AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Clark, P. B.
Right arrow Articles by Morton, K. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Clark, P. B.
Right arrow Articles by Morton, K. A.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Detection of an Intrathymic Parathyroid Adenoma Using Single-Photon Emission CT 99mTc Sestamibi Scintigraphy and CT

Paige B. Clark1, Nancy D. Perrier2,3 and Kathryn A. Morton1,4

1 Department of Radiology/Nuclear Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157.
2 Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC.
3 Present address: Department of Surgical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, TX.
4 Present address: Department of Radiology, University of Utah Health Sciences Center, Salt Lake City, UT.



View larger version (134K):

[in a new window]
  		Fig. 1A. —19-year-old man with recurrent hyperparathyroidism. Previous minimally invasive parathyroidectomy and cervical exploration were not curative. Ectopic parathyroid adenoma was suspected. Anterior planar images show no focus of activity suggesting parathyroid adenoma.

 


View larger version (27K):

[in a new window]
  		Fig. 1B. —19-year-old man with recurrent hyperparathyroidism. Previous minimally invasive parathyroidectomy and cervical exploration were not curative. Ectopic parathyroid adenoma was suspected. Axial 99mTc MIBI SPECT image shows focus of increased activity (arrow) in anterior mediastinum caudal to level of aortic arch.

 


View larger version (49K):

[in a new window]
  		Fig. 1C. —19-year-old man with recurrent hyperparathyroidism. Previous minimally invasive parathyroidectomy and cervical exploration were not curative. Ectopic parathyroid adenoma was suspected. Coronal 99mTc MIBI SPECT image shows focus of increased activity (arrow) in anterior mediastinum caudal to level of aortic arch.

 


View larger version (70K):

[in a new window]
  		Fig. 1D. —19-year-old man with recurrent hyperparathyroidism. Previous minimally invasive parathyroidectomy and cervical exploration were not curative. Ectopic parathyroid adenoma was suspected. Axial contrast CT of neck and chest confirmed hyperattenuating nodule (arrow) within residual thymic tissue, corresponding to 99mTc MIBI SPECT focus.

 


View larger version (172K):

[in a new window]
  		Fig. 2. —Thorascopic thymectomy was performed in the same 19-year-old man. Histologic examination revealed 0.8 x 0.6 cm, 308-mg parathyroid adenoma (arrowhead) surrounded by normal thymus (arrow).

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2005 by the American Roentgen Ray Society.