Parathyroid Adenoma at the Parapharyngeal Space Detected on 99m Tc-Sestamibi SPECT/CT.

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Nuclear Medicine Pub Date : 2025-06-01 Epub Date: 2025-01-29 DOI:10.1097/RLU.0000000000005696

Wai Ip Li, Tak Kwong Chan, Boom Ting Kung

引用次数: 0

Abstract

Abstract: A 77-year-old woman was diagnosed with primary hyperparathyroidism, and initial cervical ultrasonography found no parathyroid lesion, and she was referred to the nuclear medicine unit for dual-phase 99m Tc-sestamibi (MIBI) scan. The scintigraphy unveiled heterogeneous uptake patterns across bilateral thyroid lobes, corresponding to the thyroid nodules, alongside a marked focal uptake with delayed tracer washout in the right oral region. The SPECT/CT pinpointed a MIBI-avid nodule within the right parapharyngeal space, indicative of parathyroid ectopia. An ectopic parapharyngeal parathyroid adenoma is exceptionally rare. MIBI scan plays a pivotal role in detection of ectopic parathyroid adenoma at unexpected sites.

查看原文本刊更多论文

99mTc-Sestamibi SPECT/CT在咽旁间隙检出甲状旁腺瘤。

摘要：一名77岁女性确诊为原发性甲状旁腺功能亢进，宫颈超声检查未发现甲状旁腺病变，转至核医学科室行99mTc-sestamibi （MIBI）双期扫描。闪烁显像显示双侧甲状腺叶的非均匀摄取模式，与甲状腺结节相对应，同时在右侧口腔区域有明显的局灶性摄取，伴延迟示踪剂洗脱。SPECT/CT在右侧咽旁间隙内发现一个MIBI-avid结节，提示甲状旁腺异位。异位的咽旁甲状旁腺瘤是非常罕见的。MIBI扫描在意外部位的异位甲状旁腺瘤的检测中起着关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.