[Parathyroid glands radio-guided surgery].
BACKGROUND
Several advances have been made in the management of hyperparathyroidism. The preoperative sestamibi scan appears to have revolutionized the entire approach to parathyroid surgery including minimally invasive parathyroidectomy. Gamma probe is a useful tool that complements a well performed localization of parathyroid adenomas.


METHODS
We conducted a retrospective analysis of the patients submitted to radio-guided parathyroidectomy between January and December 2003 at a Oncology tertiary hospital in Mexico City, for evaluate the results and shows the feasibility of this approach.


RESULTS
Six patients was included, all of them referred to the hospital with the diagnosis of bone tumors or with bone disease suggest malignancy. Median serum level of preoperative calcium was 13.18 mg/dl. In all cases the transoperative localization of the affected gland was possible using gamma probe and according with Tc 99m sestamibi scintigraphy imaging. None perioperative deaths reported and there were no recurrent laryngeal nerve injuries neither recurrent hypercalcemia. Median serum level of postoperative calcium was 9.39 mg/dl. There were at histopathological analysis five adenomas and one hyperplasia.


CONCLUSIONS
Radio-guided parathyroidectomy is a useful approach for transopertaive localization of the affected gland, we obtained a 100% success rate, according with the histopathologic analysis and the normal postoperative serum calcium level.
Maffuz-Aziz
Antonio
A
Hospital de Oncología del Centro Médico Nacional Siglo XXI, IMSS. tonomaffuz@yahoo.com
Gallegos-Hernández
José Francisco
JF
Pichardo-Romero
Pablo Antonio
PA
Cravioto-Villanueva
Adrián
A
Reséndiz-Colosia
Jaime
J
Flores-Díaz
Rutilio
R
D000328:Adult; D000368:Aged; D002118:Calcium / Q000097:blood; D002478:Cells, Cultured; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000000981:diagnostic imaging* / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D017256:Technetium Tc 99m Sestamibi
D017256:Technetium Tc 99m Sestamibi; D002118:Calcium