Concomitant Hyperparathyroidism Due to Occult Parathyroid Adenoma Detected by Technetium-99m Sestamibi Single-photon Computed Tomography/Computerized Tomography in a Patient with Papillary Thyroid Carcinoma
| Autor: | Jiraporn Sriprapaporn, Pongthep Pisarnturakit, Tauangtham Anekpuritanang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Journal of Health Science and Medical Research (JHSMR), Vol 38, Iss 4, Pp 337-342 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2586-9981 2630-0559 |
| DOI: | 10.31584/jhsmr.2020751 |
| Popis: | Although the occurrence of thyroid and parathyroid diseases is common, concomitant parathyroid adenoma and papillary thyroid carcinoma is rare. We report the case of a 77-year-old Thai woman who was diagnosed to have papillary thyroid carcinoma and postoperative hypercalcemia. The primary hyperparathyroidism was initially overlooked but was subsequently confirmed to be due to a single occult parathyroid adenoma demonstrated on technetium99m sestamibi (Tc-99m MIBI) parathyroid scintigraphy. Thus, preoperative evaluation of parathyroid disease should be performed if there is evidence of hypercalcemia prior to the thyroid surgery. Presurgical evaluation with Tc-99m MIBI parathyroid single-photon computed tomography/computerized tomography imaging has a definite role in localizing a hyperfunctioning parathyroid gland in the cases of primary hyperparathyroidism. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|