Abstract
The authors describe a 42-year-old man with parathyroid hyperplasia secondary to chronic renal failure. Parathyroidectomy was indicated because of persistent hypercalcemia and an increasing parathyroid hormone level despite medical management. A parathyroid sestamibi scan was performed immediately before operation and a gamma-detecting probe was used during operation. Six parathyroid glands weighing nearly 21 g were present. Without the use of the gamma-detecting probe during operation, one of the glands would have been missed. The efficacy of sestamibi scanning with parathyroid hyperplasia is discussed.
MeSH terms
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Adult
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Gamma Cameras
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Humans
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Hyperparathyroidism, Secondary / diagnostic imaging*
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Hyperparathyroidism, Secondary / etiology
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Hyperparathyroidism, Secondary / surgery*
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Hyperplasia / diagnostic imaging
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Hyperplasia / etiology
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Hyperplasia / pathology
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Hyperplasia / surgery
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Kidney Failure, Chronic / complications
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Male
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Parathyroid Glands / diagnostic imaging*
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Parathyroid Glands / pathology
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Parathyroid Glands / surgery*
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Parathyroidectomy / methods*
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Radionuclide Imaging
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Radiopharmaceuticals
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Surgery, Computer-Assisted / methods*
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Technetium Tc 99m Sestamibi*
Substances
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Radiopharmaceuticals
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Technetium Tc 99m Sestamibi