title: Radioguided parathyroidectomy in forearm graft for recurrent hyperparathyroidism.
abstract: We report a peculiar case of recurrent hyperparathyroidism caused by hyperplasia of a forearm graft implanted following a total parathyroidectomy in a 38-year-old patient with chronic renal failure. The forearm graft hyperplasia was detected using (99)Tc(m)-sestamibi scanning, which identified hyperplastic transplanted parathyroid tissue in the forearm of the patient. During the initial surgery, the surgeon failed to mark the parathyroid tissue with sutures or clips to facilitate locating it. Therefore, we referred the patient for radioguided surgery. This surgical procedure allowed us to locate and completely remove the hyperfunctioning transplanted parathyroid tissue.
authors.affiliation: Department of Endocrine Surgery, Catholic University of Sacred Heart, Rome, Italy. arditog@libero.it
authors.forename: G
authors.initials: G
authors.lastname: Ardito
authors.forename: L
authors.initials: L
authors.lastname: Revelli
authors.forename: E
authors.initials: E
authors.lastname: Giustozzi
authors.forename: A
authors.initials: A
authors.lastname: Giordano
mesh_terms: D000328:Adult; D005542:Forearm / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging* / Q000601:surgery*; D006965:Hyperplasia / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D016105:Parathyroidectomy / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D012008:Recurrence; D017256:Technetium Tc 99m Sestamibi; D013961:Thyroid Gland / Q000637:transplantation*
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi