ECE2021 Audio Eposter Presentations Calcium and Bone (75 abstracts)
Interest of the ’single photon emission tomography computed tomography’ in an atypical location of a parathyroid adenoma
Mohamed Masmoudi 1 , Mehdi Hasnaoui 1 , Rihab Lahmar 1 , Rihab Guizani 1 , 2 & Mighri Khalifa 2
1Tahar Sfar Hospital mahdia, ENT department, mahdia, Tunisia; 2Tahar Sfar Hospital Mahdia, ENT department, Sfax, Tunisia
Objective
Illustrate the interest of imaging: Single photo emission tomography or Computed tomography in the topographic diagnosis of parathyroid adenomas.
Observation
A 67-year-old man, with renal lithiasis presenting a clinical-biological picture of primary hyperparathyroidism with renal bone and colic pain. PTH was 463.2 pg/ml, calcemia 3.4 mmol/l. Cervical ultrasound objectified a lesion suspected of parathyroid adenoma. A first scan objectified a hyperfixative focus that projects against the lower pole of the thyroid.The patient had surgery. No post-operative problem were referred. We noted a persistence of elevated serum PTH and calcemia values. Pathology examination found a benign thyroid nodule. A SPECT/CT was then performed objecting a hyperfixative focal spot whose scanno-scintigraphic configuration corresponds to a very posterior nodular formation of 20 mm right lateral-esophageal and prevalent at D2. The diagnosis of atypical parathyroid localization was retained. The patient had a surgical revision with a right lower parathyroid adenoma of 30 * 20 mm near the pre-vertebral plan. Post-operative outcomes were simple with clinical improvement and normalization of biological numbers.
Conclusion
The SPECT/CT plays a decisive role in the management of patients with persistent or recurrent hyperparathyroidism. It is most often used to visualize atypical parathyroid adenomas and to guide the surgeon.
Article tools
My recent searches
My recently viewed abstracts
Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
© Bioscientifica 2024 |
Privacy policy |
Cookie settings
BiosciAbstracts
Bioscientifica Abstracts is the gateway to a series of products that provide a permanent, citable record of abstracts for biomedical and life science conferences.
Find out more