Supernumerary ectopic parathyroid glands. Persistent hyperparathyroidism due to mediastinal parathyroid adenoma localized by preoperative single photon emission computed tomography and intraoperative gamma probe application

HORMONES ◽  
2009 ◽  
Vol 8 (2) ◽  
pp. 144-149 ◽  
Author(s):  
Mehmet Uludag ◽  
Adnan Isgor ◽  
Gürkan Yetkin ◽  
Murat Atay ◽  
Abut Kebudi ◽  
...  
Keyword(s):  
Single Photon ◽  
Gamma Probe ◽  
Photon Emission ◽  
Emission Computed Tomography ◽  
Persistent Hyperparathyroidism ◽  
Ectopic Parathyroid ◽  
Mediastinal Parathyroid Adenoma ◽  
Single Photon Emission Computed ◽  
Photon Emission Computed Tomography ◽  
Mediastinal Parathyroid

scholarly journals Robotic thoracoscopic parathyroidectomy for ectopic mediastinal parathyroid adenoma

2021 ◽  
Vol 180 (1) ◽  
pp. 89-93
Author(s):  
P. K. Yablonsky ◽  
A. S. Kuzmichev ◽  
E. V. Shepichev ◽  
A. L. Akinchev ◽  
Z. S. Matveeva
Keyword(s):  
Parathyroid Adenoma ◽  
Single Photon ◽  
Photon Emission ◽  
Emission Computed Tomography ◽  
Persistent Hyperparathyroidism ◽  
Ectopic Parathyroid ◽  
Mediastinal Parathyroid Adenoma ◽  
Photon Emission Computed Tomography ◽  
Mediastinal Parathyroid

The publication presents the successful experience of using the DaVinci robotic system for the treatment of persistent hyperparathyroidism caused by mediastinal ectopic parathyroid adenoma in 62 years old female patient. The role of single photon emission computed tomography in diagnostics was demonstrated.

Location of Sentinel Lymph Node in Cervical Carcinoma and Factors Associated With Unilateral Detection

2015 ◽  
Vol 25 (9) ◽  
pp. 1663-1668 ◽  
Author(s):  
Rekha Wuntakal ◽  
Andreas John Papadopoulos ◽  
Stephen Attard Montalto ◽  
Milica Perovic ◽  
Michael Coutts ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Single Photon ◽  
Gamma Probe ◽  
Photon Emission ◽  
Pelvic Lymphadenectomy ◽  
Older Age ◽  
Emission Computed Tomography ◽  
Internal Iliac ◽  
Single Photon Emission Computed ◽  
Photon Emission Computed Tomography

ObjectiveThe aims of this study were to assess locality of the sentinel lymph node (SLN) in cervical carcinoma and examine factors affecting bilateral SLN detection.MethodsThis was a retrospective review of SLN data (anatomical location, count and laterality) in patients with early-stage cervical cancer (International Federation of Gynecology and Obstetrics stage IA1 with lymphovascular space invasion to stage IIA) using intraoperative gamma probe and blue dye. The preoperative single-photon emission computed tomography with computed tomography was used to detect laterality, number of the SLNs, and rare locations. Patients were treated between January 2005 to January 2015 at the West Kent Gynaecological Oncology Centre, Maidstone Hospital, Maidstone, United Kingdom.ResultsA total of 132 women were investigated. The most common SLN location was the external iliac (38.6%) followed by obturator (25.3%) and internal iliac (23.6%) regions. A small percentage was identified in presacral (1.4%) and para-aortic regions (0.7%). Older age (P= 0.01) and an elevated body mass index (P= 0.03) were associated with decreased SLN count by preoperative single-photon emission computed tomography with computed tomography, and only age affected SLN count by gamma probe (P= 0.01). Initial surgery, large loop excision of the transformation zone, or cone biopsy of the cervix had no effect on SLN count. There was no difference observed in bilateral detection with respect to surgical approach (open: n = 48/laparoscopic: n = 84). However, older age was independently associated with a decrease in bilateral SLN detection (P= 0.003). In these patients who underwent unilateral full pelvic lymphadenectomy, all the nonsentinel nodes were negative.ConclusionsThe majority of SLNs were located in the external iliac, obturator, and internal iliac regions. Both older age and an elevated body mass index were associated with a reduced SLN count. Unilateral detection of SLN was independently associated with older age, which may be due to sclerosis in the lymphatic vessels or reduced perfusion in the pelvis in these women. If no SLN is detected on one side, the consensus is to perform a full pelvic lymphadenectomy on that side of the pelvis.

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