| 三发性甲状旁腺功能亢进伴巨大甲状旁腺腺瘤99Tcm-MIBI SPECT/CT显像一例 |
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| 引用本文： | 王静,朱玉春,周伟. 三发性甲状旁腺功能亢进伴巨大甲状旁腺腺瘤99Tcm-MIBI SPECT/CT显像一例[J]. 国际放射医学核医学杂志, 2020, 44(12): 799-802. DOI: 10.3760/cma.j.cn121381-201910012-00103 |
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| 作者姓名： | 王静 朱玉春 周伟 |
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| 作者单位： | 昆山市第一人民医院核医学科 215300 |
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| 摘 要： | 笔者报道了1例三发性甲状旁腺功能亢进（HPT）伴巨大甲状旁腺腺瘤的99Tcm-MIBI SPECT/CT显像病例。从临床症状、实验室检查及影像学检查结果综合分析了该病的特点，通过文献复习加深了对三发性HPT的认识。三发性HPT常见于慢性肾功能不全的透析患者，其甲状旁腺长期受到低血钙的刺激，部分组织增生后转变为具有自主分泌功能的腺瘤，其发病率较低，内科治疗效果欠佳，及时进行99Tcm-MIBI SPECT/CT显像可以进一步定性、定位，利于为患者选择更为合适的治疗方案。
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| 收稿时间： | 2019-10-15 |
Case study of triple hyperparathyroidism with giant parathyroid adenoma showed by 99Tcm-MIBI SPECT/CT imaging |
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| Jing Wang,Yuchun Zhu,Wei Zhou. Case study of triple hyperparathyroidism with giant parathyroid adenoma showed by 99Tcm-MIBI SPECT/CT imaging[J]. International Journal of Radiation Medicine and Nuclear Medicine, 2020, 44(12): 799-802. DOI: 10.3760/cma.j.cn121381-201910012-00103 |
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| Authors: | Jing Wang Yuchun Zhu Wei Zhou |
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| Affiliation: | Department of Nuclear Medicine, the First People's Hospital of Kunshan, Kunshan 215300, China |
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| Abstract: | A case of triple hyperparathyroidism with giant parathyroid adenoma showed by 99Tcm-MIBI SPECT/CT imaging was reported. The characteristics of the disease were analyzed from clinical symptoms, laboratory examinations, and imaging tests. Triple hyperparathyroidism(HPT), which is common in dialysis patients with chronic renal insufficiency, was deeply analyzed through literature review. The parathyroid glands are stimulated by hypocalcemia for a long time, and some tissues proliferate and turn into adenomas with autocrine function. The incidence of triple HPT is low, and the effect of medical treatment is poor. Timely 99Tcm-MIBI SPECT/CT imaging can be further qualitative and localized to facilitate the selection of appropriate treatment options. |
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