以反复骨折为主诉的不典型甲状旁腺腺瘤^(99)Tc^(m)-MIBI SPECT/CT跟踪显像1例  

^(99)Tc^(m)-MIBI SPECT/CT tracking imaging of atypical parathyroid adenoma with recurrent fracture as the chief complaint:a case report

作　　者：蔡瑞 杨玲 李芳 唐金艳 文瑞 王攀 黄琦 Cai Rui;Yang Ling;Li Fang;Tang Jinyan;Wen Rui;Wang Pan;Huang Qi(Department of Nuclear Medicine,Affiliated Hospital of Zunyi Medical University,Zunyi 563000,China)

机构地区：[1]遵义医科大学附属医院核医学科,遵义563000

出　　处：《国际放射医学核医学杂志》2023年第12期781-785,共5页International Journal of Radiation Medicine and Nuclear Medicine

摘　　要：笔者报道了1例以反复骨折、高甲状旁腺激素水平、初诊^(99)Tc^(m)-甲氧基异丁基异腈(MIBI)SPECT显像结果阴性、^(99)Tc^(m)-MIBI SPECT/CT跟踪显像结果阳性为特点的不典型甲状旁腺腺瘤患者的影像及临床特征,结合相关文献进行回顾分析,探讨当CT、超声定位诊断结果均为阴性,甚至^(99)Tc^(m)-MIBI SPECT/CT显像结果仍为阴性时的诊断思路,以期提高对不典型甲状旁腺腺瘤的认识及早期诊断水平,避免临床漏诊。This paper reports the imaging and clinical features of a patient with an atypical parathyroid adenoma characterized by recurrent fractures,high parathyroid hormone level,negative^(99)Tc^(m)-methoxyisobutylisonitrile(MIBI)SPECT imaging at initial diagnosis and positive^(99)Tc^(m)-MIBI SPECT/CT tracking imaging at follow-up.By reviewing and analyzing relevant literature,this paper aims to explore the diagnostic approach when both CT and ultrasound localization diagnostic results are negative,and even when the^(99)Tc^(m)-MIBI SPECT/CT imaging are still negative,in order to improve the understanding and early diagnosis of atypical parathyroid adenoma and avoid clinical missed diagnosis.

关 键 词：甲状旁腺腺瘤 SPECT/CT SPECT显像 甲氧基异丁基异腈 甲状旁腺激素 临床漏诊 诊断思路 反复骨折 

分 类 号：R736.2[医药卫生—肿瘤]