Secondary Hyperparathyroidism With "Superscan-Like" Hypermetabolic FDG PET/CT Pattern.
A 26-year-old man with chronic terminal renal insufficiency under dialysis was referred in our institution for a checkup before kidney transplantation to ensure the absence of malignant neoplasm. The patient had a biological secondary hyperparathyroidism with highly elevated serum parathormon, and treatment with parathyroid surgery was planned before the kidney transplant. Whole-body FDG PET/CT showed no apparent malignant neoplasm, but increased metabolism of the 4 parathyroid gland and the other pitfalls of advanced secondary hyperparathyroidism on chronic renal insufficiency: pseudotumoral calcification in soft tissues, diffuse hypermetabolic bone dystrophy, and osteolytic lesion of pelvic and peripheral skeleton corresponding to brown tumors.
From the Centre Cardiologique du Nord, Saint-Denis, France.
Jean-Francois
JF
Grellier
David
D
Lussato
Mathieu
M
Queneau
Mohamed
M
Guernou
Bernard
B
Songy
D000328:Adult; D001842:Bone and Bones / Q000000981:diagnostic imaging; D002114:Calcinosis / Q000150:complications / Q000000981:diagnostic imaging*; D019788:Fluorodeoxyglucose F18; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000150:complications / Q000000981:diagnostic imaging*; D008297:Male; D064847:Multimodal Imaging; D010280:Parathyroid Glands / Q000000981:diagnostic imaging; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D051437:Renal Insufficiency / Q000150:complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18