Document Detail


Nuclear imaging and minimally invasive surgery in the management of hyperparathyroidism.
MedLine Citation:
PMID:  18927330     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Primary hyperparathyroidism is the most common cause of hypercalcemia, and the treatment is primarily surgical. Because of biochemical screening, more patients now present with asymptomatic primary hyperparathyroidism, and consensus guidelines have been developed for the treatment of these patients. There is now considerable interest in minimally invasive approaches to the treatment of hyperparathyroidism. Sestamibi scanning as a localizing study, used in combination with anatomic imaging and intraoperative rapid parathyroid hormone assays, has enabled focused surgical approaches. Patients with localizing studies that indicate a single parathyroid adenoma are candidates for such approaches, including unilateral neck exploration, minimally invasive single-gland exploration, or endoscopic exploration instead of the traditional approach of bilateral neck exploration. Nuclear imaging is also critical to the successful management of patients with persistent or recurrent hyperparathyroidism.
Authors:
Benjamin L Judson; Ashok R Shaha
Publication Detail:
Type:  Journal Article; Review     Date:  2008-10-16
Journal Detail:
Title:  Journal of nuclear medicine : official publication, Society of Nuclear Medicine     Volume:  49     ISSN:  0161-5505     ISO Abbreviation:  J. Nucl. Med.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-05     Completed Date:  2008-12-22     Revised Date:  2013-12-27    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1813-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Diagnostic Imaging
Humans
Hyperparathyroidism / diagnosis*,  physiopathology,  prevention & control,  surgery*
Parathyroid Neoplasms / complications,  pathology
Recurrence
Surgical Procedures, Minimally Invasive
Grant Support
ID/Acronym/Agency:
T32 CA009685/CA/NCI NIH HHS
Comments/Corrections

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