False-Positive Tc-99m Sestamibi Examination for Parathyroid Adenoma in a Case of Asymmetrical Salivary Gland Enlargement
A 50-year-old African American man with multiple endocrine neoplasia type I and Zollinger-Ellison syndrome had a Tc-99m sestamibi scan as part of an evaluation for parathyroid adenoma-hyperplasia. His history was positive for multiple gastric and duodenal ulcers. Biochemical parameters for hyperpara...
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| Veröffentlicht in: | Clinical nuclear medicine 1999-09, Vol.24 (9), p.723-724 |
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| creator | CAMPEAU, RICHARD J REUTHER, WARREN L WAYNE, JAMES |
| description | A 50-year-old African American man with multiple endocrine neoplasia type I and Zollinger-Ellison syndrome had a Tc-99m sestamibi scan as part of an evaluation for parathyroid adenoma-hyperplasia. His history was positive for multiple gastric and duodenal ulcers. Biochemical parameters for hyperparathyroidism were equivocal; borderline parathyroid hormone elevation was present with low phosphate but normal calcium levels. An abnormal focus of radioactivity was evident in the right neck region in the area of the carotid bifurcation. A CT scan was obtained before contemplated neck exploration. Marked asymmetry of the right submandibular gland, corresponding to the focus of tracer uptake, was present with virtual absence of the left gland. The patient subsequently died of pulmonary embolism on the 25th day after surgery for pancreatic and duodenal neuroendocrine tumors. Post mortem examination confirmed an enlarged right submandibular gland with normal thyroid and parathyroid glands. |
| doi_str_mv | 10.1097/00003072-199909000-00030 |
| format | Article |
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His history was positive for multiple gastric and duodenal ulcers. Biochemical parameters for hyperparathyroidism were equivocal; borderline parathyroid hormone elevation was present with low phosphate but normal calcium levels. An abnormal focus of radioactivity was evident in the right neck region in the area of the carotid bifurcation. A CT scan was obtained before contemplated neck exploration. Marked asymmetry of the right submandibular gland, corresponding to the focus of tracer uptake, was present with virtual absence of the left gland. The patient subsequently died of pulmonary embolism on the 25th day after surgery for pancreatic and duodenal neuroendocrine tumors. Post mortem examination confirmed an enlarged right submandibular gland with normal thyroid and parathyroid glands.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/00003072-199909000-00030</identifier><identifier>PMID: 10478765</identifier><identifier>CODEN: CNMEDK</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott Williams & Wilkins, Inc</publisher><subject>Adenoma - diagnostic imaging ; Biological and medical sciences ; Endocrine glands. Genital system. Mammary gland ; Ent. Stomatology ; False Positive Reactions ; Fatal Outcome ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Parathyroid Neoplasms - diagnostic imaging ; Radionuclide Imaging ; Radionuclide investigations ; Radiopharmaceuticals ; Submandibular Gland - abnormalities ; Submandibular Gland - diagnostic imaging ; Technetium Tc 99m Sestamibi ; Tomography, X-Ray Computed</subject><ispartof>Clinical nuclear medicine, 1999-09, Vol.24 (9), p.723-724</ispartof><rights>1999 Lippincott Williams & Wilkins, Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3850-1388d05370471b7c852691883adcccd6b869fcf8f1089aa8b4b94db9da2295153</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1948076$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10478765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CAMPEAU, RICHARD J</creatorcontrib><creatorcontrib>REUTHER, WARREN L</creatorcontrib><creatorcontrib>WAYNE, JAMES</creatorcontrib><title>False-Positive Tc-99m Sestamibi Examination for Parathyroid Adenoma in a Case of Asymmetrical Salivary Gland Enlargement</title><title>Clinical nuclear medicine</title><addtitle>Clin Nucl Med</addtitle><description>A 50-year-old African American man with multiple endocrine neoplasia type I and Zollinger-Ellison syndrome had a Tc-99m sestamibi scan as part of an evaluation for parathyroid adenoma-hyperplasia. His history was positive for multiple gastric and duodenal ulcers. Biochemical parameters for hyperparathyroidism were equivocal; borderline parathyroid hormone elevation was present with low phosphate but normal calcium levels. An abnormal focus of radioactivity was evident in the right neck region in the area of the carotid bifurcation. A CT scan was obtained before contemplated neck exploration. Marked asymmetry of the right submandibular gland, corresponding to the focus of tracer uptake, was present with virtual absence of the left gland. The patient subsequently died of pulmonary embolism on the 25th day after surgery for pancreatic and duodenal neuroendocrine tumors. Post mortem examination confirmed an enlarged right submandibular gland with normal thyroid and parathyroid glands.</description><subject>Adenoma - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Endocrine glands. Genital system. Mammary gland</subject><subject>Ent. Stomatology</subject><subject>False Positive Reactions</subject><subject>Fatal Outcome</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Parathyroid Neoplasms - diagnostic imaging</subject><subject>Radionuclide Imaging</subject><subject>Radionuclide investigations</subject><subject>Radiopharmaceuticals</subject><subject>Submandibular Gland - abnormalities</subject><subject>Submandibular Gland - diagnostic imaging</subject><subject>Technetium Tc 99m Sestamibi</subject><subject>Tomography, X-Ray Computed</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1vGyEQQFHVqnGT_IWKQ9UbDSy7fBwty0krRWqkpGc0C2xNyy4prJP435fEbpNLuIwYvWFmHghhRr8wquUZrYdT2RCmtaa63shT5g1asI4LQptGv0ULygUnWormCH0o5RelTDDRvkdHjLZSSdEt0MM5xOLJVSphDnce31ii9YivfZlhDH3A64caJ5hDmvCQMr6CDPNml1NweOn8lEbAYcKAV1A8TgNelt04-jkHCxFfQwx3kHf4IsLk8HqKkH_60U_zCXo3PLY-PcRj9ON8fbP6Si6_X3xbLS-J5aqjhHGlHO24rBOzXlrVNUIzpTg4a60TvRJ6sIMaGFUaQPVtr1vXawdVQVdlHKPP-3dvc_qzrWuZMRTrY53Hp20xktKmpQ2roNqDNqdSsh_MbQ5jnd0wah6tm3_WzX_r5ilTSz8eemz70bsXhXvNFfh0AKBULUOGyYbyzOlWUSkq1u6x-xRnn8vvuL332Ww8xHljXvt0_he_pJlE</recordid><startdate>199909</startdate><enddate>199909</enddate><creator>CAMPEAU, RICHARD J</creator><creator>REUTHER, WARREN L</creator><creator>WAYNE, JAMES</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199909</creationdate><title>False-Positive Tc-99m Sestamibi Examination for Parathyroid Adenoma in a Case of Asymmetrical Salivary Gland Enlargement</title><author>CAMPEAU, RICHARD J ; REUTHER, WARREN L ; WAYNE, JAMES</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3850-1388d05370471b7c852691883adcccd6b869fcf8f1089aa8b4b94db9da2295153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adenoma - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Endocrine glands. Genital system. Mammary gland</topic><topic>Ent. Stomatology</topic><topic>False Positive Reactions</topic><topic>Fatal Outcome</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Parathyroid Neoplasms - diagnostic imaging</topic><topic>Radionuclide Imaging</topic><topic>Radionuclide investigations</topic><topic>Radiopharmaceuticals</topic><topic>Submandibular Gland - abnormalities</topic><topic>Submandibular Gland - diagnostic imaging</topic><topic>Technetium Tc 99m Sestamibi</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CAMPEAU, RICHARD J</creatorcontrib><creatorcontrib>REUTHER, WARREN L</creatorcontrib><creatorcontrib>WAYNE, JAMES</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CAMPEAU, RICHARD J</au><au>REUTHER, WARREN L</au><au>WAYNE, JAMES</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>False-Positive Tc-99m Sestamibi Examination for Parathyroid Adenoma in a Case of Asymmetrical Salivary Gland Enlargement</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>1999-09</date><risdate>1999</risdate><volume>24</volume><issue>9</issue><spage>723</spage><epage>724</epage><pages>723-724</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><coden>CNMEDK</coden><abstract>A 50-year-old African American man with multiple endocrine neoplasia type I and Zollinger-Ellison syndrome had a Tc-99m sestamibi scan as part of an evaluation for parathyroid adenoma-hyperplasia. His history was positive for multiple gastric and duodenal ulcers. Biochemical parameters for hyperparathyroidism were equivocal; borderline parathyroid hormone elevation was present with low phosphate but normal calcium levels. An abnormal focus of radioactivity was evident in the right neck region in the area of the carotid bifurcation. A CT scan was obtained before contemplated neck exploration. Marked asymmetry of the right submandibular gland, corresponding to the focus of tracer uptake, was present with virtual absence of the left gland. The patient subsequently died of pulmonary embolism on the 25th day after surgery for pancreatic and duodenal neuroendocrine tumors. Post mortem examination confirmed an enlarged right submandibular gland with normal thyroid and parathyroid glands.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>10478765</pmid><doi>10.1097/00003072-199909000-00030</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-9762 |
| ispartof | Clinical nuclear medicine, 1999-09, Vol.24 (9), p.723-724 |
| issn | 0363-9762 1536-0229 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adenoma - diagnostic imaging Biological and medical sciences Endocrine glands. Genital system. Mammary gland Ent. Stomatology False Positive Reactions Fatal Outcome Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Parathyroid Neoplasms - diagnostic imaging Radionuclide Imaging Radionuclide investigations Radiopharmaceuticals Submandibular Gland - abnormalities Submandibular Gland - diagnostic imaging Technetium Tc 99m Sestamibi Tomography, X-Ray Computed |
| title | False-Positive Tc-99m Sestamibi Examination for Parathyroid Adenoma in a Case of Asymmetrical Salivary Gland Enlargement |
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