Surgery Today

, Volume 41, Issue 2, pp 237–241

Use of a gamma probe to identify and guide resection of recurrent parathyroid carcinoma: Report of a case

  • Ricardo Pedrini Cruz
  • Alexandre Vontobel Padoin
  • Daniel Weiss Vilhordo
  • Anselmo Hoffmann
  • Cláudio Corá Mottin
Case Report

DOI: 10.1007/s00595-009-4233-0

Cite this article as:
Cruz, R.P., Padoin, A.V., Vilhordo, D.W. et al. Surg Today (2011) 41: 237. doi:10.1007/s00595-009-4233-0
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Abstract

Parathyroid carcinoma (PC) accounts for less than 0.005% of all cancers and less than 5% of causes of hyperparathyroidism. This tumor is difficult to identify during surgery, which is detrimental to the oncologic results. Surgery is still the main treatment for the primary tumor and to control parathyroid hormone levels after recurrence. We report a case of recurrent parathyroid carcinoma in a 30-year-old man, identified and managed with the use of a gamma probe during surgery. To our knowledge, this is only the second report of a gamma probe being used to guide resection of a recurrent PC. We discuss the diagnosis and treatment, analyzing the current evidence-based literature.

Key words

Parathyroid carcinomaHyperparathyroidismParathyroid tumorHypercalcemiaEn bloc resectionGamma probe

Copyright information

© Springer 2011

Authors and Affiliations

  • Ricardo Pedrini Cruz
    • 1
    • 2
  • Alexandre Vontobel Padoin
    • 1
  • Daniel Weiss Vilhordo
    • 1
  • Anselmo Hoffmann
    • 1
  • Cláudio Corá Mottin
    • 1
  1. 1.Serviço de Cirurgia Geral, Ambulatório de Cirurgia EndocrinológicaHospital São Lucas da Pontifícia Universidade Católica do Rio Grande do SulPorto Alegre, RSBrazil
  2. 2.Porto AlegreRS, Brazil