nodular lesions, and we could detect 6 of 9 patients (67%) and 15 of 36 lesions (41.7%). Only 6 of 24 secondary lesions were detected by sestamibi scan (25%). CONCLUSION: The detection rate of ultrasonography in primary HPT was fairly good and well correlated with the result of the 99m Tc-sestamibi scan, but both diagnostic modalities were not promising in secondary HPT.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Park, Cheong Soo(박정수)
Yoo, Hyung Sik(유형식)
Lee, Jong Doo(이종두)
Lee, Jong Tae(이종태)
Jeon, Tae Joo(전태주) ORCID logo https://orcid.org/0000-0002-7574-6734
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174227
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