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Gamma Probe-Guided Parathyroid Cancer Resection

Gedik, Gonca Kara MD; Aksoy, Tamer MD; Bozkurt, M Fani MD; Uğur, Ömer MD; Caner, Biray MD

doi: 10.1097/TEN.0b013e318169d596
Case Report
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Minimally invasive radioguided parathyroidectomy using a small incision and intraoperative gamma probe has reduced the need for bilateral neck exploration in the surgery of primary hyperparathyroidism. Although the role of radioguided surgery in parathyroid adenomas is well documented, its use in parathyroid carcinoma is not established. Surgery is the only effective treatment of the parathyroid carcinoma. Reoperations are often required for recurrences. We present 2 patients with parathyroid carcinoma one of whom required 4 reoperations for disease recurrence. Preoperative Tc-99m MIBI scans are useful in defining the location of the parathyroid lesions in both patients. On the day of the surgery Tc-99m MIBI was given and the neck explorations were guided by a gamma probe, which enabled the complete resection of the lesion and prevented more radical surgery.

From the Department of Nuclear Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Reprints: Gonca Kara Gedik, MD, Department of Nuclear Medicine, Hacettepe University Faculty of Medicine, 06100, Sıhhiye, Ankara, Turkey. E-mail: goncakara@yahoo.com.

© 2008 Lippincott Williams & Wilkins, Inc.