Title of article
Four Atypical Parathyroid Adenomas Detected by Dual Phase Tc-99m MIBI SPECT
Author/Authors
Araz, Mine University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Clinic of Nuclear Medicine - Ankara, Turkey , Çayır, Derya University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Clinic of Nuclear Medicine - Ankara, Turkey , Köybaşıoğlu, Fatma Fulya University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Clinic of Pathology - Ankara, Turkey , Karabacak, Harun University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Clinic of General Surgery - Ankara, Turkey , Çakal, Erman University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Clinic of Endocrinology and Metabolism Diseases - Ankara, Turkey
Pages
4
From page
33
To page
36
Abstract
We report a case of a 55-year-old female with tertiary hyperparathyroidism and osteoporosis who had end stage renal disease and a history of hemodialysis for 15 years. Patient’s informed is taken. Neck ultrasonography showed multinodular goiter together with a hypoechoic lesion compatible with a parathyroid adenoma. Dual phase technetium (Tc) Tc-99m MIBI single photon emission computed tomography (SPECT) showed pathological uptake in four parathyroid gland locations. Total thyroidectomy and subtotal parathyroidectomy revealed nodular hyperplasia and atypical adenomas in four parathyroid glands. Atypical parathyroid adenoma is a rare clinical entity. Multiple atypical adenomas are even less frequent. A very rare condition, detection of atypical adenomas in four of the parathyroid glands by dual phase Tc-99m MIBI SPECT, is presented in this case.
Keywords
single photon emission computed tomography , Tc-99m sestamibi , parathyroid adenoma , Parathyroid gland
Journal title
Molecular Imaging and Radionuclide Therapy
Serial Year
2020
Record number
2573747
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