| Supernumerary Parathyroid Gland Diagnosed with Contrast-enhanced MDCT after Total Parathyroidectomy |
| Kichul Yoon, M.D.1, Jeong-Yup Kim, M.D.1, Jung-Sun Kim, M.D.1, Sang-Won Park, M.D.1, Joon-Kwang Wang, M.D.1, Young-Mo Lee, M.D.1, Eun-Sil Jeon, M.D.1, Heui-Jung Pyo, M.D.1, Byung-Hee Yoo, M.D.2 and Young-Joo Kwon, M.D.1 |
Korea University College of Medicine Department of Internal Medicine1
Dowool Internal Medicine Clinic2 |
| 증례 : 이차성 부갑상샘항진증 환자에서 부갑상샘 전절제술 후 조영증가 MDCT로 진단된 이소성 부갑상샘 1예 |
| 윤기철1, 김정엽1, 김정선1, 박상원1, 왕준광1, 이영모1, 전은실1, 표희정1, 유병희2, 권영주1 |
| 고려대학교 의과대학 내과학교실1 , 도울내과2 |
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| Abstract |
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We report a case of a 25-year old man with chronic kidney disease with secondary hyperparathyroidism who had persistent elevation of serum parathyroid hormone level after the immediate total parathyroidectomy and autotransplantation. To localize supernumerary (ectopic) parathyroid gland, we checked Tc-99m MIBI scintigraphy, MDCT and PET-CT. Contrast-enhanced MDCT showed a small strong enhancing lesion over left bracheocephalic vein, and PET-CT showed multiple brown tumors. We removed the supernumerary parathyroid gland and got a rapid drop of parathyroid hormone level. |
| Key Words:
Secondary hyperparathyroidism, Parathyroid glands, Tc MIBI, Computed tomography |
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