F-18 FDG-avid intrathyroidal parathyroid adenoma mimicking follicular neoplasm

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Abstract

A 64-year-old woman was biochemically diagnosed with hyperparathyroidism. Technetium-99m sestamibi parathyroid scan demonstrated persistent uptake in the left lower pole of the thyroid. She underwent F-18 FDG PET due to unrelated causes. Incidentally, we found focal FDG accumulation in the lower portion of left thyroid lobe. An ultrasound showed a 2.2-cm nodule containing cystic component in the left lower pole of the thyroid. The intact PTH level in the cystic fluid was much higher than the serum intact PTH level, suggesting an intrathyroidal parathyroid adenoma. Left lobectomy revealed an intrathyroidal parathyroid adenoma in the left thyroid lobe.

Original languageEnglish
Pages (from-to)178-179
Number of pages2
JournalClinical Nuclear Medicine
Volume34
Issue number3
DOIs
StatePublished - Mar 2009

Keywords

  • F-18 FDG PET
  • Hyperparathyroidism
  • Parathyroid adenoma

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