Ectopic parathyroid glands. Imaging methods and surgical access
Authors:
M. Fialová 1; J. Adámková 1; S. Adámek 1; P. Libánský 1; J. Kubinyi 2
Authors place of work:
3. Chirurgická klinika 1. LF UK, FN Motol, přednosta: prof. MUDr. R. Lischke, PhD
1; Ústav nukleární medicíny 1. LF UK a VFN, přednosta: prof. MUDr. M. Šámal, DrSc.
2
Published in the journal:
Rozhl. Chir., 2014, roč. 93, č. 8, s. 428-431.
Category:
Case Report
Summary
We discuss the benefits of imaging methods in localizing ectopic parathyroid glands in patients with primary hyperparathyroidism. The ectopic localizations are discussed within the context of the orthotopic norm. In the sample of 123 patients, a 23% rate of ectopic parathyroid glands was detected. Three selected case studies are presented, supporting the benefit of SPECT/CT imaging in terms of surgical access strategy selection.
Key words:
hyperparathyreoidism − ectopic localization − SPECT/CT
Zdroje
1. Adámek S, Naňka O, et al. Primární hyperparathyreóza, diagnostika a terapie. 1. vyd., Praha, Galén 2006:76−165.
2. Dubost CI, Bouteloup PY. Mediastinal exploration by sternotomy in Sumery of hyperparathyreoidism. 36 cases. J Chir 1988;125:631−637.
3. Opoku-Boateng A, Bolton JS, Corsetti R, Brown RE, Oxner C, et al. Use of a sestamibi-only approach to routine minimally invasive parathyroidectomy. Am Surg 2013;79:797−801.
4. Phitayakorn R, McHenry CR. Incidence and location of ectopic abnormal parathyroid glands. Am J Surg 2006;191:418−23.
5. Rothmund M, Diethelm L, Brunner H, et al. Diagnosis and surgical treatment of mediastinal parathyroid tumors. Ann Surg 1976;183:139−145.
6. Taubman ML, Goldfarb M, Lew JI. Role of SPECT and SPECT/CT in the Surgical Treatment of Primary Hyperparathyroidism. International Journal of Molecular Imaging 2011;183:139−145.
7. Wang C, Gaz RD, Mocure AC. Mediastinal parathyroid exploration: a clinical and pathologic study of 47 cases. World J Surg 1986;10:687−695.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2014 Číslo 8
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