DIAGNOSIS OF PARATHYROID ADENOMA USING TECHNETIUM-99m-SESTAMIBI IMAGING
Abstract
A 24-year-old female was referred for Technetium-99m-Sestamibi (99m Tc-MIBI) parathyroid imaging, due to highly suspected of primary hyperparathyroidism from the clinical and biochemical findings. The early 99m Tc-MIBI parathyroid imaging clearly demonstrated a focal increased uptake located just inferior to the left lobe of thyroid gland and the lesion showed significantly increased uptake on late imaging at 2 hours after 99m Tc-MIBI injection, in contrast to the gradually decreased uptake of the normal thyroid tissue. The scintigraphic findings were typical for left parathyroid adenoma. Surgical finding and histopathologic examination also confirmed the diagnosis of the left parathyroid adenoma.
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