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首页> 外文期刊>Indian Journal of Nuclear Medicine >Successful removal of intrathyroidal parathyroid adenoma diagnosed and accurately located preoperatively by parathyroid scintigraphy (SPECT-CT)
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Successful removal of intrathyroidal parathyroid adenoma diagnosed and accurately located preoperatively by parathyroid scintigraphy (SPECT-CT)

机译：通过甲状旁腺闪烁显像术（SPECT-CT）术前成功诊断并准确定位的甲状腺内甲状旁腺腺瘤成功切除

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摘要

We describe the case of a large intrathyroidal parathyroid adenoma in a 46-year-old woman who had a history of recently diagnosed hypercalcaemia and a 2-year history of an asymptomatic enlargement of the right lobe of the thyroid. This rare case highlights the potential difficulties that can arise in the evaluation of hyperparathyroidism, especially in cases of multinodular goiter. In some cases, including this one, even a thorough preoperative evaluation that includes radiological studies (ultrasonography and computed tomography [CT]) may not allow for a definitive preoperative diagnosis due to limited sensitivity, especially in multinodular goiter. The overlapping histological features between thyroid and parathyroid lesions can also be problematic at the time of the intraoperative frozen-section evaluation. We present a case in which, with parathyroid scintigraphy and combination of structural and functional imaging (SPECT-CT), we could accurately locate the intrathyroidal parathyroid adenoma in a patient with multinodular goiter.Keywords: Intrathyroidal parathyroid adenoma
机译：我们描述了一个大的甲状腺内甲状旁腺腺瘤的病例，该患者是一名46岁的女性，该女性最近有高钙血症的病史，并且有2年无症状性甲状腺右叶增大的病史。这种罕见的病例突出了甲状旁腺功能亢进症评估中可能出现的潜在困难，尤其是在多结节性甲状腺肿的情况下。在某些情况下，包括这一情况，甚至包括放射学检查（超声检查和计算机断层扫描[CT]）在内的全面术前评估也可能由于敏感性有限而无法进行明确的术前诊断，尤其是在多结节性甲状腺肿中。在术中冰冻切片评估时，甲状腺和甲状旁腺病变之间重叠的组织学特征也可能是有问题的。我们提出了一种病例，通过甲状旁腺闪烁显像和结构与功能影像学结合（SPECT-CT），我们可以准确定位多结节性甲状腺肿患者的甲状腺内甲状旁腺腺瘤。

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