Detection of metastatic parathyroid carcinoma with Tc-99m sestamibi imaging.
OBJECTIVE
To assess the use of Tc-99m sestamibi to localize recurrent and metastatic parathyroid carcinoma.


METHODS
A patient with a history of parathyroid carcinoma that was resected 6 months before had high serum calcium and high serum parathyroid hormone levels. Tc-99m sestamibi imaging was performed to localize the recurrence.


RESULTS
Tc-99 sestamibi imaging detected the recurrence and the metastatic lymph nodes. These findings were confirmed surgically and pathologically.


CONCLUSIONS
Tc-99m sestamibi can be useful in diagnosing and localizing metastatic parathyroid carcinoma.
Al-Sobhi
S
S
Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.
Ashari
L H
LH
Ingemansson
S
S
D002277:Carcinoma / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006961:Hyperparathyroidism / Q000209:etiology; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D016105:Parathyroidectomy; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi