Cervical paraganglioma mimicking a parathyroid adenoma on Tc-99m sestamibi scintigraphy.
A 32-year-old man with a clinical and biochemical profile suggestive of primary hyperparathyroidism presented with a soft tissue mass on the left side of the neck. Multiphasic planar and SPECT Tc-99m sestamibi (MIBI) scintigraphy showed focally increased tracer concentration in the mass. Subsequent histopathology and immunostaining identified the mass as a parathyroid hormone-secreting cervical paraganglioma, indicating that this tumor should be considered in the differential interpretation of MIBI concentration in the neck.
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Anish
A
Bhattacharya
Bhagwant Rai
BR
Mittal
Anil
A
Bhansali
Bishan Das
BD
Radotra
Arunanshu
A
Behera
D000236:Adenoma / Q000000981:diagnostic imaging; D000328:Adult; D003937:Diagnosis, Differential; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging; D008297:Male; D010235:Paraganglioma / Q000000981:diagnostic imaging* / Q000473:pathology; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D015899:Tomography, Emission-Computed, Single-Photon
D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi