[Diagnosis of recurrent secondary hyperparathyroidism using double-phase 99m-Tc-MIBI gammagraphy after total parathyroidectomy with autotransplantation]

Nefrologia. 2002;22(4):377-80.
[Article in Spanish]

Abstract

We present two cases of uremic patients with poor medical control of their secondary hyperparathyroidism. They had to undergo surgery to control symptoms. A total parathyroidectomy with autotransplant in the forearm muscles was performed. After a symptom-free period, both showed a recurrence of their hyperparathyroidism. A double phase 99mTc-MIBI scintigraphy was essential in order to correctly locate hypertrophic parathyroid gland. In one case there was a cervical recurrence and in the second patient hyperplasia in a forearm gland autotransplant was found. Both patients remained asymptomatic with medication during their follow up.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Calcitriol / therapeutic use
  • Carcinoma, Renal Cell / complications
  • Carcinoma, Renal Cell / surgery
  • Fatal Outcome
  • Female
  • Forearm
  • Graft Rejection / surgery
  • Humans
  • Hyperparathyroidism, Secondary / diagnostic imaging*
  • Hyperparathyroidism, Secondary / drug therapy
  • Hyperplasia
  • Kidney Neoplasms / complications
  • Kidney Neoplasms / surgery
  • Kidney Transplantation
  • Parathyroid Glands / diagnostic imaging
  • Parathyroid Glands / physiopathology
  • Parathyroid Glands / surgery
  • Parathyroid Glands / transplantation*
  • Parathyroidectomy*
  • Radionuclide Imaging
  • Radiopharmaceuticals*
  • Recurrence
  • Renal Dialysis
  • Reoperation
  • Technetium Tc 99m Sestamibi*
  • Transplantation, Autologous*
  • Transplantation, Heterotopic*
  • Uremia / complications*
  • Uremia / surgery
  • Uremia / therapy

Substances

  • Radiopharmaceuticals
  • Technetium Tc 99m Sestamibi
  • Calcitriol