Ectopic parathyroid adenoma. Two cases treated with video-assisted thoracoscopic surgery.
In recurrent or persistent hyperparathyroidism, accurate location of the abnormal gland is essential before further surgery, but the variety of available imaging techniques suggests that no one procedure is universally reliable. We report two cases in which clear preoperative visualization of adenoma with double-phase 99mTc-MIBI scintigraphy and exact high-resolution CT location permitted successful minimally invasive surgery.
Di Bisceglie
M
M
Department of Thoracic and Cardiovascular Surgery, University of Siena, Italy.
Voltolini
L
L
Paladini
P
P
Cacchiarelli
M
M
Vella
A
A
Gotti
G
G
D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002118:Calcium / Q000097:blood; D002828:Choristoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003287:Contrast Media; D017809:Fatal Outcome; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006961:Hyperparathyroidism / Q000097:blood / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017256:Technetium Tc 99m Sestamibi; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed; D014741:Video Recording
D003287:Contrast Media; D010281:Parathyroid Hormone; D017256:Technetium Tc 99m Sestamibi; D002118:Calcium