Year 2020, Volume 22 , Issue 1, Pages 54 - 57 2020-04-30

Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas
Mediastinal Paratiroid Adenomlarının Tedavisinde SPECT/BT Rehberliğinde Uygulanan Minimal İnvazif Girişimler

Oya YILDIZ [1] , Alper FINDIKÇIOĞLU [2] , Dalokay KILIÇ [3] , Neşe TORUN [4]


Locating and removing ectopic parathyroid tissue may result in more than 20% failure. Seven cases which were detected by single photon emission computed tomography/computed tomography (SPECT/CT) imaging with Tc-99m sestamibi and treated with minimally invasive surgical methods were presented. The cases that underwent SPECT/CT due to high parathormone (PTH) level after total/subtotal parathyroidectomy operation, and detected to have mediastinal ectopic parathyroid were included. The success of the surgery was assessed with preoperative and postoperative PTH levels. Video-assisted thoracic surgery (VATS) was performed on five of the cases and video-assisted mediastinoscopy (VAM) was performed on remaining two. The mean age was 52.4±19.0. There were six women and one man. Mediastinal adenomas ranging from 1.5 to 6 cm in size, were successfully treated after single attempt. If the mediastinal ectopic parathyroid adenomas are fully localized before surgery, it can be treated with minimally invasive surgical methods.
Ektopik paratiroid dokusunun yerini saptamak ve çıkarmak %20’nin üzerinde başarısızlıkla sonuçlanabilmektedir. Tc-99m sestamibi ile yapılan tek foton emisyon bilgisayarlı tomografi/bilgisayarlı tomografi (single photon emission computed tomography/computed tomography, SPECT/CT) görüntülemesinde saptanan ve minimal invaziv cerrahi yöntemler ile tedavi edilen yedi olgu sunulmuştur. Total/subtotal paratiroidektomi operasyonu sonrası yüksek parathormon (PTH) seviyesi nedeni ile SPECT/CT uygulanan ve mediastende ektopik paratiroid saptanan olgular dahil edilmiştir. Cerrahinin başarısı preoperatif ve postoperatif PTH düzeyleri ile değerlendirildi. Beş olguya video yardımlı toraks cerrahisi (video-assisted thoracic surgery, VATS), diğer ikisine video yardımlı mediastinoskopi (video-assisted mediastinoskopi, VAM) uygulandı. Ortalama yaş 52,4±19,0 idi. Altı olgu kadın, bir olgu erkek idi. 1,5 ile 6 cm arasında değişen mediastinal adenomlar tek denemeden sonra basit girişimler ile başarılı bir şekilde tedavi edildi. Mediastinal ektopik paratiroid adenomu ameliyat öncesi tam olarak lokalize edilebilirse minimal invaziv cerrahi yöntemlerle tedavi edilebilir.
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Primary Language en
Subjects Medicine
Journal Section Case Report
Authors

Orcid: 0000-0002-1051-3470
Author: Oya YILDIZ (Primary Author)
Institution: BAŞKENT ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Orcid: 0000-0001-8740-163X
Author: Alper FINDIKÇIOĞLU
Institution: BAŞKENT ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Orcid: 0000-0001-7813-5317
Author: Dalokay KILIÇ
Institution: BAŞKENT ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Orcid: 0000-0002-5597-676X
Author: Neşe TORUN
Institution: BAŞKENT ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Dates

Publication Date : April 30, 2020

Bibtex @case report { dtfd652697, journal = {Duzce Medical Journal}, issn = {}, eissn = {1307-671X}, address = {}, publisher = {Duzce University}, year = {2020}, volume = {22}, pages = {54 - 57}, doi = {10.18678/dtfd.652697}, title = {Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas}, key = {cite}, author = {Yıldız, Oya and Fındıkçıoğlu, Alper and Kılıç, Dalokay and Torun, Neşe} }
APA Yıldız, O , Fındıkçıoğlu, A , Kılıç, D , Torun, N . (2020). Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas . Duzce Medical Journal , 22 (1) , 54-57 . DOI: 10.18678/dtfd.652697
MLA Yıldız, O , Fındıkçıoğlu, A , Kılıç, D , Torun, N . "Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas" . Duzce Medical Journal 22 (2020 ): 54-57 <https://dergipark.org.tr/en/pub/dtfd/issue/53917/652697>
Chicago Yıldız, O , Fındıkçıoğlu, A , Kılıç, D , Torun, N . "Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas". Duzce Medical Journal 22 (2020 ): 54-57
RIS TY - JOUR T1 - Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas AU - Oya Yıldız , Alper Fındıkçıoğlu , Dalokay Kılıç , Neşe Torun Y1 - 2020 PY - 2020 N1 - doi: 10.18678/dtfd.652697 DO - 10.18678/dtfd.652697 T2 - Duzce Medical Journal JF - Journal JO - JOR SP - 54 EP - 57 VL - 22 IS - 1 SN - -1307-671X M3 - doi: 10.18678/dtfd.652697 UR - https://doi.org/10.18678/dtfd.652697 Y2 - 2020 ER -
EndNote %0 Düzce Tıp Fakültesi Dergisi Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas %A Oya Yıldız , Alper Fındıkçıoğlu , Dalokay Kılıç , Neşe Torun %T Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas %D 2020 %J Duzce Medical Journal %P -1307-671X %V 22 %N 1 %R doi: 10.18678/dtfd.652697 %U 10.18678/dtfd.652697
ISNAD Yıldız, Oya , Fındıkçıoğlu, Alper , Kılıç, Dalokay , Torun, Neşe . "Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas". Duzce Medical Journal 22 / 1 (April 2020): 54-57 . https://doi.org/10.18678/dtfd.652697
AMA Yıldız O , Fındıkçıoğlu A , Kılıç D , Torun N . Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas. Duzce Medical Journal. 2020; 22(1): 54-57.
Vancouver Yıldız O , Fındıkçıoğlu A , Kılıç D , Torun N . Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas. Duzce Medical Journal. 2020; 22(1): 54-57.
IEEE O. Yıldız , A. Fındıkçıoğlu , D. Kılıç and N. Torun , "Minimally Invasive Interventions Used with the Guidance of SPECT/CT in the Treatment of Mediastinal Parathyroid Adenomas", Duzce Medical Journal, vol. 22, no. 1, pp. 54-57, Apr. 2020, doi:10.18678/dtfd.652697