Focused Parathyroidectomy without Intra-operative Parathormone Monitoring: The Value of PTH Assay in Preoperative Ultrasound Guided Fine Needdle Aspiration Washout

Conclusions The higher level of PTH in preoperative ultrasound guided FNA washout is a considerable data to predict the correct localization of HP, particularly in circumstances of greater values than the serum PTH level. However, although its specificity is high, in cases of coexisting nodular thyroid disease, associated additional HP might be missed at focused parathyroidectomy without PTH monitoring, leading to recurrent disease.
Source: Annals of Medicine and Surgery - Category: Journals (General) Source Type: research