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Inicio Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) Cystic parathyroid adenoma: Primary hyperparathyroidism without 99mTc-MIBI uptak...
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Vol. 36. Issue 4.
Pages 254-256 (July - August 2017)
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Vol. 36. Issue 4.
Pages 254-256 (July - August 2017)
Clinical note
Cystic parathyroid adenoma: Primary hyperparathyroidism without 99mTc-MIBI uptake
Adenoma quístico paratiroideo: hiperparatiroidismo primario sin captación de 99mTc-MIBI
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J.R. Oliver Guilléna,
Corresponding author
jose.oliver.1210@gmail.com

Corresponding author.
, L. de la Cueva Barraob, J.M. Miguelena Bobadillac,d, T. Giménez Maureld, E. Hernando Almudía, M.C. Casamayor Francoa
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria Aragón, Zaragoza, Spain
b Servicio de Medicina Nuclear, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria Aragón, Zaragoza, Spain
c Universidad de Zaragoza, Zaragoza, Spain
d Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Abstract

Cystic parathyroid adenoma is a rare disease (<0.01% of all cervical masses) that associates primary hyperparathyroidism in 9% of cases. Parathyroid scintigraphy is essential for diagnosis with uncommon false negative results. Hybrid SPECT/CT equipments allow a more accurate diagnosis. Functional cystic parathyroid adenomas are surgically treated.

A case of a 64-year-old woman with diagnoses of hyperparathyroidism and a cystic parathyroid adenoma without uptake in scintigraphy is described.

Keywords:
Cystic parathyroid adenoma
Primary hyperparathyroidism
99mTc-MIBI scintigraphy
Resumen

El adenoma quístico paratiroideo es una entidad poco frecuente (<0,01% de las masas cervicales) que cursa con hiperparatiroidismo primario en un 9% de los casos. La gammagrafía de paratiroides es fundamental para su diagnóstico y no es frecuente un resultado falso negativo. El uso de equipos híbridos SPECT/TC permite establecer un diagnóstico de localización más preciso. El tratamiento en casos funcionales es finalmente quirúrgico.

Se presenta el caso de una mujer de 64 años diagnosticada de hiperparatiroidismo con adenoma quístico paratiroideo y gammagrafía negativa.

Palabras clave:
Adenoma quístico paratiroideo
Hiperparatiroidismo primario
Gammagrafía 99mTc-MIBI

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