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

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.

Cite this paper

@article{Fuster2002DiagnosisOR, title={[Diagnosis of recurrent secondary hyperparathyroidism using double-phase 99m-Tc-MIBI gammagraphy after total parathyroidectomy with autotransplantation].}, author={David Fuster and Jos{\'e} Vicente Torregrosa and M de los {\'A} Ortega and M Isabel Mas and Franck Martin and Francisco Javier Setoain and Françesca Pons}, journal={Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia}, year={2002}, volume={22 4}, pages={377-80} }