title: Ectopic Intrathymic Parathyroid adenoma demonstrated on Tc-99m Sestamibi SPECT-CT.
abstract: Intrathymic parathyroid adenoma is a rare cause of primary hyperparathyroidism. In this case, Tc-99m Sestamibi SPECT-CT successfully localized abnormal tracer uptake in the mediastinum with corresponding low density lesion on CT images suggestive of mediastinal parathyroid adenoma which late on confirmed on histopathology. After the median sternotomy a large intrathymic parathyroid adenoma was identified and excised. With the help of gamma probe the surgeons detect the lesion early and with more confidence as well as reducing the total operation time. Tc-99m Sestamibi SPECT-CT scintigraphy and gamma probe localization is recommended for preoperative and intra operative localization of ectopic parathyroid adenomas.
authors.affiliation: Department of Nuclear Medicine, Kuwait Cancer Control Center (KCCC), Kuwait.
authors.forename: S
authors.initials: S
authors.lastname: Usmani
authors.affiliation: Department of Surgery, Kuwait Cancer Control Center (KCCC), Kuwait.
authors.forename: M
authors.initials: M
authors.lastname: Oteifa
authors.affiliation: Department of Nuclear Medicine, Kuwait Cancer Control Center (KCCC), Kuwait.
authors.forename: F
authors.initials: F
authors.lastname: Abu Huda
authors.affiliation: Department of Nuclear Medicine, Kuwait Cancer Control Center (KCCC), Kuwait.
authors.forename: A
authors.initials: A
authors.lastname: Javaid
authors.affiliation: Department of Pathology, Kuwait Cancer Control Center (KCCC), Kuwait.
authors.forename: H G
authors.initials: HG
authors.lastname: Amanguno
authors.affiliation: Department of Nuclear Medicine, Kuwait Cancer Control Center (KCCC), Kuwait.
authors.forename: F
authors.initials: F
authors.lastname: Al Kandari
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging* / Q000628:therapy*; D017256:Technetium Tc 99m Sestamibi / Q000008:administration & dosage*; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods*; D014057:Tomography, X-Ray Computed
chemical_list: D017256:Technetium Tc 99m Sestamibi
keywords: Tc-99m Sestamibi SPECT-CT parathyroid scintigraphy; parathyroid adenoma.