November 6, 2014 By Peter M. Mowschenson, MD

Sestamibi Scanning

Sestamibi Scan Tc 99m

This is a positive Sestamibi scan showing a right sided enlarged parathyroid. Unfortunately they are not all as clear as this.

Incision 4 Months
This is an untouched photo of one of my patients at four months. I have many other photos with similar results. This early scar will continue to fade for two years. < Back to Parathyroid Surgery
Incision
There is much written about tiny incisions and minimally invasive surgery for hyperparathyroidism. The important issue is to have successful surgery. The final cosmetic result is excellent and within a year or two the incision is barely noticeable. I tailor the incision to the situation. < Back to Parathyroid …
4D CT Imaging
This is the latest test available and it can be extremely helpful when the Sestamibi scan and ultrasound do not show the enlarged parathyroid (s) < Back to Parathyroid Surgery
Preop Imaging
If performed by an experienced ultrasonographer this test can be very helpful in locating the enlarged parathyroid (s). < Back to Parathyroid Surgery
Localization Studies
There are different approaches to parathyroid surgery. I use the approach used by the vast majority of endocrine surgeons in the US. Localization helps a minimally invasive focused operation to be performed along with intraoperative PTH testing. < Back to Parathyroid Surgery

Afirma or Veracyt or Gene Array Assay
There is now a new test we are using in addition to the regular needle biopsy called the Afirma or Veracyt or Gene array assay. It has been introduced to help further in the identification of nodules for malignancy when the FNA result is indeterminate or atypical. Basically if the …
Information about Radioactive Iodine
In case you need to have this: http://www.thyroid.org/radioactive-iodine/
General Information About Thyroid Nodules and Testing
I am a member of the American Association of Endocrine Surgeons and this link will take you to their site which is very helpful and accurate and answers many questions. http://endocrinediseases.org/thyroid/faq.shtml < Back to Thyroid Surgery

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