甲状旁腺切除及甲状旁腺自体移植切除术后复发的继发性甲状旁腺功能亢进的双相锝-99m甲氧基异丁基异腈闪烁扫描术

Double-phase Tc-99m MIBI scintigraphy in secondary hyperparathyroidism relapsing after parathyroidectomy and removal of a parathyroid autograft.

作者信息

Thelen M H, Kuwert T, Lerch H, Witting C, Winterberg B, Schober O

机构信息

Department of Nuclear Medicine, Universitieś of Tübingen, Germany.

出版信息

Clin Nucl Med. 1996 Aug;21(8):609-11. doi: 10.1097/00003072-199608000-00003.

DOI:10.1097/00003072-199608000-00003

PMID:8853911

Abstract

A 53-year-old woman with chronic renal failure had secondary hyperparathyroidism relapsing after undergoing a second parathyroidectomy and excision of an autologous parathyroid graft that had been implanted after her first parathyroidectomy. Double-phase scintigraphy with Tc-99m MIBI disclosed pathologic MIBI uptake in the right anterior thorax where the parathyroid transplant had been placed. Histopathologic examination of three nodules excised from this region yielded hyperplastic parathyroid tissue. This case report further illustrates the value of double-phase Tc-99m MIBI scintigraphy in atypical cases of hyperparathyroidism.

摘要

一名53岁的慢性肾衰竭女性，在接受第二次甲状旁腺切除及首次甲状旁腺切除术后植入的自体甲状旁腺移植切除后，继发性甲状旁腺功能亢进复发。用锝-99m甲氧基异丁基异腈进行的双期闪烁扫描显示，在甲状旁腺移植部位所在的右前胸有异常的甲氧基异丁基异腈摄取。对从该区域切除的三个结节进行组织病理学检查，结果为增生性甲状旁腺组织。本病例报告进一步说明了双期锝-99m甲氧基异丁基异腈闪烁扫描在甲状旁腺功能亢进非典型病例中的价值。