Use of the gamma probe to identify multigland disease in primary hyperparathyroidism-Reference-Cited by-同舟云学术

Use of the gamma probe to identify multigland disease in primary hyperparathyroidism

Published:2016-02 Issue:1 Volume:3 Page:13-19
ISSN:2045-0869
Container-title:International Journal of Endocrine Oncology
language:en
Short-container-title:International Journal of Endocrine Oncology

Author:

Tobin Kirby¹,Ayers Rachel R¹,Rajaei Mohammad H¹,Sippel Rebecca S¹,Balentine Courtney J¹,Elfenbein Dawn¹,Chen Herb¹,Schneider David F¹

Affiliation:

1. Department of Surgery, University of Wisconsin, K3/739 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA

Abstract

Aim: The purpose of this study was to determine threshold gamma probe counts to distinguish single adenoma (SA) from multigland disease (MGD) during radioguided parathyroidectomy. Methods: A retrospective analysis of 1656 patients was performed. Ex vivo counts of the first excised gland were taken and recorded as a percentage of background counts. Results: 69.4% of MGD patients had counts below the 50% threshold. The 50% threshold correctly grouped 72.8% of our cohort. Counts of more than 100% were accurate for grouping SA, with only 6.8% of patients with counts more than 100% having MGD. Conclusions: The gamma probe can aid surgeons in deciding to continue neck exploration if MGD is suspected or wait for labs to confirm cure if SA is suspected.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Endocrinology,Oncology,Endocrinology, Diabetes and Metabolism

Link

https://www.futuremedicine.com/doi/pdf/10.2217/ije.15.27

Reference32 articles.

1. Primary hyperparathyroidism: Skeletal and non-skeletal effects, diagnosis and management

2. Surgical Treatment Of Primary Hyperparathyroidism

3. Prospective Surgical Outcome Study of Relief of Symptoms following Surgery in Patients with Primary Hyperparathyroidism

4. The NIH Criteria for Parathyroidectomy in Asymptomatic Primary Hyperparathyroidism

5. Clinical Manifestations of Primary Hyperparathyroidism Before and After Parathyroidectomy A Case-Control Study

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