Parathyroid fine‐needle aspiration with parathyroid hormone washout as a preoperative localisation of parathyroid adenoma—A retrospective study
Authors' conclusion
Parathyroid fine-needle aspiration with parathyroid hormone washout was accurate. Immediate, surgical, or delayed complications were not demonstrated in our series. This approach might be considered for selected patients.
Study context
- Population
- Patients with PHPT who underwent minimally invasive parathyroidectomy after localisation with PTH washout, tertiary referral centre, 2011–2021
- Participants
- 29 patients
- Outcome
- Short- and long-term safety and efficacy of parathyroid FNA with PTH washout for adenoma localisation
Methodological detailssingle tertiary referral centre, Review of all PTH washout procedures 2011-2021 from electronic medical records
- Single tertiary referral centre
- Review of all PTH washout procedures 2011-2021 from electronic medical records
Main finding
As reported in the abstract
Needle-wash PTH levels, times upper limit of serum norm
2.1-112.5
Normocalcemic at end of follow-up after surgery following positive PTH washout
26
90%
Mean follow-up
38.1 months
Observational data: associations, not effects.
Safety
- Fibrotic changes and necrosis, no effect on final pathologic diagnosis or surgery course
- 2 patients
- Long-term complications (seeding, parathyromatosis)
- 0
- No immediate procedure complications other than mild neck discomfort
Original publication
Parathyroid fine‐needle aspiration with parathyroid hormone washout as a preoperative localisation of parathyroid adenoma—A retrospective study. Clin Endocrinol (Oxf). Published 7 June 2023. doi:10.
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