对一例异位颌下腺甲状旁腺腺瘤罕见病例的持续性甲状旁腺功能亢进进行多模式评估

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

Clinical Nuclear Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-25 DOI:10.1097/RLU.0000000000005495

Yeshwanth Edamadaka, Gaurav Malhotra, Aaditya Daga, Saba S Memon, Anurag R Lila, Tushar Bandgar

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引用次数: 0

摘要

摘要：一名53岁的女性原发性甲状旁腺功能亢进症患者，颈部超声检查和平面99m锝-MIBI扫描均为阴性，在早期（注射后15分钟）99m锝-MIBI SPECT/CT切面中发现左侧颌下腺区有一个示踪剂avid病灶，因此怀疑是罕见的异位甲状旁腺腺瘤。这一发现在4D-CT上得到了证实，并在手术切除后的组织病理学检查中得到了证实。颌下腺区是异位甲状旁腺腺瘤的不常见部位。尽管如此，高度怀疑并利用多模态成像（包括99m锝MIBI-SPECT/CT和4D-CT）可提高术前甲状旁腺腺瘤罕见异位部位的检出率，本例顽固性甲状旁腺功能亢进症就是一例。

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Multimodality Evaluation of Persistent Hyperparathyroidism in a Rare Case of Ectopic Submandibular Parathyroid Adenoma.

Abstract: A 53-year-old woman of primary hyperparathyroidism with both ultrasound neck examination and planar 99m Tc-MIBI scan being negative revealed a tracer-avid focus in the left submandibular region in early (15 minutes postinjection) 99m Tc-MIBI SPECT/CT views, raising a suspicion of rare ectopic parathyroid adenoma. This finding was correlated on 4D-CT and confirmed on histopathology following surgical excision. Submandibular region is an unusual location for ectopic parathyroid adenoma. Nevertheless, high degree of suspicion with utilization of multimodality imaging including 99m Tc MIBI-SPECT/CT and 4D-CT improves preoperative detection of parathyroid adenoma at rare ectopic sites as seen in this case of persistent hyperparathyroidism.

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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.