Tc-99m-MIBI SPECT/CT imaging to diagnose secondary hyperparathyroidism after parathyroid forearm transplantation

IF 1.2 4区 医学 Q3 UROLOGY & NEPHROLOGY
Zhenchun Xu, Chenxi Zheng, Maohua Rao, Yalan Xiong, Yan Tian, Gengbiao Yuan
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引用次数: 0

Abstract

This article report a 40-year-old male patient who underwent total thyroidectomy and forearm auto-transplantation in another hospital for secondary hyperparathyroidism. After 4 years of follow-up, the level of parathyroid hormone continued to increase, and ultrasound showed nodules in the neck and right forearm, which were considered to be of parathyroid origin. Technetium 99m sestamibi single photon emission computed tomography and computed tomography (Tc-99m-MIBI SPECT/CT) imaging showed increased radioactive uptake in the submuscular soft tissue nodule of the right medial forearm, maximum standardized uptake value (SUVmax) is 0.98, which was identified as transplanted functioning parathyroid tissue. No parathyroid imaging activity was found in the neck. The patient then underwent partial removal of ectopic parathyroid tissue from the right forearm. Pathological examination confirmed parathyroid tissue, and removal was followed by a rapid decline in serum parathyroid hormone levels.

用 Tc-99m-MIBI SPECT/CT 成像诊断前臂甲状旁腺移植术后继发性甲状旁腺功能亢进症
本文报告了一名40岁的男性患者,他因继发性甲状旁腺功能亢进症在另一家医院接受了甲状腺全切除术和前臂自体移植术。随访4年后,患者的甲状旁腺激素水平持续上升,超声检查显示其颈部和右前臂有结节,考虑为甲状旁腺源性结节。锝99m姒他米单光子发射计算机断层扫描和计算机断层扫描(Tc-99m-MIBI SPECT/CT)成像显示,右前臂内侧肌下软组织结节的放射性摄取增加,最大标准化摄取值(SUVmax)为0.98,确定为移植的功能性甲状旁腺组织。颈部未发现甲状旁腺成像活动。随后,患者接受了右前臂异位甲状旁腺组织的部分切除术。病理检查证实为甲状旁腺组织,切除后血清甲状旁腺激素水平迅速下降。
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来源期刊
Hemodialysis International
Hemodialysis International UROLOGY & NEPHROLOGY-
CiteScore
2.50
自引率
0.00%
发文量
58
审稿时长
6-12 weeks
期刊介绍: Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.
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