RADIOGUIDED PARATHYROIDECTOMY: CASE REPORT
Abstract
Parathyroid gland surgery is almost reserved for hyperfunction. Cure rates are high especially when it comes to a first cervical intervention. In a small percentage of patients, hyperparathyroidism persists as a result of incomplete resection of hyperfunctioning tissue. Gamma-chamber oriented parathyroidectomy appears in these cases as an intraoperative adjuvant for localization and complete excision of abnormal tissue. The authors describe the case of a patient who underwent several cervical surgeries due to recurrence and persistence of hyperparathyroidism. The case is intended to illustrate the advantage of using this method in reintervention setting, generally technically demanding and with a higher rate of surgical failure.
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References
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5. Abruzzo A, Gioviale M, Damiano G, Palumbo V et al. Reoperation for persistente or recurrent secondary hyperthyroidism. Surgical treatment of renal hyperparathyroidism. Acta Biomed 2017;88(3):325-328.
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7. Moralidis E. Radionuclide parathyroid imaging: a concise, updated review. Hell J Nucl Med 2013;16(2):125-133.
8. Pitt S, Sippel R, Chen H. Secondary and tertiary hyperparathyroidism, state of art surgical management. Surg Clin North Am 2009;89(5):1227-1239. http://dx.doi.org/ 10.1016/j.suc.2009.06.011
9. Mehrabibahar M, Mousavi Z, Sadeghi R. Feasibility and safety of minimally invasive radioguided parathyroidectomy using very low intraoperative dose of Tc-99mMIBI. International Journal of Surgery 2017;39:229-233. http://dx.doi.org/10.1016/j.ijsu.2017.02.009
10. Bobanga I, McHenry C. Is intraoperative parathyroid hormone monitoring necessary for primary hyperparathyroidism with concordant preoperative imaging? The American Journal of Surgery 2017;213:484-488. http://dx.doi.org/10.1016/j.amjsurg.2016.11.035
11. Chen H, Mack E, Starling J. Radioguided parathyroidectomy is equally effective for both adenomatous and hyperplastic glands. Annals of Surgery 2003;238(3):332-338. http://dx.doi.org/10.1097/01.sla.0000086546.68794.9a
12. Chen H, Sippel R, Schaefer S. The effectiveness of radioguided parathyroidectomy in patients with negative technetium tc 99m-sestamibi scans. Arch Surg 2009;144(7):643-8. http://dx.doi.org/10.1001/archsurg.2009.104
2. Noureldine S, Gooi Z, Tufano R. Minimally invasive parathyroid surgery. Gland Surgery 2015;4(5):410-419. http://dx.doi.org/10.3978/j.issn.2227-684X.2015.03.07
3. Suarez J, Dominguez M, Santos, et al. Radioguided surgery in primary hyperparathyroidism: Results and correlation with intraoperative histopathologic diagnosis. Acta Otorrinolaringol Esp 2018;69(2):86-94.
4. Pitt S, Panneerselvan R, Sippel R, Chen H. Radioguided parathyroidectomy for hyperparathyroidism in the reoperative neck. Surgery 2009;146(4)592-599. http://dx.doi.org/10.1016/j.surg.2009.06.031
5. Abruzzo A, Gioviale M, Damiano G, Palumbo V et al. Reoperation for persistente or recurrent secondary hyperthyroidism. Surgical treatment of renal hyperparathyroidism. Acta Biomed 2017;88(3):325-328.
6. Henry J. Reoperation for primary hyperparathyroidism: tips and tricks. Langenbecks Aech Surg 2016; 395:103-109. http://dx.doi.org/10.1007/s00423-009-0560-2
7. Moralidis E. Radionuclide parathyroid imaging: a concise, updated review. Hell J Nucl Med 2013;16(2):125-133.
8. Pitt S, Sippel R, Chen H. Secondary and tertiary hyperparathyroidism, state of art surgical management. Surg Clin North Am 2009;89(5):1227-1239. http://dx.doi.org/ 10.1016/j.suc.2009.06.011
9. Mehrabibahar M, Mousavi Z, Sadeghi R. Feasibility and safety of minimally invasive radioguided parathyroidectomy using very low intraoperative dose of Tc-99mMIBI. International Journal of Surgery 2017;39:229-233. http://dx.doi.org/10.1016/j.ijsu.2017.02.009
10. Bobanga I, McHenry C. Is intraoperative parathyroid hormone monitoring necessary for primary hyperparathyroidism with concordant preoperative imaging? The American Journal of Surgery 2017;213:484-488. http://dx.doi.org/10.1016/j.amjsurg.2016.11.035
11. Chen H, Mack E, Starling J. Radioguided parathyroidectomy is equally effective for both adenomatous and hyperplastic glands. Annals of Surgery 2003;238(3):332-338. http://dx.doi.org/10.1097/01.sla.0000086546.68794.9a
12. Chen H, Sippel R, Schaefer S. The effectiveness of radioguided parathyroidectomy in patients with negative technetium tc 99m-sestamibi scans. Arch Surg 2009;144(7):643-8. http://dx.doi.org/10.1001/archsurg.2009.104
Published
2023-01-12
How to Cite
VALENTE, Pedro et al.
RADIOGUIDED PARATHYROIDECTOMY: CASE REPORT.
Revista Portuguesa de Cirurgia, [S.l.], jan. 2023.
ISSN 2183-1165.
Available at: <https://revista.spcir.com/index.php/spcir/article/view/764>. Date accessed: 03 oct. 2023.
doi: https://doi.org/10.34635/rpc.764.
Issue
Section
Clinical Case
