Radioguided Tumorectomy in the Management of Parathyroid Adenomas

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Radioguided tumorectomy in the management of parathyroid adenomas.

HYPOTHESIS A clearly localizing sestamibi scan predicts a successful minimally invasive radioguided parathyroidectomy that can be performed with a shorter operative time, low morbidity, and decreased duration of hospital stay. DESIGN Review of prospectively gathered data and patient medical records. SETTING Hospitalized care. PATIENTS AND METHODS Parathyroidectomy was performed on 55 pati...

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Radioguided surgery of parathyroid adenomas and recurrent thyroid cancer using the "low sestamibi dose" protocol.

PURPOSE The aim of this study was to establish the clinical efficacy of the "low sestamibi dose" (LSD) protocol to perform thyroid and parathyroid radioguided surgery in a large series of patients homogeneously studied and operated on by the same surgeon. The LSD protocol was initially developed in our center to cure primary hyperparathyroid (PHPT) patients with a high likelihood of a solitary ...

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High cardiac background activity limits 99mTc-MIBI radioguided surgery in aortopulmonary window parathyroid adenomas

BACKGROUND Radioguided surgery using 99m-Technetium-methoxyisobutylisonitrile (99mTc-MIBI) has been recommended for the surgical treatment of mediastinal parathyroid adenomas. However, high myocardial 99mTc-MIBI uptake may limit the feasibility of radioguided surgery in aortopulmonary window parathyroid adenoma. CASE PRESENTATION Two female patients aged 72 (#1) and 79 years (#2) with primary...

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Guidelines for radioguided parathyroid surgery.

OBJECTIVE To confirm or refute the notion that only parathyroid adenomas have radioactivity higher than 20% of background. DESIGN Retrospective analysis of a prospective patient data set. SETTING Tertiary care referral center. PATIENTS Forty-six patients (9 men and 37 women; mean +/- SD age, 53.7 +/- 12.1 years) underwent thyroid and parathyroid surgery between December 2005 and December ...

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High cardiac background activity limits Tc-MIBI radioguided surgery in aortopulmonary window parathyroid adenomas

Background: Radioguided surgery using 99m-Technetium-methoxyisobutylisonitrile (Tc-MIBI) has been recommended for the surgical treatment of mediastinal parathyroid adenomas. However, high myocardial Tc-MIBI uptake may limit the feasibility of radioguided surgery in aortopulmonary window parathyroid adenoma. Case presentation: Two female patients aged 72 (#1) and 79 years (#2) with primary hyper...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2003

ISSN: 0004-0010

DOI: 10.1001/archsurg.138.7.716