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Preoperative Imaging of the Parathyroid Glands

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The Parathyroid Glands

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Abstract

Parathyroid diseases were a difficult and even incomprehensible theme for many years. Clinical manifestations of parathyroid abnormalities (osseous and visceral) were rare and presented a serious diagnostic and therapeutic problem. According to WHO, manifest forms of primary hyperparathyroidism (PHPT) in the middle of the 20th century prevailed in Western Europe and the United States. Wide variability of localization of parathyroid tumors created great difficulties for surgeons. In addition, asymptomatic PHPT forms (adenomas and carcinomas) were accidentally found during operations on the organs of the neck or superior mediastinum. Older methods permitted occasional identification of parathyroid tumors, but these methods had low specificity. This was the cause of many false-positive results, especially in the cases of combination with the pathology of the thyroid gland. It stimulated elaboration by more specific techniques, especially for diagnosing cases of atypical location of the parathyroid glands and of concomitant pathology of cervical and mediastinal organs.

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Authors and Affiliations

  1. Clinic of Endocrine Surgery, MONIKI, Moscow, Russia

    Arian P. Kalinin

  2. Department of Histology Cytology and Embryology, Yaroslavl State Medical Academy, Yaroslavl, Russia

    Alexey V. Pavlov

  3. Department of Surgery, Yaroslavl State Medical Academy, Yaroslavl, Russia

    Yury K. Alexandrov

  4. Clinic of Endocrinology Surgery, MONIKI, Moscow, Russia

    Irina V. Kotova

  5. Department of Ultrasound Diagnostics, Yaroslavl State Medical Academy, Yaroslavl, Russia

    Yury N. Patrunov & Sergey N. Pamputis

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Kalinin, A.P., Pavlov, A.V., Alexandrov, Y.K., Kotova, I.V., Patrunov, Y.N., Pamputis, S.N. (2013). Preoperative Imaging of the Parathyroid Glands. In: The Parathyroid Glands. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30873-4_2

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