Concordance de la PTH peropératoire et de la TEMP-TDM dans les adénomes parathyroïdiens

Limam, K.; Yeddes, I.; Meddeb, I.; Bennour, S.; Slim, I.; Mhiri, A.

doi:10.1016/j.ando.2018.06.356

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“…A correlation between PTH level and parathyroid adenoma on scintigraphy was observed in our series corroborating the K. Limam [33] and Marios [34] series.…”

Section: Correlation Between Pth and Parathyroid Adenomasupporting

confidence: 91%

<sup>99m</sup>Tc-Mibi Parathyroid Scintigraphy in the Exploration of Hyperparathyroidism in Senegal: A Study of 66 Cases in the Idrissa Pouye General Hospital, Dakar

Bathily,

Thiaw,

Diop

et al. 2024

EJB

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Hyperparathyroidism is a common endocrinopathy, and parathyroid scintigraphy is part of the preoperative work-up. A prerequisite for adenoma surgery is precise localization of the pathological gland(s) concerned. Our aim was to review the parathyroid scans performed for hyperparathyroidism in Senegal. We carried out a retrospective study over a period of 2.5 years, including patients with hyperparathyroidism who underwent parathyroid scintigraphy with 99m Tc-MIBI, in the nuclear medicine department of the Idrissa Pouye General Hospital in Dakar. A total of 66 patients were included. The mean age was 52 years, with a sex ratio (M/F) of 0.34. The majority of patients were from the capital, Dakar (93%). Primary hyperparathyroidism was the predominant indication (70%). Most patients were symptomatic. Mean parathyroid hormone (PTH) and Calcemia were 464 pg/ml and 98 mg/l respectively. Ultrasound revealed a thyroid nodule in 35% of cases. The scintigraphy was in favour of parathyroid adenoma (30%) with a predominant right upper location (right P4) (35%) and poor concordance between cervical ultrasound and parathyroid scintigraphy was observed with a kappa coefficient k=0.04. Parathyroid scintigraphy with 99m Tc-MIBI allows precise localization of hyper functioning glands, enabling unilateral or minimally invasive cervical surgery to be adopted and reducing the therapeutic failure rate.

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“…A correlation between PTH level and parathyroid adenoma on scintigraphy was observed in our series corroborating the K. Limam [33] and Marios [34] series.…”

Section: Correlation Between Pth and Parathyroid Adenomasupporting

confidence: 91%

<sup>99m</sup>Tc-Mibi Parathyroid Scintigraphy in the Exploration of Hyperparathyroidism in Senegal: A Study of 66 Cases in the Idrissa Pouye General Hospital, Dakar

Bathily,

Thiaw,

Diop

et al. 2024

EJB

View full text Add to dashboard Cite

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Concordance de la PTH peropératoire et de la TEMP-TDM dans les adénomes parathyroïdiens

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<sup>99m</sup>Tc-Mibi Parathyroid Scintigraphy in the Exploration of Hyperparathyroidism in Senegal: A Study of 66 Cases in the Idrissa Pouye General Hospital, Dakar

<sup>99m</sup>Tc-Mibi Parathyroid Scintigraphy in the Exploration of Hyperparathyroidism in Senegal: A Study of 66 Cases in the Idrissa Pouye General Hospital, Dakar

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Concordance de la PTH peropératoire et de la TEMP-TDM dans les adénomes parathyroïdiens

Cited by 1 publication

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&lt;sup&gt;99m&lt;/sup&gt;Tc-Mibi Parathyroid Scintigraphy in the Exploration of Hyperparathyroidism in Senegal: A Study of 66 Cases in the Idrissa Pouye General Hospital, Dakar

&lt;sup&gt;99m&lt;/sup&gt;Tc-Mibi Parathyroid Scintigraphy in the Exploration of Hyperparathyroidism in Senegal: A Study of 66 Cases in the Idrissa Pouye General Hospital, Dakar

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<sup>99m</sup>Tc-Mibi Parathyroid Scintigraphy in the Exploration of Hyperparathyroidism in Senegal: A Study of 66 Cases in the Idrissa Pouye General Hospital, Dakar

<sup>99m</sup>Tc-Mibi Parathyroid Scintigraphy in the Exploration of Hyperparathyroidism in Senegal: A Study of 66 Cases in the Idrissa Pouye General Hospital, Dakar