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>Journals >Cirujano General >Year 2004, Issue 3


Martínez-Duncker RC
Practical gammagraphic evaluations for the diagnosis and treatment of head and neck diseases
Cir Gen 2004; 26 (3)

Language: Español
References: 31
Page: 192-202
PDF: 4. Kb.


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ABSTRACT

Objective: To analyze the main gammagraphic techniques used for head and neck diseases.
Setting: Third level health care hospital.
Selection of studies: We reviewed 31 studies published in the biomedical literature related to the subject and chose those up-dated in relation to diagnosis and treatment of the main head and neck diseases.
Results: Among the most frequent head and neck diseases, for which gammagraphic assessments provide relevant clinical information for their diagnosis and/or treatment that will be addressed in this review, are those of the thyroid gland (hyperthyroidism, functional thyroid nodules, non-functional thyroid nodules), malignant lesions such as melanomas, for which locating the sentinel node(s), the salivary glands, and the parathyroid glands is essential for adequate treatment.
Useful guidelines are included for the differential diagnosis of diverse thyroid diseases considering the results obtained by means of gammagraphy and complementary laboratory tests (thyroid profile).
Besides, we analyze the treatment of the hyperfunctional thyroid, the incidence of post I131-treatment hypothyroidism, the rational calculus of I131 –dosage (activity), thyrotoxicosis and the thyroid nodule, as well as calculating the functional thyroid mass and the thyroid up-take and retention of I131.
Conclusion: Gammagraphic evaluation of head and neck diseases is a relevant tool for the surgeon.


Key words: Gammagraphy, nuclear medicine, head and neck.


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