Localization of Brown Tumors With 18 F-Fluorocholine PET/CT Imaging in Severe Primary Hyperparathyroidism.

Autor: Werner J, Grünig H; Departments of Radiology and Nuclear Medicine., Loher H; Endocrinology, Diabetes and Clinical Nutrition, Luzerner Kantonsspital, Lucerne, Switzerland., Fischli S, Strobel K, Wicke C; Thyroid Center.
Jazyk: angličtina
Zdroj: Clinical nuclear medicine [Clin Nucl Med] 2023 Aug 01; Vol. 48 (8), pp. e387-e389. Date of Electronic Publication: 2023 May 26.
DOI: 10.1097/RLU.0000000000004718
Abstrakt: Abstract: We present the case of a 68-year-old woman with a painful tibial tumor and fatigue. Histology and laboratory studies were consistent with a brown tumor secondary to initially unrecognized, severe primary hyperparathyroidism. 18 F-fluorocholine PET/CT revealed a large hypermetabolic parathyroid mass and multiple bone foci considered as brown tumors. Unilateral neck exploration confirmed a large parathyroid adenoma. Serum calcium and parathyroid hormone levels normalized quickly, and symptoms subsided gradually after parathyroidectomy. Brown tumors are a rare complication of severe hyperparathyroidism. 18 F-fluorocholine PET/CT allows the localization of parathyroid adenomas and brown tumors, and can be used as a single imaging modality.
Competing Interests: Conflicts of interest and sources of funding: none declared.
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Databáze: MEDLINE