Parathyromatosis type 2 detected by 99mTc-MIBI SPECT/CT

被引：4

作者：

Cao, Huixiao ^{[1
]}

Zeng, Ming ^{[2
]}

Fang, Haisheng ^{[3
]}

Tang, Lijun ^{[1
]}

Liu, Wei ^{[1
]}

机构：

[1] Nanjing Med Univ, Affiliated Hosp 1, Dept Nucl Med, 300 Guangzhou Rd, Nanjing 210029, Jiangsu, Peoples R China

[2] Nanjing Med Univ, Affiliated Hosp 1, Dept Nephrol, Nanjing 210029, Jiangsu, Peoples R China

[3] Nanjing Med Univ, Affiliated Hosp 1, Dept Pathol, Nanjing 210029, Jiangsu, Peoples R China

来源：

GLAND SURGERY | 2019年 / 8卷 / 06期

关键词：

Parathyromatosis; Tc-99m-MIBI SPECT/CT; renal hyperparathyroidism (rHPT); parathyroidectomy (PTX); SECONDARY HYPERPARATHYROIDISM; PARATHYROIDECTOMY; LOCALIZATION; ULTRASOUND;

D O I：

10.21037/gs.2019.11.13

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Parathyromatosis, which is defined as multiple foci of benign hyperfunctioning parathyroid tissue in neck or mediastinum, is a rare but severe cause of persistent/recurrent renal hyperparathyroidism (rHPT) after parathyroidectomy (PTX). It is hard to detect and remove all the foci. We present a case of parathyromatosis in a haemodialysed patient, who had three PTXs for persistent/recurrent rHPT and was free of recurrence during 31-month follow-up after the third PTX. Tc-99m-MIBI SPECT/CT scan prior to the third PTX located all the lesions. The presented case suggests that preoperative Tc-99m-MIBI SPECT/CT is useful for successful surgical removal of parathyromatosis.

引用

页码：806 / 809

页数：4

共 15 条

[1] Subtotal vs. total parathyroidectomy with autotransplantation for patients with renal hyperparathyroidism have similar outcomes [J].