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Indian J Nucl Med. 2019 Apr-Jun;34(2):164-166. doi: 10.4103/ijnm.IJNM_22_19.

Single Photon Emission Computed Tomography/Computed Tomography Detects a Second Ignored Intrathyroidal Parathyroid Adenoma.

Author information

1
Department of Otorhinolaryngology, Head and Neck, Clínica de Marly, Bogota, Colombia.
2
Department of Otorhinolaryngology, Universidad Nacional de Colombia.
3
Department of Head and Neck, Instituto Nacional de Cancerología, Bogota, Colombia.
4
Department of Pathology, Clínica de Marly, Bogota, Colombia.
5
Department of Nuclear Medicine, Clínica de Marly, Bogota, Colombia.
6
Department of Nuclear Medicine, Hospital Militar Central, Bogota, Colombia.

Abstract

The primary hyperparathyroidism (PHPT) is a result of high levels of parathyroid hormone and serum calcium, the most frequent cause is a solitary parathyroid adenoma. Double parathyroid adenoma is <5% of the PHPT. Intrathyroidal parathyroid adenoma (IPA) occurs< 3.2%. We present a case of 58-year-old female with persistent primary hyperparathyroidism due to a second undetected IPA, suspected by ultrasound and confirmed by 99mTc sestamibi single-photon emission computed tomography/computed tomography.

KEYWORDS:

Hypercalcemia; hyperparathyroidism; parathyroidectomy; reoperation; single-photon emission computed tomography-computed tomography

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