Use of a Technetium99m-Sestamibi Scan to Detect Ipsilateral Double Adenoma in a Patient With Primary Hyperparathyroidism: A Case Report
Document Type
Article
Publication Date
1-1-2017
Description
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.
Citation Information
Gabriel, Joseph G.; Contreras, Alejandro; and Rosenthal, Andrew, "Use of a Technetium99m-Sestamibi Scan to Detect Ipsilateral Double Adenoma in a Patient With Primary Hyperparathyroidism: A Case Report" (2017). ETSU Faculty Works. 247.
https://dc.etsu.edu/etsu-works-2/247