4DCT Differentiation of Parathyroid Adenoma: A Case Report
We report the case of a 72-year-old patient presenting with recurrent primary hyperparathyroidism after total thyroidectomy and parathyroidectomy with presternal autotransplantation. Methionine-PET-CT proved false-positive and Tc-99m-tetrofosmine imaging false-negative. Using a novel multiphase-4DCT...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2023-08-01
|
| Series: | Journal of the Belgian Society of Radiology |
| Subjects: | |
| Online Access: | https://account.jbsr.be/index.php/up-j-jbsr/article/view/3238 |
| _version_ | 1797672560504078336 |
|---|---|
| author | Tana Bupe Mwewa Steven Raeymaeckers |
| author_facet | Tana Bupe Mwewa Steven Raeymaeckers |
| author_sort | Tana Bupe Mwewa |
| collection | DOAJ |
| description | We report the case of a 72-year-old patient presenting with recurrent primary hyperparathyroidism after total thyroidectomy and parathyroidectomy with presternal autotransplantation. Methionine-PET-CT proved false-positive and Tc-99m-tetrofosmine imaging false-negative. Using a novel multiphase-4DCT technique we identified an anterior mediastinal nodule demonstrating contrast wash-in and wash-out, suggesting parathyroid adenoma. Traditional 4DCT-protocols obtain fewer phases; therefore, this enhancement pattern might have gone unnoticed. After surgical resection the bloodwork normalized, histopathology confirmed a parathyroid adenoma. Teaching Point: Multiphase 4DCT is a potentially helpful technique for the detection of parathyroid adenomas after total thyroidectomy and parathyroidectomy. |
| first_indexed | 2024-03-11T21:32:52Z |
| format | Article |
| id | doaj.art-76b4f93232ad42729669dbd49e007c42 |
| institution | Directory Open Access Journal |
| issn | 2514-8281 |
| language | English |
| last_indexed | 2024-03-11T21:32:52Z |
| publishDate | 2023-08-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Journal of the Belgian Society of Radiology |
| spelling | doaj.art-76b4f93232ad42729669dbd49e007c422023-09-27T08:09:08ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812023-08-011071616110.5334/jbsr.323832324DCT Differentiation of Parathyroid Adenoma: A Case ReportTana Bupe Mwewa0https://orcid.org/0000-0003-3299-513XSteven Raeymaeckers1https://orcid.org/0000-0003-0822-1919UZ BrusselUZ BrusselWe report the case of a 72-year-old patient presenting with recurrent primary hyperparathyroidism after total thyroidectomy and parathyroidectomy with presternal autotransplantation. Methionine-PET-CT proved false-positive and Tc-99m-tetrofosmine imaging false-negative. Using a novel multiphase-4DCT technique we identified an anterior mediastinal nodule demonstrating contrast wash-in and wash-out, suggesting parathyroid adenoma. Traditional 4DCT-protocols obtain fewer phases; therefore, this enhancement pattern might have gone unnoticed. After surgical resection the bloodwork normalized, histopathology confirmed a parathyroid adenoma. Teaching Point: Multiphase 4DCT is a potentially helpful technique for the detection of parathyroid adenomas after total thyroidectomy and parathyroidectomy.https://account.jbsr.be/index.php/up-j-jbsr/article/view/3238cthead and neckhyperparathyroidismparathyroid adenoma |
| spellingShingle | Tana Bupe Mwewa Steven Raeymaeckers 4DCT Differentiation of Parathyroid Adenoma: A Case Report Journal of the Belgian Society of Radiology ct head and neck hyperparathyroidism parathyroid adenoma |
| title | 4DCT Differentiation of Parathyroid Adenoma: A Case Report |
| title_full | 4DCT Differentiation of Parathyroid Adenoma: A Case Report |
| title_fullStr | 4DCT Differentiation of Parathyroid Adenoma: A Case Report |
| title_full_unstemmed | 4DCT Differentiation of Parathyroid Adenoma: A Case Report |
| title_short | 4DCT Differentiation of Parathyroid Adenoma: A Case Report |
| title_sort | 4dct differentiation of parathyroid adenoma a case report |
| topic | ct head and neck hyperparathyroidism parathyroid adenoma |
| url | https://account.jbsr.be/index.php/up-j-jbsr/article/view/3238 |
| work_keys_str_mv | AT tanabupemwewa 4dctdifferentiationofparathyroidadenomaacasereport AT stevenraeymaeckers 4dctdifferentiationofparathyroidadenomaacasereport |