In:
Medicina Moderna - Modern Medicine, CMMB-Colegiul Medicilor Municipiul Bucuresti, Vol. 30, No. 2 ( 2023-06-29), p. 95-99
Abstract:
Preoperative parathyroid evaluation through nuclear medicine and intraoperative hormone monitoring has significantly increased the success of the surgical intervention. Material and method: Our study is descriptive, the database is retrospective but it is maintained prospectively. The preoperative protocol included single photon emission computed tomography (SPECT) with the use of technetium-99 sestamibi tracer. We preferred this approach as it allowed 3-D localization of the adenomas. PTH values were obtained from blood drawn from the ipsilateral jugular vein at the regular intervals of 5, 10 and 15 minutes post excision. Results: We had 6 cases with false negative which led to the necessary dissection of the contralateral neck. Two had previous surgery and 4 had tumors in other locations which were observed after the surgical intervention through methodical investigations. We encountered 3 patients with false positive results. 2 had intrathyroidal adenomas and 1 was diagnosed with thyroid papillary carcinoma. Causes of a misinterpretation are related to thyroid disease in association with hyperparathyroidism, a history of parathyroid surgery or multiple locations of hyperproductive parathyroid glands.
Type of Medium:
Online Resource
ISSN:
1223-0472
,
2360-2473
DOI:
10.31689/rmm.2023.30.2
DOI:
10.31689/rmm.2023.30.2.95
Language:
Unknown
Publisher:
CMMB-Colegiul Medicilor Municipiul Bucuresti
Publication Date:
2023
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