PARATHYROID HYPERPLASIA

 

 

 

 

 

 

 

 

 

 

 

 

 

 


            Male 35 year old with tertiary hyperparathyroidism. Planar images on A, B and C.Four glands showed abnormal size and vaiable uptake intensity. Upper right gland best seen on Spect volumetric image (arrows).
 This study has over 90% sensitivity and similar specificity to detect either adenomas (80%), hyperplasia (15%) and parathyroid carcinoma (5%). Adenomas and carcinomas have more intense uptake than hyperplastic glands.
 

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