7 doctors weighed in:

How can one diseased parathyroid gland be found?

7 doctors weighed in
Dr. Brendan Stack Jr.
Surgery - Head & Neck
1 doctor agrees

In brief: Find parathyroid

1. Ultrasound because it's cheap and can be done by most high volume practitioners in their office.
2. 4D CT. This is new but far superior to the former number 2. 3. SPECT CT Tc 99 sestamibi or other sestamibi based scan. 4. If you go to 4 or beyond, your a special case and make sure you have a really experienced surgeon.

In brief: Find parathyroid

1. Ultrasound because it's cheap and can be done by most high volume practitioners in their office.
2. 4D CT. This is new but far superior to the former number 2. 3. SPECT CT Tc 99 sestamibi or other sestamibi based scan. 4. If you go to 4 or beyond, your a special case and make sure you have a really experienced surgeon.
Dr. Brendan Stack Jr.
Dr. Brendan Stack Jr.
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Dr. Frederick Singer
Internal Medicine - Endocrinology
1 doctor agrees

In brief: Ultrasound

An abnormal parathyroid gland may be detected by ultrasound examination of the neck or by a nuclear scan of the neck (sestamibi).
If the abnormal gland is only slightly enlarged both tests may be negative. In that case an experienced surgeon is the solution to finding the gland at surgery.

In brief: Ultrasound

An abnormal parathyroid gland may be detected by ultrasound examination of the neck or by a nuclear scan of the neck (sestamibi).
If the abnormal gland is only slightly enlarged both tests may be negative. In that case an experienced surgeon is the solution to finding the gland at surgery.
Dr. Frederick Singer
Dr. Frederick Singer
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Dr. Kenneth Adler
Family Medicine
1 doctor agrees

In brief: Blood work and scan

The first step in diagnosis is blood work.
Overactive parathyroid glands cause high levels of blood calcium. This can be found on routine blood work and patients often have no symptoms initially.. A number of things can cause parathyroid problems, but if a parathyroid "adenoma" is the cause, parathyroid scanning will determine which of the 4 parathyroid glands in the neck are involved.

In brief: Blood work and scan

The first step in diagnosis is blood work.
Overactive parathyroid glands cause high levels of blood calcium. This can be found on routine blood work and patients often have no symptoms initially.. A number of things can cause parathyroid problems, but if a parathyroid "adenoma" is the cause, parathyroid scanning will determine which of the 4 parathyroid glands in the neck are involved.
Dr. Kenneth Adler
Dr. Kenneth Adler
Thank
Dr. Steve Martinez
Breast Surgery

In brief: Several options

In my order of preference: parathyroid sestamibi scan, neck ultrasound, surgical exploration with gamma probe for radio guidance, ct scan of the neck, MRI of neck.

In brief: Several options

In my order of preference: parathyroid sestamibi scan, neck ultrasound, surgical exploration with gamma probe for radio guidance, ct scan of the neck, MRI of neck.
Dr. Steve Martinez
Dr. Steve Martinez
Thank
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