MEDIASTINAL SCINTIGRAPHY FOR PARATHYROID LOCALIZATION IN HYPERPARATHYROIDISM

Two cases are reported demonstrating that mediastinal scintigraphy for hyperparathyroidism should be routinely performed along with scintigr aphy of the neck region. Because of the relative cost-benefit ratio, c onsideration should also be given to performing the procedure before t he initial surgery. For the most accurate diagnosis and favorable outc ome, our cases suggest that scintigraphic physiologic results should b e correlated with anatomic results of conventional radiography.