Primary hyperparathyroidism with negative 99mTc-MIBI imaging:one case report
10.3969/j.issn.1672-8467.2024.01.019
- VernacularTitle:99m Tc-MIBI甲状旁腺显像阴性的原发性甲状旁腺功能亢进症:1例报告
- Author:
Han WU
1
;
Feng-Yi YUAN
;
Nan XU
;
Jun WANG
Author Information
1. 深圳市人民医院/暨南大学第二临床医学院/南方科技大学第一附属医院内分泌科, 深圳 518020
- Keywords:
primary hyperparathyroidism(PHPT);
vitamin D;
99mTc-MIBI imaging;
18F-fluorocholine PET/CT
- From:
Fudan University Journal of Medical Sciences
2024;51(1):123-127
- CountryChina
- Language:Chinese
-
Abstract:
This article reports the diagnosis and treatment of a patient with primary hyperparathyroidism(PHPT)and vitamin D deficiency.The patient was a young male with a insidious onset.Multiple tests have shown hypercalcemia,hypophosphatemia,hypercalciuria,and hyperparathyroidism.There was no renal dysfunction,and the diagnosis of PHPT was clear.There were kidney stones and vitamin D deficiency at the same time.The patient met the surgical indications,but the difficulty in preoperative localization was that ultrasound examination showed suspicious masses in both parathyroid regions,and the 99mTc-MIBI imaging result was negative.Finally,accurate preoperative localization was achieved through 18F-fluorocholine PET/CT,and the patient was cured after surgery.
