Synchronous Ectopic Thyroid Gland and Ectopic Parathyroid Adenoma on 99mTc-Sestamibi Scintigraphy and Correlative Imaging

J Nucl Med Technol. 2023 Sep;51(3):263-264. doi: 10.2967/jnmt.122.265249. Epub 2023 Jun 14.

Abstract

99mTc-sestamibi scintigraphy localizes parathyroid adenoma as a persistent focus of uptake on delayed images, whereas thyroid glands in normal or ectopic locations are seen on only early images and wash out on delayed images. We report a case of absence of eutopic neck thyroid activity and synchronous ectopic lingual thyroid and mediastinal parathyroid adenoma on scintigraphy confirmed with CT.

Keywords: 4-D CT; ectopic parathyroid; lingual thyroid; sestamibi.

Publication types

  • Case Reports

MeSH terms

  • Adenoma* / diagnostic imaging
  • Humans
  • Hyperparathyroidism* / diagnostic imaging
  • Parathyroid Glands
  • Parathyroid Neoplasms* / diagnostic imaging
  • Radionuclide Imaging
  • Radiopharmaceuticals
  • Technetium Tc 99m Sestamibi
  • Thyroid Dysgenesis*

Substances

  • Technetium Tc 99m Sestamibi
  • Radiopharmaceuticals