Cirugía radioguiada de paratiroides con 18FCH. Mito o realidad

RESUMEN: El hiperparatiroidismo primario (HPTP) es la principal causa de hipercalcemia en pacientes no hospitalizados, estando causado en el 85-90% de los casos por un adenoma solitario. La cirugía radioguiada de paratiroides (CRGP), como técnica GOSTT (Guided intraOperative Scintigraphic Tumor Targ...

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Published inRevista ORL (Salamanca) Vol. 13; no. 2; pp. 147 - 158
Main Authors Rayo-Madrid, Juan I, Infante-de la Torre, José R, Martínez-Esteve, Andrés, Jiménez-Granero, Pedro, Baena-García, Álvaro, Lavado-Pérez, M Carmen, Serrano-Vicente, Justo
Format Journal Article
LanguagePortuguese
Published Ediciones Universidad de Salamanca 01.06.2022
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Abstract RESUMEN: El hiperparatiroidismo primario (HPTP) es la principal causa de hipercalcemia en pacientes no hospitalizados, estando causado en el 85-90% de los casos por un adenoma solitario. La cirugía radioguiada de paratiroides (CRGP), como técnica GOSTT (Guided intraOperative Scintigraphic Tumor Targeting), utiliza la SPECT-TC con 99mTc-MIBI como técnica de elección. La PET-TC con 18F-Colina (18FCH) puede emplearse en pacientes con 99mTc-MIBI negativo, obteniéndose sensibilidades próximas al 95%. El uso de la 18FCH en la CRGP es muy complejo recomendándose la utilización de otros trazadores como los 99mTc-Macroagregados (99mTc-MAA) o las semillas de Yodo-125 (125I-Semilla). La CRGP disminuye el tiempo quirúrgico, los costes hospitalarios y la morbilidad sobre el paciente, con una elevada efectividad y eficiencia.
AbstractList RESUMEN: El hiperparatiroidismo primario (HPTP) es la principal causa de hipercalcemia en pacientes no hospitalizados, estando causado en el 85-90% de los casos por un adenoma solitario. La cirugía radioguiada de paratiroides (CRGP), como técnica GOSTT (Guided intraOperative Scintigraphic Tumor Targeting), utiliza la SPECT-TC con 99mTc-MIBI como técnica de elección. La PET-TC con 18F-Colina (18FCH) puede emplearse en pacientes con 99mTc-MIBI negativo, obteniéndose sensibilidades próximas al 95%. El uso de la 18FCH en la CRGP es muy complejo recomendándose la utilización de otros trazadores como los 99mTc-Macroagregados (99mTc-MAA) o las semillas de Yodo-125 (125I-Semilla). La CRGP disminuye el tiempo quirúrgico, los costes hospitalarios y la morbilidad sobre el paciente, con una elevada efectividad y eficiencia.
Author Martínez-Esteve, Andrés
Jiménez-Granero, Pedro
Lavado-Pérez, M Carmen
Serrano-Vicente, Justo
Infante-de la Torre, José R
Rayo-Madrid, Juan I
Baena-García, Álvaro
AuthorAffiliation Complejo Hospitalario Universitario de Badajoz
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ContentType Journal Article
Copyright This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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DOI 10.14201/orl.27450
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DocumentTitleAlternate Radioguided parathyroid surgery with 18FCH. Myth or reality
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Issue 2
Keywords cirugía mínimamente invasiva
paratiroides
minimally invasive surgery
radioguided surgery
hiperparatiroidismo
Choline
cirugía radioguiada
PET-TC
parathyroid
hyperparathyroidism
Colina
Language Portuguese
License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. http://creativecommons.org/licenses/by-nc-nd/4.0
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Snippet RESUMEN: El hiperparatiroidismo primario (HPTP) es la principal causa de hipercalcemia en pacientes no hospitalizados, estando causado en el 85-90% de los...
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SubjectTerms Otorhinolaryngology
Title Cirugía radioguiada de paratiroides con 18FCH. Mito o realidad
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