| Autor: |
Frydman J; Department of Surgery, University of Wisconsin Medical School, Madison, Wisconsin 53792, USA., Bianco J, Drezner M, Chen H |
| Jazyk: |
angličtina |
| Zdroj: |
Clinical nuclear medicine [Clin Nucl Med] 2004 Sep; Vol. 29 (9), pp. 542-4. |
| DOI: |
10.1097/01.rlu.0000134979.88469.60 |
| Abstrakt: |
Although bilateral exploration is highly effective in the treatment of primary hyperparathyroidism, minimally invasive parathyroidectomy has evolved into the procedure of choice when a single parathyroid lesion can be localized preoperatively. In this article, we discuss the utilization of thallium-pertechnetate subtraction scanning (TPSS) after technetium Tc-99m sestamibi scintigraphy failed to localize an ectopic parathyroid adenoma. Subsequently, radioguided resection of an undescended parathyroid adenoma inferior to the left submandibular gland was performed with surgical cure after a single procedure. This case report illustrates the importance of TPSS as a second-line modality in preoperative adenoma localization, thereby using minimally invasive techniques to successfully treat this patient's primary hyperparathyroidism. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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