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甲状旁腺癌——氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描上代谢性骨骼超级扫描的恶性病因

Parathyroid Carcinoma - A Malignant Cause of Metabolic Skeletal Super Scan on Fluorodeoxyglucose Positron Emission Tomography-Computed Tomography.

作者信息

Sampath Santhosh, Jeeva Godwin

机构信息

Division of PET/CT, Gemini Scans, Chennai, Tamil Nadu, India.

出版信息

Indian J Nucl Med. 2021 Apr-Jun;36(2):223-225. doi: 10.4103/ijnm.ijnm_213_20. Epub 2021 Jun 21.

DOI:10.4103/ijnm.ijnm_213_20
PMID:34385804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8320830/
Abstract

Excessive abnormal tracer uptake in active tracer avid organ(s) with the suppression of physiological background tracer distribution is termed as super scan. Herein, we present an F-fluorodeoxyglucose positron emission tomography-computed tomography (FDG-PET/CT), where the metabolic pattern of skeletal super scan with coexistent parathyroid tumor was seen giving rise to the suspicion of primary hyperparathyroidism. It was subsequently diagnosed as a case of parathyroid carcinoma. Very high levels of serum parathormone in parathyroid carcinoma lead to accelerated bone turn over resulting in metabolic skeletal superscan in FDG-PET/CT which is seldom observed in parathyroid adenoma.

摘要

在放射性示踪剂摄取活跃的器官中出现过量异常示踪剂摄取,同时生理性背景示踪剂分布受到抑制,这种情况被称为超级骨显像。在此,我们展示了一例氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描(FDG-PET/CT),其中观察到骨骼超级骨显像的代谢模式与甲状旁腺肿瘤并存,这引发了对原发性甲状旁腺功能亢进的怀疑。随后该病例被诊断为甲状旁腺癌。甲状旁腺癌中血清甲状旁腺激素水平极高,导致骨转换加速,从而在FDG-PET/CT中出现代谢性骨骼超级骨显像,而这种情况在甲状旁腺腺瘤中很少见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a390/8320830/dbf402cf7cd9/IJNM-36-223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a390/8320830/f808bfa87575/IJNM-36-223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a390/8320830/8a0f40a82c02/IJNM-36-223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a390/8320830/dbf402cf7cd9/IJNM-36-223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a390/8320830/f808bfa87575/IJNM-36-223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a390/8320830/8a0f40a82c02/IJNM-36-223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a390/8320830/dbf402cf7cd9/IJNM-36-223-g003.jpg

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本文引用的文献

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2
18F-FDG PET/CT Osteometabolic Activity in Metastatic Parathyroid Carcinoma.18F-FDG PET/CT 检测转移性甲状旁腺癌的代谢活性。
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Brown Tumors Due to Primary Hyperparathyroidism in a Patient with Parathyroid Carcinoma Mimicking Skeletal Metastases on (18)F-FDG PET/CT.
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Metabolic Skeletal Superscan on 18F-FDG PET/CT in a Case of Acute Lymphoblastic Leukemia.18F-FDG PET/CT 代谢性骨骼全身扫描在急性淋巴细胞白血病中的应用
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