11 March 2002
Med Sci Monit 2002; 8(3): CS21-25 :: ID: 420900
BACKGROUND: We report a case of radioguided parathyroidectomy using a hand-heldgamma probe for the reexploration of primary hyperparathyroidism. CASE REPORT: The patient was a 66-year-oldJapanese woman. She had previously undergone surgical exploration for primary hyperparathyroidism dueto a left inferior parathyroid tumor detected by 99mTc-methoxyisobutylisonitrile (MIBI) scintigraphy.However, the pathological diagnosis of the resected tumor was adenomatous goiter. 99mTc-MIBI scintigraphywas performed again and revealed an abnormal uptake close to the right lower lobe of the thyroid. However,venous sampling for PTH measurements did not support this finding. Sestamibi was injected and the radioactivitywas measured pre- and intraoperatively with a hand-held gamma probe. With the patient under general anesthesia,the tumor, which was adjacent to the right recurrent laryngeal nerve, was resected, but it containedonly a low level of radioactivity ex vivo, indicating that it was not a parathyroid tumor. A hand-heldgamma probe accurately located the radioactive parathyroid tumor in the right lower neck. The resectedtumor measured 15 x 6 mm and weighed 331 mg. The pathological diagnosis was parathyroid adenoma. CONCLUSIONS:Radioguided parathyroidectomy is useful to localize parathyroid tumors not only in primary hyperparathyroidismat the initial neck exploration but also for reexploration.
Keywords: Adenoma, Hyperparathyroidism, Radiosurgery
01 May 2022 : EditorialEditorial: Cardiovascular Complications at One Year After SARS-CoV-2 Infection are Independent of Underlying Cardiovascular Risk Factors or Severity of COVID-19
Med Sci Monit 2022; 28:e937048
04 May 2022 : Clinical ResearchEffects of Wearing Face Masks on Exercise Capacity and Ventilatory Anaerobic Threshold in Healthy Subjects ...
Med Sci Monit In Press; DOI: 10.12659/MSM.936069
22 April 2022 : Clinical ResearchFactors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)
Med Sci Monit In Press; DOI: 10.12659/MSM.936547
25 May 2022 : Review articleNarrative Review of the Mechanism of Hip Prosthesis Dislocation and Methods to Reduce the Risk of Dislocation
Med Sci Monit In Press; DOI: 10.12659/MSM.935665
24 May 2022 : Clinical ResearchRemimazolam Tosilate Sedation with Adjuvant Sufentanil in Chinese Patients with Liver Cirrhosis Undergoing ...
Med Sci Monit In Press; DOI: 10.12659/MSM.936580
Most Viewed Current Articles
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
08 Mar 2022 : Review articleA Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...
Med Sci Monit 2022; 28:e936292
01 Nov 2020 : Review articleLong-Term Respiratory and Neurological Sequelae of COVID-19
Med Sci Monit 2020; 26:e928996