Oliver Guillén J R, de la Cueva Barrao L, Miguelena Bobadilla J M, Giménez Maurel T, Hernando Almudí E, Casamayor Franco M C
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria Aragón, Zaragoza, España.
Servicio de Medicina Nuclear, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria Aragón, Zaragoza, España.
Rev Esp Med Nucl Imagen Mol. 2017 Jul-Aug;36(4):254-256. doi: 10.1016/j.remn.2017.01.006. Epub 2017 Apr 6.
Cystic parathyroid adenoma is a rare disease (<0.01% of all cervical masses) that associates primary hyperparathyroidism in 9% of cases. Parathyroid scintigraphy is essential for its diagnosis with uncommon false negative results. Hybrid SPECT/CT equipments allow a more accurate diagnosis. Functional cystic parathyroid adenomas are surgically treated. A case of a 64-year-old woman with diagnoses of hyperparathyroidism and a cystic parathyroid adenoma without uptake in scintigraphy is described.
囊性甲状旁腺腺瘤是一种罕见疾病(占所有颈部肿块的比例<0.01%),9%的病例伴有原发性甲状旁腺功能亢进。甲状旁腺闪烁扫描对其诊断至关重要,假阴性结果不常见。杂交SPECT/CT设备可实现更准确的诊断。功能性囊性甲状旁腺腺瘤采用手术治疗。本文描述了一例64岁女性患者,诊断为甲状旁腺功能亢进和囊性甲状旁腺腺瘤,闪烁扫描未见摄取。