Padinhare-Keloth Thanseer N T K, Bhadada Sanjay K, Sood Ashwani, Kumar Rajender, Behera Arunanshu, Radotra Bishan D, Mittal Bhagwant R
Department of Nuclear Medicine, PGIMER, Sector-12, Chandigarh, 160012 India.
Department of Endocrinology, PGIMER, Chandigarh, 160012 India.
Nucl Med Mol Imaging. 2017 Jun;51(2):186-189. doi: 10.1007/s13139-016-0450-9. Epub 2016 Sep 20.
Primary hyperparathyroidism is caused by parathyroid adenoma in the majority of cases and diagnosis is usually made biochemically. Pre-surgical localization of parathyroid adenoma is essential to limit the extent of surgery and avoid missing them at ectopic sites. Anatomical and functional imaging are used for the localization, but may fail to identify the small and ectopic parathyroid adenoma. We present a case of small sized ectopic parathyroid adenoma at unusual location detected by F-18 fluorocholine (FCH) PET/CT, where other imaging modalities failed. The post-operative histopathology confirmed the diagnosis of ectopic parathyroid adenoma.
大多数情况下,原发性甲状旁腺功能亢进由甲状旁腺腺瘤引起,诊断通常通过生化检查进行。甲状旁腺腺瘤的术前定位对于限制手术范围和避免在异位部位遗漏腺瘤至关重要。解剖学和功能成像用于定位,但可能无法识别小的和异位的甲状旁腺腺瘤。我们报告一例在不寻常位置的小尺寸异位甲状旁腺腺瘤病例,该病例通过F-18氟胆碱(FCH)PET/CT检测到,而其他成像方式均未发现。术后组织病理学证实为异位甲状旁腺腺瘤。