Radioguided surgery in the treatment of primary hyperparathyroidism. Report of one case

Primary hyperparathyroidism is the main cause of hypercalcemia in ambulator y patients. Classic surgical resolution of this disease includes bilateral cervical exploration with exhibition of the four parathyroid glands and eva luation of the suspicious gland with a rapid biopsy. We report a 79 years o ld female with a primary hyperparathyroidism in whom the adenoma causing th e disease was located with the help of an intraoperatory gamma-probe that d etected the zone of higher radiation counting of Tc-99m Sestamibi, that was injected preoperatively. The patient was discharged with normal serum calc ium and phosphate levels (Rev Med Chile 2001; 129. 921-4).