Secondary Hyperparathyroidism With "Superscan-Like" Hypermetabolic FDG PET/CT Pattern. (November 2015)

• Record Type: Journal Article
• Authors: Grellier, Jean-Francois; Lussato, David; Queneau, Mathieu; Guernou, Mohamed; Songy, Bernard
• Is Part Of: Clinical nuclear medicine. Volume 40:Number 11(2015)
• Publication Date: 2015-11
• Subjects: PET/CT -- secondary hyperparathyroidism -- parathyroid; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000000952
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: A 26-year-old man with chronic terminal renal insufficiency under dialysis was referred in our institution for a checkup before kidney transplantation to ensure the absence of malignant neoplasm. The patient had a biological secondary hyperparathyroidism with highly elevated serum parathormon, and treatment with parathyroid surgery was planned before the kidney transplant. Whole-body FDG PET/CT showed no apparent malignant neoplasm, but increased metabolism of the 4 parathyroid gland and the other pitfalls of advanced secondary hyperparathyroidism on chronic renal insufficiency: pseudotumoral calcification in soft tissues, diffuse hypermetabolic bone dystrophy, and osteolytic lesion of pelvic and peripheral skeleton corresponding to brown tumors.