scholarly journals A rare cause of persistent hyperparathyroidism

2020 ◽  
Author(s):  
Laura Iconaru ◽  
Linda Spinato ◽  
Ruth Duttmann ◽  
Anne‐Sophie Hambye ◽  
Arnaud Devriendt ◽  
...  
Keyword(s):  
Persistent Hyperparathyroidism

CT-MIBI image fusion: A new preoperative localization technique for primary, recurrent, and persistent hyperparathyroidism

Surgery ◽  
2004 ◽  
Vol 135 (2) ◽  
pp. 157-162 ◽  
Author(s):  
Christoph Profanter ◽  
Gerold J Wetscher ◽  
Michael Gabriel ◽  
Tonja Sauper ◽  
Michael Rieger ◽  
...  
Keyword(s):  
Image Fusion ◽  
Preoperative Localization ◽  
Localization Technique ◽  
Persistent Hyperparathyroidism

scholarly journals Ectopic and extranumerary parathyroid glands location in patients with hyperparathyroidism secondary to end stage renal disease

2007 ◽  
Vol 22 (2) ◽  
pp. 105-109 ◽  
Author(s):  
Elaine Maria Santos Gomes ◽  
Reinaldo Cavalcante Nunes ◽  
Paulo Gustavo Sampaio Lacativa ◽  
Mirella Hansen de Almeida ◽  
Felipe Malzac Franco ◽  
...  
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Thyroid Nodules ◽  
Parathyroid Glands ◽  
Preoperative Image ◽  
Persistent Hyperparathyroidism ◽  
Ectopic Parathyroid ◽  
Stage Renal Disease ◽  
End Stage ◽  
Thyroid Parenchyma

Supranumerary or ectopic parathyroid glands are the main cause of persistent hyperparathyroidism (HPT) in patients with end stage renal disease (ESRD) submitted to parathyroidectomy (PTx). PURPOSE: To evaluate the prevalence and location of parathyroid glands in these patients. METHODS: Thirty-five patients with ESRD and severe secondary hyperparathyroidism (HPT2) had been submitted to total PTx at HUCFF from December 2001 to July 2005. Surgery was always performed by the same surgeon, who described in details the location of the glands. RESULTS: Sixteen patients (45.7%) had ectopic glands, which were also extranumerary in five of them (14.3%). The most common locations were the thyroid parenchyma (33.3%), thyroid-thymus conduit (18.5%), and thymus (14.8%). Before PTx, the sensibility of ultrasonography and scintigraphy with technetium-99m Sestamibi was low (48.3% and 35.3%, respectively). Moreover, 51.4% of the nodules found at US were thyroid nodules. However, 99mTc-Sestamibi was useful to identify ectopic glands in those two patients with persistent HPT after PTx. CONCLUSION: The presence of extranumerary and ectopic parathyroid glands in HPT2 is sufficiently important to justify their exhaustive search. As the preoperative image exams present low sensibility to locate them, it is necessary to develop an exploratory routine embracing the most common sites of location.

scholarly journals Preoperative parathyroid harpoon localisation: a new technique helpful in reoperative patients with persistent hyperparathyroidism

2013 ◽  
Vol 95 (2) ◽  
pp. e1-e2
Author(s):  
J Gómez-Ramírez ◽  
D Tagarro ◽  
JM Bravo ◽  
E Martín-Pérez ◽  
E Larrañaga
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Gland ◽  
Conservative Surgery ◽  
New Technique ◽  
Reoperative Surgery ◽  
Abnormal Parathyroid Gland ◽  
Persistent Hyperparathyroidism ◽  
A New Technique ◽  
Ultrasonography Guidance ◽  
Inexpensive Technique

Surgery for persistent primary hyperparathyroidism remains a major challenge for surgeons and these reoperative procedures require an experienced parathyroid surgeon. The goal of reoperative surgery is to excise the abnormal parathyroid gland(s) and limit exploration to help minimise the potential complications. At least two positive and concordant localising studies should be available before reoperation because the technical difficulties in these cases make an exact localisation necessary before surgery. We describe the placement of a metallic harpoon under ultrasonography guidance as a safe, simple and inexpensive technique for localisation of the enlarged gland prior to conservative surgery.

Early Parathyroid MIBI SPECT Imaging in the Diagnosis of Persistent Hyperparathyroidism

2008 ◽  
Vol 33 (7) ◽  
pp. 475-478 ◽  
Author(s):  
V Gilberto González ◽  
B Pilar Orellana ◽  
M José Manuel López ◽  
M Marcela Jiménez ◽  
Y Juan Carlos Quintana
Keyword(s):  
Spect Imaging ◽  
Persistent Hyperparathyroidism ◽  
Mibi Spect
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