title: The use of sestamibi imaging in parathyroid hyperplasia.
abstract: The authors describe a 42-year-old man with parathyroid hyperplasia secondary to chronic renal failure. Parathyroidectomy was indicated because of persistent hypercalcemia and an increasing parathyroid hormone level despite medical management. A parathyroid sestamibi scan was performed immediately before operation and a gamma-detecting probe was used during operation. Six parathyroid glands weighing nearly 21 g were present. Without the use of the gamma-detecting probe during operation, one of the glands would have been missed. The efficacy of sestamibi scanning with parathyroid hyperplasia is discussed.
authors.affiliation: Department of Surgery, St. Agnes Healthcare, Baltimore, Maryland 21229, USA.
authors.forename: Kristen L
authors.initials: KL
authors.lastname: Fernandez
authors.forename: Paul
authors.initials: P
authors.lastname: Turer
authors.forename: Ethan J
authors.initials: EJ
authors.lastname: Spiegler
authors.forename: John A
authors.initials: JA
authors.lastname: Singer
mesh_terms: D000328:Adult; D015902:Gamma Cameras; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D006965:Hyperplasia / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D010280:Parathyroid Glands / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D025321:Surgery, Computer-Assisted / Q000379:methods*; D017256:Technetium Tc 99m Sestamibi
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi