Stop Before you have an surgical Exploration for parathyroid adenoma

Stop Before you have an surgical Exploration for parathyroid adenoma

Stop before you have an surgical Exploration for parathyroid adenoma because imaging failed to localize the tumor.

Better imaging methods available to localize the adenoma after neck ultrasound and parathyroid scans are negative.

What can you do?

1.First have an expert endocrine neck certified ultrasound  specialist locate the adenoma.

2.Have the parathyroid scan reviewed as they can be hard to read.

3. Newer imaging of the parathyroid tumors are available.Ask your thyroidologists about these BEFORE you have an exploration.

4. Minimal invasive parathyroid surgery should be the goal not an exploration.

Richard Guttler MD,FACE,ECNU

310-393-8860 Ask Matt for details of an evaluation prior to any surgery on your parathyroid.

The Step up Method 1.Neck ultrasound 2. Standard Parathyroid scan and 3. Methionine PET/CT

Preoperative 11C-Methionine PET/CT Enables Focussed Parathyroidectomy in neck ultrasound and MIBI-SPECT Negative Parathyroid Adenoma

Christina Lenschow et al

World Journal of Surgery

, Volume 39, Issue 7, pp 1750–1757

cUS localized a single parathyroid adenoma in 10/17 patients (59 %), while MIBI-SPECT/CT identified 11/17 single adenomas (65 %). In the remaining six patients, Met-PET/CT identified five single adenomas. This step-up approach correctly identified single adenomas in 16/17 patients (94 %).

Image of a Spect Ct of a parathyroid adenoma.

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