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Intrathyroidal parathyroid adenoma.

Bheerendra Prasad1, Richard Michael Fleming

  • 1Methodist University Hospital, Department of Radiology, Memphis, TN, USA. brprasad00@yahoo.com

Clinical Nuclear Medicine
|June 21, 2005
PubMed
Summary

A parathyroid adenoma was discovered in a woman presenting with palpitations and a thyroid nodule. Imaging revealed an abnormal focus of activity, leading to surgical removal of the intrathyroidal mass.

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18F-FCH PET/CT Localizes Ectopic Parathyroid Adenoma.

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Area of Science:

  • Endocrinology
  • Nuclear Medicine
  • Surgical Pathology

Background:

  • A 54-year-old woman presented with palpitations and a palpable thyroid nodule, prompting diagnostic imaging.
  • Diagnostic workup included Tc-99m sestamibi scintigraphy, thyroid ultrasound, and iodine-123 scintigraphy.

Observation:

  • The Tc-99m sestamibi scan indicated a significant focus of uptake in the inferior left neck, distinct from the thyroid gland.
  • Thyroid ultrasound identified a calcified nodule (1.3 cm) in the left lobe and smaller cystic lesions.
  • Iodine-123 scintigraphy revealed a cold nodule in the left inferior thyroid.

Findings:

  • Surgical intervention, a left thyroid lobectomy, was performed.
  • The procedure confirmed the presence of an intrathyroidal parathyroid adenoma.

Implications:

  • This case highlights the utility of combined imaging modalities in localizing ectopic or intrathyroidal parathyroid adenomas.
  • Accurate preoperative localization is crucial for successful surgical management of parathyroid adenomas.
  • Early diagnosis and surgical resection can alleviate symptoms associated with parathyroid adenomas.

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