Document Detail


Tc-99m-MIBI-Negative Parathyroid Adenoma in Primary Hyperparathyroidism Detected by C-11-Methionine PET/CT After Previous Thyroid Surgery.
MedLine Citation:
PMID:  22064100     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 64-year-old woman with previous thyroid surgery developed symptomatic primary hyperparathyroidism, requiring hydration and furosemide. Cervical ultrasonography and an MRI of the neck were inconclusive. Early Tc-99m-methoxyisobutylisonitrile images 15 minutes post injection demonstrated focal uptake in the left lower thyroid lobe consistent with a small thyroid adenoma. Neither subtraction or late planar nor Tc-99m-methoxyisobutylisonitrile-SPECT images identified a focal area of increased uptake. PET/CT with 460 MBq C-11-methionine demonstrated a focal area of increased uptake in the right thyroid bed. Subsequent surgery confirmed a parathyroid adenoma of 1.4 cm in diameter. Histopathologic analysis showed a parathyroid adenoma of chief-cell type.
Authors:
Matthias C Schmidt; Deniz Kahraman; Bernd Neumaier; Monika Ortmann; Dirk Stippel
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  36     ISSN:  1536-0229     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1153-5     Citation Subset:  IM    
Affiliation:
From the *Department of Nuclear Medicine, University Hospital of Cologne, Cologne, Germany; †Department of Cyclotron/Radiochemistry, Max Planck Institute for Neurological Research, Cologne, Germany; and ‡Institute of Pathology and §Department of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.
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