[A lie which became the truth].
We describe a 54 year-old lady, on dialysis since 6 years, with severe hyperparathyroidism and multinodular goiter. After total thyroidectomy and subtotal parathyroidectomy a Tc-99 scan revealed multiple bone lesions consistent with metastatic disease. In the following weeks the patient general conditions and bone pain markedly improved and alkaline phosphatase returned to normal levels. Biopsy of a bone lesion revealed that the scintigraphic pattern was a false positive result due to hyperparathyroidism.
Enia
G
G
Unità Operativa di Nefrologia Dialisi e Trapianto Renale & CNR-IBIM, Istituto di Biomedicina, Azienda Ospedaliera, Reggio Calabria. eniag@libero.it
D001859:Bone Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D006044:Goiter, Nodular / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy; D008875:Middle Aged; D016105:Parathyroidectomy; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D006435:Renal Dialysis; D013669:Technetium Tc 99m Medronate; D013965:Thyroidectomy
D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate