Cirugía radioguiada de paratiroides con 18FCH. Mito o realidad

  • Juan Ignacio Rayo-Madrid
    Complejo Hospitalario Universitario de Badajoz.Servicio de Medicina Nuclear.Badajoz. España. http://orcid.org/0000-0002-2715-0776 jirayo[at]gmail.com
  • Jose Rafael Infante de la Torre
    Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz.
  • Andrés Martínez-Esteve
    Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz.
  • Pedro Jiménez-Granero
    Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
  • Álvaro Baena-García
    Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
  • Maria del Carmen Lavado-Pérez
    Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
  • Justo Serrano-Vicente
    Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz https://orcid.org/0000-0003-4081-4423

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.
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Rayo-Madrid, J. I., Infante de la Torre, J. R., Martínez-Esteve, A. ., Jiménez-Granero, P., Baena-García, Álvaro ., Lavado-Pérez, M. del C. ., & Serrano-Vicente, J. (2022). Cirugía radioguiada de paratiroides con 18FCH. Mito o realidad. Revista ORL, 13(2), e27450. https://doi.org/10.14201/orl.27450

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Jose Rafael Infante de la Torre

,
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz.
 JOSE RAFAEL INFANTE DE LA TORRE infantetorre@gmail.com  ORCID   0000-0003-3151-1105    

Andrés Martínez-Esteve

,
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz.
Andrés Martínez Esteve andres.martineze@salud-juntaex.es ORCID: 0000-0002-9832-8770    

Pedro Jiménez-Granero

,
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
Pedro Jiménez Granero pedro.jimenezg@salud-juntaex.es ORCID: 0000-0002-2557-0478      

Álvaro Baena-García

,
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
Álvaro Baena García alvaronuclear16@gmail.com ORCID: 0000-0002-4415-8155      

Maria del Carmen Lavado-Pérez

,
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
Maria del Carmen Lavado Pérez lavadoc21@gmail.com ORCID: 0000-0002-0614-7713    

Justo Serrano-Vicente

,
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
JUSTO SERRANO VICENTE justo.serrano@salud-juntaex.es ORCID: 0000-0003-4081-4423
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