Single Photon Emission Computed Tomography/Computed Tomography Detects a Second Ignored Intrathyroidal Parathyroid Adenoma

Enrique Cadena-Piñeros; Alfredo Romero-Rojas; Dora Romero

doi:10.4103/ijnm.IJNM_22_19

Single Photon Emission Computed Tomography/Computed Tomography Detects a Second Ignored Intrathyroidal Parathyroid Adenoma

Indian J Nucl Med. 2019 Apr-Jun;34(2):164-166. doi: 10.4103/ijnm.IJNM_22_19.

Authors

Enrique Cadena-Piñeros^{1

2

3}, Alfredo Romero-Rojas⁴, Dora Romero^{5

6}

Affiliations

¹ Department of Otorhinolaryngology, Head and Neck, Clínica de Marly, Bogota, Colombia.
² Department of Otorhinolaryngology, Universidad Nacional de Colombia.
³ Department of Head and Neck, Instituto Nacional de Cancerología, Bogota, Colombia.
⁴ Department of Pathology, Clínica de Marly, Bogota, Colombia.
⁵ Department of Nuclear Medicine, Clínica de Marly, Bogota, Colombia.
⁶ Department of Nuclear Medicine, Hospital Militar Central, Bogota, Colombia.

Abstract

The primary hyperparathyroidism (PHPT) is a result of high levels of parathyroid hormone and serum calcium, the most frequent cause is a solitary parathyroid adenoma. Double parathyroid adenoma is <5% of the PHPT. Intrathyroidal parathyroid adenoma (IPA) occurs< 3.2%. We present a case of 58-year-old female with persistent primary hyperparathyroidism due to a second undetected IPA, suspected by ultrasound and confirmed by ^99mTc sestamibi single-photon emission computed tomography/computed tomography.

Keywords: Hypercalcemia; hyperparathyroidism; parathyroidectomy; reoperation; single-photon emission computed tomography-computed tomography.