Clinical nuclear medicine · 2016
Pituitary Prolactinoma Imaged by 99mTc-Sestamibi SPECT/CT in a Multiple Endocrine Neoplasia Type 1 Patient.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Pan Yu, Lv Jing, Guo Rui, Pan Mengyi, Zhang Yifan
Аннотация
A 35-year-old woman who had undergone bilateral inferior parathyroidectomy for primary hyperparathyroidism was referred to our hospital to evaluate the cause of irregular menses, galactorrhea, and paroxysmal headache. Multiple endocrine neoplasia type 1 was then suspected for the high levels of plasma prolactin, parathyroid hormone, serum calcium, insulin, and related symptoms. A Tc-sestamibi SPECT/CT acquired to evaluate parathyroid glands unexpectedly revealed an increased accumulation in the pituitary gland, which was further confirmed by enhanced magnetic resonance imaging as a pituitary microadenoma. Bromocriptine treatment gradually reduced the prolactin level.
Предметные рубрики MeSH
AdultBromocriptineFemaleHormone AntagonistsHumansHypercalcemiaHyperinsulinismHyperparathyroidism, PrimaryHyperprolactinemiaMagnetic Resonance ImagingMultiple Endocrine Neoplasia Type 1Parathyroid GlandsParathyroidectomyPituitary NeoplasmsProlactinomaRadiopharmaceuticalsSingle Photon Emission Computed Tomography Computed TomographyTechnetium Tc 99m Sestamibi