Revision parathyroidectomy guided by intraoperative radionuclide imaging.

Abstract

BACKGROUND:

Technetium-99m sestamibi scintigraphy has become one of the most popular techniques for localization of the parathyroid gland after failure of primary neck exploration.

OBJECTIVE:

To examine the efficacy of sestamibi with the hand-held gamma ray detecting probe for the identification of parathyroid adenomas during revision parathyroidectomy.

METHODS:

We reviewed six cases of probe-assisted neck exploration for parathyroid lesions following unsuccessful primary exploration.

RESULTS:

In all cases the pathologic glands were successfully detected and removed.

CONCLUSIONS:

With careful planning, a gamma ray detecting probe can be used optimally 2-3 hours after technetium-99m sestamibi injection. The probe is efficient, easy and convenient to use.

• Authors: Ben Nageris, Dan Guttman, Gideon Bahar, Moshe Melloul, Raphael Feinmesser, Shlomo Schneebaum
• Journal: The Israel Medical Association journal : IMAJ (Isr Med Assoc J) Vol. 5 Issue 6 Pg. 403-6 (Jun 2003) ISSN: 1565-1088 [Print] Israel
• PMID: 12841009 (Publication Type: Case Reports, Journal Article)

Chemical References

• Parathyroid Hormone
• Radiopharmaceuticals
• Phosphorus
• Technetium Tc 99m Sestamibi
• Calcium

Topics

• Adenoma (blood, diagnostic imaging, surgery)
• Adult
• Aged
• Calcium (blood)
• Equipment Design
• Female
• Gamma Rays
• Humans
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Monitoring, Intraoperative (instrumentation, methods)
• Parathyroid Hormone (blood)
• Parathyroid Neoplasms (blood, diagnostic imaging, surgery)
• Parathyroidectomy (methods)
• Phosphorus (blood)
• Radiography, Interventional (instrumentation, methods)
• Radionuclide Imaging
• Radiopharmaceuticals
• Reoperation (instrumentation, methods)
• Technetium Tc 99m Sestamibi
• Time Factors
• Tomography, X-Ray Computed
• Treatment Outcome