[Resection of a mediastinal parathyroid adenoma by video-assisted thoracoscopy radio-guided by a gamma probe. A case report].
We present a case of primary hyperparathyroidism in a 47 year old woman. The pre-operative 99mTc-sestaMIBI scan detected a single parathyroid adenoma located in the anterior or medium mediastinum. Surgery was carried out following 99mTc-sestaMIBI administration and using gamma probe radio-guided video-assisted thoracoscopy. The aim of this case report is to present this technique that allows adenoma resection with minimally invasive surgery. A reduction of surgical complications and an increase in the probability of surgical success could be obtained.
Villares
L
L
Medicina Nuclear, Unidad de Cirugía Radioguiada, Madrid. UCR@telfonica.es
González-Aragoneses
F
F
Olmeda
J
J
Moreno
N
N
D000236:Adenoma / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D008482:Mediastinum; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D020775:Thoracic Surgery, Video-Assisted
D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi