[Diagnosis of recurrent secondary hyperparathyroidism using double-phase 99m-Tc-MIBI gammagraphy after total parathyroidectomy with autotransplantation].
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.
D000328:Adult; D000368:Aged; D002117:Calcitriol / Q000627:therapeutic use; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D005542:Forearm; D006084:Graft Rejection / Q000601:surgery; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006965:Hyperplasia; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery; D016030:Kidney Transplantation; D010280:Parathyroid Glands / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000637:transplantation*; D016105:Parathyroidectomy; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D012008:Recurrence; D006435:Renal Dialysis; D012086:Reoperation; D017256:Technetium Tc 99m Sestamibi; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic; D014511:Uremia / Q000150:complications* / Q000601:surgery / Q000628:therapy
D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D002117:Calcitriol
Diagnóstico de recurrencia de hiperparatiroidismo secundario mediante gammagrafía con 99mTc-MIBI en doble fase tras paratiroidectomía total con autotrasplante.