[Preoperative localization in primary hyperparathyroidism: value of Tc-99m-MIBI scintigraphy].
In order to assess the value of scanning with 99mTc-MIBI before surgery in primary hyperparathyroidism (PHP), we performed this procedure in 30 patients with PHP. MIBI imaging findings were: 24 true positive results, three false positive, three false negative (sensitivity: 89%). The 24 true positive results comprised 21 solitary adenomas (one of which was ectopic), one cancer, and two parathyroid hyperplasias. Thus 99mTc-MIBI scanning seems to be useful for the preoperative localization, and for preparing the surgeon to unusual features that could generate surgical failure.
Kézachian
B
B
Service de médecine interne, diabétologie, endocrinologie, hôpital Pasteur, Nice, France.
Gray
M
M
Bussière
F
F
Freychet
P
P
Sadoul
J L
JL
D000236:Adenoma / Q000000981:diagnostic imaging; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003287:Contrast Media; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006965:Hyperplasia; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000000981:diagnostic imaging / Q000473:pathology; D011877:Radionuclide Imaging; D012008:Recurrence; D012680:Sensitivity and Specificity; D017256:Technetium Tc 99m Sestamibi
D003287:Contrast Media; D017256:Technetium Tc 99m Sestamibi
Localisation préopératoire dans I'hyperparathyroïdie primitive: valeur de la scintigraphie au 99mTc-MIBI.