Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia · 2002
[Diagnosis of recurrent secondary hyperparathyroidism using double-phase 99m-Tc-MIBI gammagraphy after total parathyroidectomy with autotransplantation].
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Fuster D, Torregrosa J V, Ortega M, Mas M, Martín F, Setoain F J, Pons F
Аннотация
We present two cases of uremic patients with poor medical control of their secondary hyperparathyroidism. They had to undergo surgery to control symptoms. A total parathyroidectomy with autotransplant in the forearm muscles was performed. After a symptom-free period, both showed a recurrence of their hyperparathyroidism. A double phase 99mTc-MIBI scintigraphy was essential in order to correctly locate hypertrophic parathyroid gland. In one case there was a cervical recurrence and in the second patient hyperplasia in a forearm gland autotransplant was found. Both patients remained asymptomatic with medication during their follow up.
Предметные рубрики MeSH
AdultAgedCalcitriolCarcinoma, Renal CellFatal OutcomeFemaleForearmGraft RejectionHumansHyperparathyroidism, SecondaryHyperplasiaKidney NeoplasmsKidney TransplantationParathyroid GlandsParathyroidectomyRadionuclide ImagingRadiopharmaceuticalsRecurrenceRenal DialysisReoperationTechnetium Tc 99m SestamibiTransplantation, AutologousTransplantation, HeterotopicUremia