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Institutional experience of PTH evaluation on fine-needle washing after aspiration biopsy to locate hyperfunctioning parathyroid tissue

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2009年第5期10卷 323-330页

作者： Massimo GIUSTI Mara DOLCINO Lara VERA Carla GHIARA francesca massaro Laura FAZZUOLI Diego FERONE Michele MUSSAP Francesco MINUTO Department of Endocrinology San Martino University Hospital Analysis Laboratory San Martino University Hospital

Assaying parathyroid hormone(PTH) in the washing liquid after fine-needle aspiration biopsy(FNAB) seems to be a valid approach to locate parathyroid ***-FNAB was evaluated in 47 patients with a clinical picture of primary hyper-parathyroidism(PHP) and ultrasonography(US) suggestive of parathyroid *** patients were subdivided into two groups on the basis of the absence or presence of US thyroid *** result of PTH-FNAB was compared with those of cytology,scintigraphy and,in 24 patients,surgical ***-FNAB samples with a value higher than that recorded in the serum and higher than our institutional cut-off were deemed to be probable samples of parathyroid *** proved diagnostic for benign thyroid lesions,non-diagnostic for thyroid lesions,hyperplastic parathyroid tissue,undetermined or malignant thyroid lesions and other lesions in 45%,30%,17%,4%,and 4% of cases,*** 47% of cases,PTH-FNAB indicated that the sample had been taken in parathyroid *** patients without US alterations,the diagnostic accuracy of PTH-FNAB was greater than that of *** surgery,comparison between the results of PTH-FNAB and scintigraphy,in terms of positive predictive value(PPV),revealed the superiority of PTH-FNAB;PPV was 94% for FNAB and 71% for scintigraphy,while sensitivity was 83% and 69%,***-FNAB evaluation after FNAB appears to be more diagnostic than cytology and *** all the procedures used,PTH-FNAB appears to be the method of choice when the target is US suggestive and ***-FNAB appears to be a useful method of guiding surgical intervention.

关键词： Primary hyperparathyroidism Nodular goitre Scintigraphy Ultrasonography Fine-needle aspiration biopsy (FNAB) Parathyroid hormone (PTH)-FNAB

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