Comparison among sonography, double-tracer subtraction scintigraphy, and double-phase scintigraphy in the detection of parathyroid lesions.

Mazzeo, Salvatore; Caramella, Davide; Lencioni, Riccardo; Molea, N; Liperi, Annalisa De; Marcocci, Claudio; Miccoli, Paolo; Iacconi, Pietro; Bossio, G. Bruno; Viacava, Paolo; Lazzeri, Elena; Bartolozzi, Carlo

doi:10.2214/ajr.166.6.8633466

Cited by 107 publications

(94 citation statements)

References 24 publications

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“…Seules les glandes de diamètre supérieur à 5 mm sont détectables [7,8,9]. Sa sensibilité varie dans la littérature de 55 à 85% [3,5,6,8]. Dans notre série, elle était de 60%.…”

Section: Discussionunclassified

Traitement Chirurgical De L\'hyperparathyroidie Primaire : Techniques Et Resultats

Dhouib¹,

Hammami²,

Thabet³

et al. 2008

Journal Tunisien d'ORL Et De Chirurgie Cervico-Faciale

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“…Seules les glandes de diamètre supérieur à 5 mm sont détectables [7,8,9]. Sa sensibilité varie dans la littérature de 55 à 85% [3,5,6,8]. Dans notre série, elle était de 60%.…”

Section: Discussionunclassified

Traitement Chirurgical De L\'hyperparathyroidie Primaire : Techniques Et Resultats

Dhouib¹,

Hammami²,

Thabet³

et al. 2008

Journal Tunisien d'ORL Et De Chirurgie Cervico-Faciale

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“…Nestes casos, os exames geralmente solicitados são US cervical e/ou cintilografia de paratiróides. Entretanto, a coexistência de nódulos tiroideanos pode levar a resultados falso-positivos (9).…”

Section: Resultsunclassified

Hiperparatiroidismo primário: localização pré-operatória através da dosagem de paratormônio (PTH) em aspirado de punção de nódulo cervical

Hauache¹,

Santos²,

Vieira³

2002

Arq Bras Endocrinol Metab

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RESUMOO diagnóstico laboratorial de hiperparatiroidismo primário baseia-se no encontro de hipercalcemia na presença de níveis séricos elevados ou inapropriadamente normais de paratormônio (PTH). Uma vez confirmado o diagnóstico laboratorial, paratiroidectomia pode ou não ser indicada, na dependência de critérios clínicos e laboratoriais. Quando a cirurgia é indicada, diversos exames localizatórios de imagem cervicais (ultra-sonografia, tomografia, ressonância magnética, cintilografia) podem ser solicitados com o objetivo de auxiliar o cirurgião, indicando qual a localização de uma ou mais glândulas paratiróides aumentadas. Entretanto, tais exames apresentam sensibilidades variadas, na dependência quase sempre direta dos níveis séricos de PTH. Além disso, a coexistência de nódulos tiroideanos pode levar a resultados falso-positivos. Neste artigo, descrevemos três pacientes portadoras de hiperparatiroidismo primário com localização do nódulo cervical suspeito no pré-operatório. A natureza paratiroideana destes nódulos foi confirmada através da dosagem de PTH no material aspirado da punção dos respectivos nódu -los cervicais. High or inappropriately normal parathormone (PTH) levels in the presence of hypercalcemia are very suggestive of primary hyperparathyroidism. Once the biochemical diagnosis is confirmed, surgery may be indicated according to specific guidelines. When this is the case, several preoperative localization studies may be performed, such as ultrasonography, computerized tomography, magnetic resonance and parathyroid scintigraphy. These exams may be ordered in an attempt to help the surgeon by pointing out the precise localization of one or more enlarged parathyroid glands. However, these exams have variable sensitivities, which usually correlate with serum levels of PTH. Moreover, the coexistence of thyroid nodules may lead to false-positive observations. We herein describe three patients with primary hyperparathyroidism, whose parathyroid nature of preoperative suspicious localized cervical nodules were confirmed by PTH measurement in needle aspirates of these nodules. (Arq Bras Endocrinol Metab 2002;46/6:704-707 )

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“…En algunos estudios se ha observado que la presencia de una enfermedad tiroidea (adenomas foliculares, bocio multinodular y carcinoma) es la causa más frecuente de falsos positivos 6 . Otros artículos, sin embargo, no han encontrado esa relación 7 .…”

Section: Discussionunclassified

Tratamiento del hiperparatiroidismo primario mediante abordaje mínimamente invasivo

et al. 2011

Rev Chil Cir

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Treatment of the primary hiperparatiroidism by minimally invasive boardingThe unilateral boarding of the primary hiperparatiroidism constitutes a technical option increasingly secondhand and adapted for the characteristics of this surgery. This type of boarding has been possible for the appearance of the Tc sestamibi, of the subspecialization of the surgery and of the determination of the PTH intraoperatory. Later we expose an epidemiological, descriptive and retrospective study from january 2004 to december 2008. During this time there were controlled in the hospital Ramon and Cajal of Madrid a total of 195 patients for primary hiperparatiroidism. Of them, 140 were submitted to unilateral exploration by suspicion of the solitary adenoma. The correlation between the fi ndings of Tc sestamibi and surgical was correct in all the cases (139) except one concerns to right or left side. It failed in 30 cases in which there was detected badly the top and low location. As for the results the adenoma was extirpated correctly in 135 of 140 patients. This way we can say that the combination of the gammagraphy, a surgeon with experience and the support of the PTH intraoperatory they meet a high rate of treatment in case of adenomas in the unilateral boarding on a rate of hipercalcemia appellant or persistently between 3%-5%, rate similar to the obtained one for expert surgeons on having fulfi lled an exploratory cervicotomy (considered "gold standard") but with minor postoperatory morbidity, minor pain and minor surgical time.Key words: Primary hiperparatiroidism, unilateral boarding. ResumenEl abordaje unilateral del hiperparatiroidismo primario constituye una opción técnica cada vez más usada y apropiada debido a las características de esta cirugía. Este tipo de abordaje ha sido posible por la aparición del Tc sestamibi, de la subespecialización de la cirugía y de la determinación de la PTH intraoperatoria. A continuación exponemos un estudio epidemiológico, descriptivo y retrospectivo desde enero de 2004 a diciembre de 2008. Durante este tiempo fueron intervenidos en el hospital Ramón y Cajal de Madrid un total de 195 enfermos por hiperparatiroidismo primario. De ellos, 140 fueron sometidos a exploración unilateral por sospecha de adenoma único. La correlación entre los hallazgos gammagráfi cos y quirúrgicos fue correcta en todos los casos (139) menos uno en cuanto a lo que a lateralidad se refi ere. Falló en 30 casos en los que Rev.

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Comparison among sonography, double-tracer subtraction scintigraphy, and double-phase scintigraphy in the detection of parathyroid lesions.

Cited by 107 publications

References 24 publications

Traitement Chirurgical De L\'hyperparathyroidie Primaire : Techniques Et Resultats

Traitement Chirurgical De L\'hyperparathyroidie Primaire : Techniques Et Resultats

Hiperparatiroidismo primário: localização pré-operatória através da dosagem de paratormônio (PTH) em aspirado de punção de nódulo cervical

Tratamiento del hiperparatiroidismo primario mediante abordaje mínimamente invasivo

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