The Use of ROLL Technique in Recurrent Hyperparathyroidism Due to Double Parathyroid Adenoma: Case Report

Aydın, Oğuz; Küçükel, Fikri; Soylu, Lütfi; Aydin, Sezai; Şengezer, Tuğba; Ilgan, Seyfettin

doi:10.5336/endocrin.2014-42521

Cited by 2 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Double adenomas have been found in 3%-12% of patients undergoing surgery for pHPT (2)(3)(4)(5). A double adenoma was first described in 1977 by Wang and Reider (12); then Cope (13) reported similar findings in 1978.…”

Section: Discussionsupporting

confidence: 58%

See 1 more Smart Citation

Preoperative double adenoma upgraded to a triple adenoma after intraoperative sonographic evaluation of the neck

Kuzu¹,

Arpacı²,

Çakmak³

et al. 2015

UCD

View full text Add to dashboard Cite

Solitary parathyroid adenomas are a common cause of primary hyperparathyroidism (pHPT). Double parathyroid adenomas have a reported frequency of under 12% in primary hyperparathyroidism. We present the case of a 45-year-old female patient admitted with weakness, fatigue, and generalized bone pain. She had been treated for nephrolithiasis five times in the last two years, had high levels of serum calcium and parathyroid hormone, a low level of 25-hydroxy vitamin D, and osteopenia diagnosed by bone densitometry. Neck ultrasonography revealed bilateral parathyroid adenomas, confirmed by technetium-99m-sestamibi scintigraphy on the left. Findings on the right were suspicious, but not diagnostic. The parathyroid hormone washout concentrations were 1989 pg/mL (left) and 2097 pg/mL (right). A bilateral parathyroidectomy was performed. Intraoperative ultrasonography revealed a third retrosternal lesion, which was removed. All three specimens were confirmed as parathyroid adenomas on histological evaluation. Intraoperative neck ultrasonography thus played a crucial role in preventing secondary surgical intervention.

show abstract

Section: Discussionsupporting

confidence: 58%

“…Double adenomas have been found in 3%-12% of patients undergoing surgery for pHPT. Other rare causes include double and ectopic adenomas (2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Preoperative double adenoma upgraded to a triple adenoma after intraoperative sonographic evaluation of the neck

Kuzu¹,

Arpacı²,

Çakmak³

et al. 2015

UCD

View full text Add to dashboard Cite

show abstract

“The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences”

Güven¹,

Karadeniz²,

Filik³

et al. 2020

Sakarya Medical Journal

View full text Add to dashboard Cite

Objective The most important cause of primary hyperparathyroidism (PHP) is parathyroid adenomas. While the reason is mostly the adenomas originating from the parathyroid glands, which are mostly localized around the thyroid gland, ectopic localization can also be seen. The gold standard is surgical excision of adenoma. One of the most important factors affecting surgical success is the correct localization of adenoma preoperatively. Our aim is to investigate the contribution of ROLL technique to the surgical treatment of parathyroid adenomas. Materials and Methods 40 cases, which were directed due to clinic and laboratory data or incidentally detected, clearly localized preoperatively with ultrasonography (US) and/or scintigraphy findings and surgically excised using ROLL technique between November 2017 and October 2019 were included in the study. Cases where could not be clearly localized preoperatively on US were excluded from the study. The preoperative and postoperative PTH (parathyroid hormone) and Ca (calcium) values were analyzed retrospectively. Results Postoperative PTH and Ca values were found to decrease in all cases. Histopathological results were confirmed as parathyroid adenoma. In cases, which were operated by using ROLL technique, the duration of the operation was significantly reduced and therefore shorter anesthesia and earlier hospital discharge were provided. PTH values were found to be increased only in 3 cases in postoperative controls, and no other problems were detected in the follow-ups of other cases. Conclusions In surgical excision of parathyroid adenoma, the ROLL technique is a safe adjuvant method that can contribute positively to the duration and process of treatment. Keywords parathyroid adenoma; ultrasonography; minimally invasive parathyroidectomy Öz Amaç Primer hiperparatiroidizmin (PHP) en önemli nedeni paratiroid adenomlarıdır. Sebep, çoğunlukla tiroid bezi çevresinde yerleşmiş paratiroid bezlerinden kaynaklanan adenomlar olmakla birlikte daha nadir olarak ektopik yerleşim de görülebilmektedir. Tedavide altın standart cerrahi olarak adenomun eksizyonudur. Cerrahi başarıyı etkileyen en önemli faktörlerden birisi ise preoperatif olarak adenomun doğru olarak lokalize edilebilmesidir. Bu çalışmada amaç, ROLL tekniğinin paratiroid adenomlarının cerrahi tedavisinde tedaviye katkısını araştırmaktır. Gereç ve Yöntemler Çalışmaya Kasım 2017 ile Ekim 2019 yılları arasında, klinik ve laboratuvar verileri nedeniyle yönlendirilen veya insidental olarak saptanan, ultrasonografi ve/veya sintigrafi bulgularıyla preoperatif olarak net olarak lokalize edilen ve ROLL tekniği kullanılarak cerrahi eksizyon yapılan 40 olgu dahil edilmiştir. Herhangi bir nedenle ROLL tekniği uygulanamayan veya ultrasonografide preoperatif net olarak lokalize edilemeyen olgular çalışma dışı bırakılmıştır. Çalışmaya dahil edilen tüm olgulara ait preoperatif ve postoperatif PTH (parathormon) ve Ca (kalsiyum) değerleri retrospektif olarak incelenerek ROLL tekniğinin tedavi sürecine katkısı araştırılmıştır. Bulgular Çalı...

show abstract

The Use of ROLL Technique in Recurrent Hyperparathyroidism Due to Double Parathyroid Adenoma: Case Report

Cited by 2 publications

References 9 publications

Preoperative double adenoma upgraded to a triple adenoma after intraoperative sonographic evaluation of the neck

Preoperative double adenoma upgraded to a triple adenoma after intraoperative sonographic evaluation of the neck

“The Importance of ROLL Tecnique at Surgical Treatment of Paratyroid Adenomas-Our Clinical Experiences”

Contact Info

Product

Resources

About