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Human Health Campus
Human Health Campus
Human Health Campus

Hyperparathyroidism. Parathyroid scintigraphy SPECT/CT

Teaching Case

Case presentation:

  • Female -27 y.o.
  • Primary hyperparathyroidism (PHPT), i.e. autonomous hyper-production of parathyroid hormone (PTH), is caused in 80%-90% of the patients by a single adenoma.
  • History of kidney stones.
  • Pre-operative imaging localization of parathyroid adenoma(s) is critical for successful surgery, especially for minimally invasive parathyroidectomy.

Teaching points:

  • MIRP was successfully performed without the need for IQPTH.
  • Hypercalcemia did not recur during long-term postsurgical follow-up, and the patient is therefore to be considered as cured.
  • An optimized scintigraphic protocol makes it possible for patients with PHPT due to a solitary adenoma to undergo minimally-invasive radio-guided parathyroidectomy without the need for IQPTH.

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