title: [MIBI-scintigraphy. A simple and reliable method for localization of pathological parathyroid glands].
abstract: 99Tcm-sestamibi scintigraphy was used to localise enlarged parathyroid glands in 25 patients with primary hyperparathyroidism previously operated in the neck, 20 of whom had recurrent disease and five had previously undergone surgery for thyroid disorders. Of the 18 patients for whom positive scans were obtained, nine were operated on the scan findings being confirmed. Crucial information was provided in two cases of intrathyroidal and one case of intramediastinal localisation of the pathological gland were not operated on as the hypercalcaemia was only marginal or the symptoms were vague. Though preoperative localisation of pathological parathyroid glands is a prerequisite for neck exploration in patients with persistent or recurrent hypercalcaemia due to primary (or secondary) hyperparathyroidism, the procedure is not cost-effective before the initial operation.
authors.affiliation: Kirurgiska kliniken, Karolinska sjukhuset, Stockholm.
authors.forename: S
authors.initials: S
authors.lastname: Buhovac
authors.forename: L O
authors.initials: LO
authors.lastname: Farnebo
authors.forename: B
authors.initials: B
authors.lastname: Hamberger
authors.forename: A
authors.initials: A
authors.lastname: Fernström
authors.forename: S A
authors.initials: SA
authors.lastname: Larsson
authors.forename: H
authors.initials: H
authors.lastname: Jacobsson
mesh_terms: D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000000981:diagnostic imaging* / Q000473:pathology; D011877:Radionuclide Imaging; D017256:Technetium Tc 99m Sestamibi
chemical_list: D017256:Technetium Tc 99m Sestamibi
vernacular_title: MIBI-scintigrafi. Enkel metod med hög tillförlitlighet för lokalisering av patologiska parathyreoideakörtlar.