Cadena-Piñeros Enrique, Romero-Rojas Alfredo, Romero Dora
Department of Otorhinolaryngology, Head and Neck, Clínica de Marly, Bogota, Colombia.
Department of Otorhinolaryngology, Universidad Nacional de Colombia.
Indian J Nucl Med. 2019 Apr-Jun;34(2):164-166. doi: 10.4103/ijnm.IJNM_22_19.
The primary hyperparathyroidism (PHPT) is a result of high levels of parathyroid hormone and serum calcium, the most frequent cause is a solitary parathyroid adenoma. Double parathyroid adenoma is <5% of the PHPT. Intrathyroidal parathyroid adenoma (IPA) occurs< 3.2%. We present a case of 58-year-old female with persistent primary hyperparathyroidism due to a second undetected IPA, suspected by ultrasound and confirmed by Tc sestamibi single-photon emission computed tomography/computed tomography.
原发性甲状旁腺功能亢进症(PHPT)是甲状旁腺激素和血清钙水平升高的结果,最常见的病因是孤立性甲状旁腺腺瘤。双发性甲状旁腺腺瘤在PHPT中占比不到5%。甲状腺内甲状旁腺腺瘤(IPA)的发生率<3.2%。我们报告一例58岁女性,因第二个未被发现的IPA导致持续性原发性甲状旁腺功能亢进症,通过超声怀疑并经锝-99m甲氧基异丁基异腈单光子发射计算机断层扫描/计算机断层扫描(Tc sestamibi SPECT/CT)确诊。