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題 名 | Dual-Phase □Tc-MIBI Parathyroid Imaging Reveals Synchronous Parathyroid Adenoma and Papillary Thyroid Carcinoma: A Case Report=雙時相鎝99[946f]-MIBI副甲狀腺核醫攝影顯示同時合併副甲狀腺腺瘤與甲狀腺乳突癌--病例報告 |
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作 者 | 張明哲; 蔡世傳; 林萬鈺; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 24:10 2008.10[民97.10] |
頁 次 | 頁542-547 |
分類號 | 415.931 |
關鍵詞 | 雙時相鎝99[946f]-MIBI副甲狀腺攝影; 副甲狀腺機能亢進; 副甲狀腺腺瘤; 甲狀腺癌; Dual-phase MIBI parathyroid imaging; Hyperparathyroidism; Parathyroid adenoma; Thyroid carcinoma; |
語 文 | 英文(English) |
中文摘要 | 因發生率低,我們時常忽略同時合併副甲狀腺機能亢進和甲狀腺癌之可能性。本文報告一位 49 歲女性同時診斷副甲狀腺腺瘤與甲狀腺乳突癌。核醫鎝 99m-MIBI 雙時相副甲狀腺核醫攝影正確地顯示副甲狀腺腺瘤的位置。另外,兩處甲狀腺乳突癌亦於延遲相中呈現輕度攝取。病患接受甲狀腺全切除與副甲狀腺摘除,接著接受放射碘治療與甲狀腺素補充治療。臨床上須注意同時合併副甲狀腺機能亢進和甲狀腺癌之可能性。核醫鎝 99m-MIBI 雙時相副甲狀腺核醫攝影或許於疾病發展明顯前能偵測隱藏的甲狀腺癌。 |
英文摘要 | The possibility of a coincidental appearance of hyperparathyroidism and thyroid cancer is not often considered because of its low incidence. Here, we present a case of a 49-year-old woman with a parathyroid adenoma coexisting with two sites of papillary thyroid carcinoma. Dual-phase 99mTc-methoxyisobutylisonitrile (MIBI) parathyroid imaging before the operation correctly visualized the site of the parathyroid adenoma. In addition, two papillary thyroid carcinomas showed faint uptake of 99mTc-MIBI on delayed image. Total thyroidectomy and parathyroidectomy of a solitary parathyroid adenoma were performed. The patient subsequently underwent radioiodine-131 ablation and was treated with T4 suppression. This case illustrates the need for clinical awareness of concomitant hyperparathyroidism and thyroid cancer. Dual-phase 99mTc-MIBI parathyroid imaging may be useful for detecting indolent thyroid cancer before it becomes a distinct disease. |
本系統中英文摘要資訊取自各篇刊載內容。