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Odd Sites of Parathyroid Adenomas: 18F-fluorocholine PET/CT Pointing to the Right Place
Rijuta Aphale1, Yamini Dharmashaktu2, Nishikant Avinash Damle2
1Department of Surgery, All India Institute of Medical Sciences, National Capital Region, New Delhi, India.
Abstract:
Primary hyperparathyroidism is mostly caused by parathyroid adenoma(s) which are generally localized using routine imaging modalities such as neck ultrasonography and 99mTc-SestaMIBI scintigraphy. However, these can miss ectopic parathyroid adenomas due to their limited sensitivities. These ectopic lesions can later lead to failure of surgical excision and necessitate the need for a re-exploration. 18F-fluorocholine (FCH) positron emission tomography/computed tomography (PET/CT) can help in the localization of these ectopic adenomas due to its superior detection rates and spatial resolution. Herein, we report a case of ectopic parathyroid adenomas that were localized on FCH PET/CT.
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