Dual phase MIBI scintigraphy in diagnosis of parathyroid adenoma followed by ultrasound guided percutaneous alcoholic ablation
JAMC-Journal of Ayub Medical College-Abbotabad-Pakistan. 2008; 20 (3): 149-151
Dans Anglais
| IMEMR
| ID: emr-87475
ABSTRACT
Primary Hyperparathyroidism [HPT] is an inappropriate hyper secretion of parathyroid hormone [PTH]. Primary HPT is caused by parathyroid adenoma in 80-85% of patients. Clinical manifestations are kidney stones, abdominal groans, painful bones, psychic moans, and fatigue overtones. Ultrasonography is widely used in suspected cases for localization of parathyroid adenoma. There is considerable intra-observer variation and it is difficult for ultrasound alone to differentiate parathyroid lesion form that of thyroid. Dual phase Tc-99m MIBI scinitigraphy for detection of parathyroid adenomas has sensitivity and specificity values ranging from 82% to 100% and from 89% to 100%, respectively. Percutaneous ethanol injection for parathyroid glands can be applied effectively in selected cases when surgery is unadvisable either for technical reasons e.g., recurrence of hyperplastic glands in the neck after subtotal surgery or intrathyroideal parathyroid tumors or the poor clinical state of the patient
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Indice:
Méditerranée orientale
Sujet Principal:
Hormone parathyroïdienne
/
Tumeurs de la parathyroïde
/
Scintigraphie
/
Sensibilité et spécificité
/
Technétium (99mTc) sestamibi
/
Échographie interventionnelle
/
Alcools
/
Hyperparathyroïdie primitive
/
Techniques d'ablation
Type d'étude:
Enquête cas-témoins / Études cas/témoins
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
J. Ayub Med. Coll.-Abbotabad-Pak.
Année:
2008
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