复发性术后甲状旁腺癌：氟代脱氧葡萄糖正电子发射断层扫描（FDG-PET）和甲氧基异丁基异腈单光子发射计算机断层扫描（sestamibi-SPECT）检查结果

Recurrent postoperative parathyroid carcinoma: FDG-PET and sestamibi-SPECT findings.

作者信息

Neumann D R, Esselstyn C B, Kim E Y

机构信息

Department of Nuclear Medicine, Cleveland Clinic Foundation, Ohio 44195, USA.

出版信息

J Nucl Med. 1996 Dec;37(12):2000-1.

PMID:8970522

Abstract

Parathyroid carcinoma is a rare cause for primary hyperparathyroidism. A 65-yr-old man presented with postoperative, recurrent hyperparathyroidism after resection of parathyroid carcinoma. Misleading findings were demonstrated by both double-phase 99mTc-sestamibi scintigraphy and MRI. The location and extent of the parathyroid carcinoma were correctly detected by PET using 18F-fluorodeoxyglucose. FDG-PET provided accurate information before reoperation and proved to be valuable for preoperative surgical planning.

摘要

甲状旁腺癌是原发性甲状旁腺功能亢进症的罕见病因。一名65岁男性在甲状旁腺癌切除术后出现复发性甲状旁腺功能亢进。双期99mTc-甲氧基异丁基异腈闪烁扫描和磁共振成像均显示出误导性结果。使用18F-氟脱氧葡萄糖的正电子发射断层显像（PET）正确检测出了甲状旁腺癌的位置和范围。氟代脱氧葡萄糖正电子发射断层显像（FDG-PET）在再次手术前提供了准确信息，证明对术前手术规划很有价值。