99Tcm－MIBI SPECT/CT显像诊断及随访甲状旁腺癌二例  

99Tcm-MIBI SPECT/CT in diagnosis and follow-up of two cases of parathyroid carcinoma

作　　者：陈则君[1] 薛勤[2] 邵清[3] 周斌[3] 孙岳军 王东[1] 孟宪平[5] Chert Ze-jun;Xue Qin;Shao Qing;Zhou Bin;Sun Yuejun;Wang Dong;Meng Xianping(Department of Nuclear Medicine,Affiliated Jiangyin Hospital of Southeast University Medical College,Jiangyin 214400,China;Department of Ultrasonography,Affiliated Jiangyin Hospital of South-east University Medical College,Jiangyin 214400,China;Department of Thyroid and Breast Sur-gery,Affiliated Jiangyin Hospital of Southeast University Medical College,Jiangyin 214400,China;Department of the Pathology,Affiliated Jiangyin Hospital of Southeast University Medical Col-lege,Jiangyin 214400,China;Department of Radiology,Affiliated Jiangyin Hospital of Southeast University Medical College,Jiangyin 214400,China)

机构地区：[1]东南大学医学院附属江阴医院核医学科,214400 [2]东南大学医学院附属江阴医院超声科,214400 [3]东南大学医学院附属江阴医院乳甲外科,214400 [4]东南大学医学院附属江阴医院病理科,214400 [5]东南大学医学院附属江阴医院放射科,214400

出　　处：《中华核医学与分子影像杂志》2018年第9期627-628,共2页Chinese Journal of Nuclear Medicine and Molecular Imaging

摘　　要：病例1 患者男，52岁，因恶心、呕吐伴头昏乏力3 d入院。体格检查：左甲状腺下极可扪及4.0 cm×3.0 cm包块，质韧，活动度可。甲状旁腺激素（parathyroid hormone, PTH） 46（括号内为正常参考值范围，下同；1.3～9.3） pmol/L，血钙4.42（2.00～2.75） mmol/L，血磷0.82（0.8～1.5） mmol/L，碱性磷酸酶（alkaline phosphatase, ALP） 80.9（40～120） U/L。超声示左甲状腺中下极背侧3.6 cm×3.9 cm混合回声包块，彩色多普勒血流显像（color Doppler flow imaging, CDFI）见较丰富血流信号；左甲状腺内0.3 cm×0.4 cm低回声结节，CDFI见＂星点状＂血流信号。

关 键 词：99TCM-MIBI SPECT/CT 甲状旁腺癌 显像诊断 彩色多普勒血流显像 正常参考值范围 Doppler 甲状腺下极 

分 类 号：R736.1[医药卫生—肿瘤] R730.44[医药卫生—临床医学] R445.1