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Detection of an undescended parathyroid adenoma with F-fluorocholine PET/CT.

Authors:
J Booij E W P Nijhuis K H 't Hof

Eur J Hybrid Imaging 2022 May 17;6(1):10. Epub 2022 May 17.

Department of Surgery, Flevoziekenhuis, Almere, The Netherlands.

Surgical excision of a parathyroid adenoma (PTA) is the only curative treatment for primary hyperparathyroidism (PHP). The transition from routine bilateral neck exploration to minimally invasive parathyroidectomy has been made possible by preoperative location techniques, including molecular imaging. Here, we present a case of a 76-year-old man with PHP who underwent a [F]fluorocholine PET/CT scan, which showed a rare undescended PTA at the level of the right carotid bifurcation. After a successful minimally invasive parathyroidectomy, a PTA was confirmed, and the parathyroid hormone level normalized within 24 h. We conclude that it is relevant to locate preoperatively a PTA accurately to assist the surgeon to perform a successful minimally invasive parathyroidectomy.

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http://dx.doi.org/10.1186/s41824-022-00131-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9110574PMC
May 2022

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Evolution of intra-operative parathyroid hormone and its application in parathyroid surgery.

Authors:
Nikita Machado Scott M Wilhelm

Vitam Horm 2022 10;120:271-288. Epub 2022 Jul 10.

Department of General and Endocrine Surgery, University Hospitals Cleveland, OH, Professor of Surgery, Case Western Reserve School of Medicine, Cleveland, OH, United States. Electronic address:

The history and evolution of parathyroid hormone is a true testament to inter-disciplinary collaboration among anatomists, biochemists and surgeons. The parathyroid glands were the last endocrine glands to be discovered in the mid-1800s. Over the next century, progress in the evaluation of primary hyperparathyroidism, the identification of parathyroid hormone (PTH) and its application for use in the field of parathyroid surgery have led to a significant improvement in surgical cure rates, accompanied by a shift toward minimally invasive surgical options. Read More

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Evaluation of voice quality in primary hyperparathyroidism patients undergoing minimally invasive parathyroid surgery.

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Mustafa Çalışkan Taner Demirci Hasret Cengiz

Cir Cir 2022 ;90(S1):45-51

Endocrinology and Metabolism Clinic, Sakarya University Medical Faculty, Sakarya. Turkey.

Objective: Voice quality disorders remain a problem with classical surgical method which is expected to decrease with new minimally invasive methods. We aimed to examine whether there is an impairment in voice quality among our patients who have undergone open minimally invasive parathyroid surgery.

Methods: Forty-seven primer hyperparathyroidism patients included in the study. Read More

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Severe secondary hyperparathyroidism in a chronic kidney disease patient treated with Radiofrequency ablation: One case report.

Authors:
Gulimire Muhetaer Guangyi Liu Ling Zhang Hong Jiang

Front Med (Lausanne) 2022 22;9:876692. Epub 2022 Jul 22.

Xinjiang Clinical Research Center for Kidney Disease, Division of Nephrology, Department of Internal Medicine, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.

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Association Between Size of Dominant Candidate Lesion on Four-Dimensional CT and Four-Gland Hyperplasia among Patients with Primary Hyperparathyroidism.

Authors:
Jordan M Broekhuis Natalia Chaves Hao Wei Chen Daniel J Cloonan Barry A Sacks Benjamin C James

J Am Coll Surg 2022 Aug 20;235(2):332-339. Epub 2022 Apr 20.

From Department of Surgery, Harvard Medical School, Boston, MA (Broekhuis, Cloonan, Sacks, James).

Background: Four-dimensional (4D) CT localization allows minimally invasive parathyroidectomy as treatment for primary hyperparathyroidism (PHPT), but false positive localization is frequent. We sought to characterize the ability of 4D CT to predict four-gland hyperplasia (HP) based on the size of candidate lesions.

Study Design: We retrospectively analyzed patients with PHPT who underwent 4D CT imaging and parathyroidectomy between 2014 and 2020 from a prospectively collected institutional database. Read More

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Vitamin D3 Levels in Predicting Transient Hypocalcemia After Parathyroidectomy.

Authors:
Chirag Pereira Benji Varghese

Cureus 2022 Jul 5;14(7):e26576. Epub 2022 Jul 5.

Urology, Wythenshawe Hospital, Manchester, GBR.

Introduction Hypocalcemia following parathyroidectomy can often be problematic, requiring long-term follow-up. This complication can be permanent or transient. It most commonly occurs following head and neck surgery where there is accidental removal of the parathyroid gland or damage to the blood supply to the gland during dissection. Read More

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