Contenido principal del artículo

Juan Ignacio Rayo-Madrid
Complejo Hospitalario Universitario de Badajoz.Servicio de Medicina Nuclear.Badajoz. España.
España
http://orcid.org/0000-0002-2715-0776
Jose Rafael Infante de la Torre
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz.
España
Biografía
Andrés Martínez-Esteve
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz.
España
Biografía
Pedro Jiménez-Granero
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
España
Biografía
Álvaro Baena-García
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
España
Biografía
Maria del Carmen Lavado-Pérez
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
España
Biografía
Justo Serrano-Vicente
Complejo Hospitalario Universitario de Badajoz. Servicio de Medicina Nuclear. Badajoz
España
https://orcid.org/0000-0003-4081-4423
Biografía
Vol. 13 Núm. 2 (2022), Artículo de revisión, Páginas e27450
DOI: https://doi.org/10.14201/orl.27450
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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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