NDLTD Global ETD Search
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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.

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1

Use of a Technetium99m-Sestamibi Scan to Detect Ipsilateral Double Adenoma in a Patient With Primary Hyperparathyroidism: A Case Report

Gabriel, Joseph G., Contreras, Alejandro, Rosenthal, Andrew 01 January 2017 (has links)
INTRODUCTION: Patients with primary hyperparathyroidism generally have a single parathyroid adenoma that causes excessive excretion of parathyroid hormone. For about 2% to 15% of these patients, a double adenoma is present that involves one lesion on each side of the neck. CASE PRESENTATION: We describe a case of double parathyroid adenoma causing asymptomatic hypercalcemia. A presurgical technetium99m (Tc99m) sestamibi scan suggested an ipsilateral double adenoma in the left thyroid lobe. An intraoperative parathyroid hormone assay confirmed its successful removal. DISCUSSION: Although double adenomas are not yet widely acknowledged, presurgical imaging and nuclear scans can help to localize multiple lesions, and intraoperative parathyroid hormone assays can confirm the diagnosis and cure.
humans
hypercalcemia
hyperparathyroidism
primary (diagnostic imaging)
male
middle aged
preoperative period
radionuclide imaging (methods)
radiopharmaceuticals
technetium TC 99m sestamibi
Internal Medicine

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