Masera N, Salvolini U, La Rocca R
Minerva Med. 1976 May 5;67(22):1430-5.
A personal case of hyperparathyroidism due to parathyroid adenoma is reported: selective angiography enabled the neoplasia to be precisely localized in an unusual site and made it possible to identify its abnormal venous drainage. Transcervical surgery was used to remove the adenoma and the patient cured with no relapse up to the present. In the light of this expecience and a review of the recent literature on diagnostic techniques, emphasis is laid on the effectiveness of angiography in the localization of parathyroid adenoma, a localization which should always be sought preoperatively to avoid the risk of pointless surgical exploration.
选择性血管造影能够将肿瘤精确地定位在一个不寻常的部位,并能够识别其异常的静脉引流。采用经颈手术切除腺瘤,患者治愈,至今未复发。根据这一经验以及对近期诊断技术文献的回顾,强调血管造影在甲状旁腺腺瘤定位中的有效性,术前应始终寻求这种定位以避免无意义的手术探查风险。