Mediastinal parathyroid localization: possible pitfall in technetium-thallium subtraction scintigraphy.
Two cases of mediastinal localization of parathyroid adenoma are presented, in which technetium-thallium subtraction scintigraphy yielded a positive result. Both patients had already undergone a negative surgical neck exploration. We suggest that, in case of negative subtraction scintigraphy and negative surgical exploration in proven primary hyperparathyroidism, subtraction scintigraphy should be repeated with emphasis on the superior mediastinum, and in all cases, the use of a non-zoom, large field of few procedure is recommended for technetium-thallium subtraction scintigraphy.
Coolens
J L
JL
Department of Nuclear Medicine, Universitaire Ziekenhuizen K.U. Leuven, Belgium.
De Roo
M J
MJ
D000236:Adenoma / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010279:Parathyroid Diseases / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D013670:Sodium Pertechnetate Tc 99m; D013667:Technetium; D013794:Thallium Radioisotopes
D013794:Thallium Radioisotopes; D013667:Technetium; D013670:Sodium Pertechnetate Tc 99m