Localization of Parathyroid Disease in Reoperative Patients with Primary Hyperparathyroidism

Figure 10

Parathyroid carcinoma. A 68-year-old female presents with recurrent hyperparathyroidism due to recurrent parathyroid carcinoma. Planar anterior (a) and posterior (b) sestamibi scintigraphy at 20 minutes and ¹⁸F-fluorodeoxyglucose (¹⁸F-FDG) hybrid positron emission tomography and computed tomography (PET/CT) show multiple marked FDG-avid lesions (c, d) attributable to both local recurrence and multiple local and lung metastases.

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