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Authors Tobin K, Ayers RR, Rajaei M, Sippel RS, Balentine CJ, Elfenbein D, Chen H, Schneider DF
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Journal Int J Endocr Oncol Volume: 3 Issue: 1 Pages: 13-19
Publish Date 2016 Feb
PubMed ID 27127604
PMC ID 4844463

The purpose of this study was to determine threshold gamma probe counts to distinguish single adenoma (SA) from multigland disease (MGD) during radioguided parathyroidectomy.A retrospective analysis of 1656 patients was performed. Ex vivo counts of the first excised gland were taken and recorded as a percentage of background counts.69.4% of MGD patients had counts below the 50% threshold. The 50% threshold correctly grouped 72.8% of our cohort. Counts of more than 100% were accurate for grouping SA, with only 6.8% of patients with counts more than 100% having MGD.The gamma probe can aid surgeons in deciding to continue neck exploration if MGD is suspected or wait for labs to confirm cure if SA is suspected.

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