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Balan, K K, Wat, S Y J, Seshadri, N, Barkej, M, English, E 
ORCID: https://orcid.org/0000-0002-0480-6744, Berman, L and Wishart, Gordon C
(2007)
A large intrathyroidal parathyroid adenoma presenting as a cold lesion on thyroid scintigraphy.
Clinical Nuclear Medicine, 32 (3).
pp. 237-238.
ISSN 0363-9762
Abstract
Intrathyroidal parathyroid adenomas are rare and are often misdiagnosed as thyroid nodules. Accurate diagnosis and preoperative localization is important for a successful surgical outcome, especially in the context of minimally invasive parathyroid surgery. Nuclear medicine imaging has been invaluable in differentiating between thyroid and parathyroid pathologies, but ultrasound scanning also has a prominent role. Cases of intrathyroidal adenomas showing significant uptake of Tc-99m pertechnetate appearing as a hyperfunctioning thyroid nodule have previously been reported. Using sonographic as well as scintigraphic methods of localization, we describe an unusual case of a large intrathyroidal parathyroid adenoma (confirmed on surgery), which appeared “cold” on a Tc-99m pertechnetate scan falsely giving the impression of a hypofunctioning nodule, mimicking thyroid neoplasm. The decision to proceed to surgery without a fine needle aspiration was taken because the clinical picture was more suggestive of a parathyroid adenoma/carcinoma than thyroid malignancy.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | adenoma,diagnosis, differential,humans,parathyroid neoplasms,radiopharmaceuticals,sodium pertechnetate tc 99m |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Promotion |
| Depositing User: | Pure Connector |
| Date Deposited: | 27 Jan 2016 16:00 |
| Last Modified: | 22 Oct 2022 00:46 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/56808 |
| DOI: | 10.1097/01.rlu.0000255225.02101.35 |
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