Intraoperative Localization of Recurrent Medullary Carcinoma of the Thyroid Using Tc-99m HYNIC-TATE and a Surgical Gamma Probe

Aliyev A., Ocak M., Kabasakal L., Haciyev Y., Ozhan M., Vural O., ...Daha Fazla

CLINICAL NUCLEAR MEDICINE, cilt.36, sa.9, ss.831-833, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Editöre Mektup
  • Cilt numarası: 36 Sayı: 9
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1097/rlu.0b013e31821c9a36
  • Dergi Adı: CLINICAL NUCLEAR MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.831-833
  • Anahtar Kelimeler: recurrent MTC, Tc-99m HYNIC-TATE, surgical gamma probe, NEUROENDOCRINE TUMORS, TC-99M-EDDA/HYNIC-TOC, SURGERY
  • İstanbul Üniversitesi Adresli: Evet

Özet

Preoperative octreotide scintigraphy imaging has opened up a new era to approach recurrent medullary thyroid carcinoma (MTC). We describe the case of a 53-year-old woman who was diagnosed with recurrent MTC and elevated serum calcitonin level >2000 pg/mL. Preoperatively, Tc-99m HYNIC-TATE scintigraphy was used in identifying 2 focal abnormalities in the right upper cervical and left upper mediastinal regions, and a hand-held gamma probe was used intraoperatively to identify the hot areas. Six months after intraoperative dissection, serum calcitonin level and Tc-99m HYNIC-TATE scintigraphy were found normal. This case demonstrates the proper localization for recurrent MTC using Tc-99m HYNIC-TATE and a surgical gamma probe.