title: Use of technetium Tc 99m sestamibi scintigraphy for recurrent tertiary hyperparathyroidism from a parathyroid forearm graft.
abstract: Technetium Tc 99m sestamibi scintigraphy is a sensitive technique for localizing recurrent parathyroid disease in the neck or mediastinum. We report the case of a 60-year-old woman with recurrent tertiary hyperparathyroidism after total parathyroidectomy. Technetium Tc 99m sestamibi images of the neck and mediastinum were negative; however, images of the right arm revealed a hyperfunctioning parathyroid autotransplant. Partial resection of the autograft resulted in prompt resolution of the hyperparathyroidism.
authors.affiliation: Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
authors.forename: H
authors.initials: H
authors.lastname: Chen
authors.forename: A C
authors.initials: AC
authors.lastname: Civelek
authors.forename: W H
authors.initials: WH
authors.lastname: Westra
authors.forename: P J
authors.initials: PJ
authors.lastname: Scheel
authors.forename: R
authors.initials: R
authors.lastname: Udelsman
mesh_terms: D001132:Arm / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications / Q000000981:diagnostic imaging*; D016030:Kidney Transplantation; D008875:Middle Aged; D010280:Parathyroid Glands / Q000637:transplantation*; D016105:Parathyroidectomy; D011877:Radionuclide Imaging; D012008:Recurrence; D051437:Renal Insufficiency / Q000150:complications / Q000628:therapy; D017256:Technetium Tc 99m Sestamibi
chemical_list: D017256:Technetium Tc 99m Sestamibi