The Israel Medical Association journal : IMAJ · 2003
Revision parathyroidectomy guided by intraoperative radionuclide imaging.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Nageris Ben, Guttman Dan, Bahar Gideon, Melloul Moshe, Feinmesser Raphael, Schneebaum Shlomo
Аннотация
BACKGROUND: Technetium-99m sestamibi scintigraphy has become one of the most popular techniques for localization of the parathyroid gland after failure of primary neck exploration.
OBJECTIVE: To examine the efficacy of sestamibi with the hand-held gamma ray detecting probe for the identification of parathyroid adenomas during revision parathyroidectomy.
METHODS: We reviewed six cases of probe-assisted neck exploration for parathyroid lesions following unsuccessful primary exploration.
RESULTS: In all cases the pathologic glands were successfully detected and removed.
CONCLUSIONS: With careful planning, a gamma ray detecting probe can be used optimally 2-3 hours after technetium-99m sestamibi injection. The probe is efficient, easy and convenient to use.
OBJECTIVE: To examine the efficacy of sestamibi with the hand-held gamma ray detecting probe for the identification of parathyroid adenomas during revision parathyroidectomy.
METHODS: We reviewed six cases of probe-assisted neck exploration for parathyroid lesions following unsuccessful primary exploration.
RESULTS: In all cases the pathologic glands were successfully detected and removed.
CONCLUSIONS: With careful planning, a gamma ray detecting probe can be used optimally 2-3 hours after technetium-99m sestamibi injection. The probe is efficient, easy and convenient to use.
Предметные рубрики MeSH
AdenomaAdultAgedCalciumEquipment DesignFemaleGamma RaysHumansMagnetic Resonance ImagingMaleMiddle AgedMonitoring, IntraoperativeParathyroid HormoneParathyroid NeoplasmsParathyroidectomyPhosphorusRadiography, InterventionalRadionuclide ImagingRadiopharmaceuticalsReoperationTechnetium Tc 99m SestamibiTime FactorsTomography, X-Ray ComputedTreatment Outcome