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| IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711 |
Int J Clin Exp Med 2013;6(3):227-230
Case Report
Cancer of ectopic parathyroid gland presentation of the disease with a case report
Jovan P Pesovic, Bojan Z Milosevic, Dragan S Canovic, Aleksandar M Cvetkovic, Milos Z Milosavljevic, Jasna D Jevdjic, Mladen D
Pavlovic, Marko D Petrovic
Department of Endocrine Surgery, Surgical Clinic, Clinical Centre Kragujevac, Serbia; Faculty of Medical Sciences, The University of
Kraguje-vac, Serbia; Department of Pathology, Clinical Centre, Kragujevac, Serbia; Center for Anesthesiology and Resuscitation,
Clinical Centre, Kra-gujevac, Serbia
Received December 13, 2012; Accepted January 22, 2013; Epub March 21, 2013; Published March 31, 2013
Abstract: Tc-99m-methoxyisobutylisonitril (MIBI) scintigraphy is localizing diagnostic methods that is used for detection of sicken
parathyroid gland (PT). The use of this method for PT diseases diagnosis makes surgical treatment of a patient more successful. This
is a report about the patient who was surgically treated for primary hyperparathyroidism caused by hyperplasia of parathyroid glands
and cancer of ectopic parathyroid gland. He was operated in two acts. The first surgical intervention was performed without
preoperative diagnostics of Tc-99m-MIBI scintigraphy, while the second surgical intervention was preceded by Tc-99m-MIBI
scintigraphy which clearly showed the existence of tumor in the back mediastinum (ectopic parathyroid gland). Pathophysiological
analysis of the extirpated parathyroid gland showed the case of ectopic parathyroid gland cancer. The use of Tc-99m-MIBI scintigraphy
as a localizing method before the first surgical intervention could have saved the patient from the second one and from risks it could
have caused, as well. (IJCEM1212003).
Keywords: Tc-99m-MIBI scintigraphy, primary hyperparathyroidism, cancer
Address correspondence to: Dr. Bojan Z Milosevic, Faculty of Medical Sciences, The University of Kragujevac, Svetozara Markovica 69,
34000 Kragujevac, Serbia. Phone: +38163625686; Fax: +3813450008; E-mail: drbojanzm@gmail.com
Case Report
Cancer of ectopic parathyroid gland presentation of the disease with a case report
Jovan P Pesovic, Bojan Z Milosevic, Dragan S Canovic, Aleksandar M Cvetkovic, Milos Z Milosavljevic, Jasna D Jevdjic, Mladen D
Pavlovic, Marko D Petrovic
Department of Endocrine Surgery, Surgical Clinic, Clinical Centre Kragujevac, Serbia; Faculty of Medical Sciences, The University of
Kraguje-vac, Serbia; Department of Pathology, Clinical Centre, Kragujevac, Serbia; Center for Anesthesiology and Resuscitation,
Clinical Centre, Kra-gujevac, Serbia
Received December 13, 2012; Accepted January 22, 2013; Epub March 21, 2013; Published March 31, 2013
Abstract: Tc-99m-methoxyisobutylisonitril (MIBI) scintigraphy is localizing diagnostic methods that is used for detection of sicken
parathyroid gland (PT). The use of this method for PT diseases diagnosis makes surgical treatment of a patient more successful. This
is a report about the patient who was surgically treated for primary hyperparathyroidism caused by hyperplasia of parathyroid glands
and cancer of ectopic parathyroid gland. He was operated in two acts. The first surgical intervention was performed without
preoperative diagnostics of Tc-99m-MIBI scintigraphy, while the second surgical intervention was preceded by Tc-99m-MIBI
scintigraphy which clearly showed the existence of tumor in the back mediastinum (ectopic parathyroid gland). Pathophysiological
analysis of the extirpated parathyroid gland showed the case of ectopic parathyroid gland cancer. The use of Tc-99m-MIBI scintigraphy
as a localizing method before the first surgical intervention could have saved the patient from the second one and from risks it could
have caused, as well. (IJCEM1212003).
Keywords: Tc-99m-MIBI scintigraphy, primary hyperparathyroidism, cancer
Address correspondence to: Dr. Bojan Z Milosevic, Faculty of Medical Sciences, The University of Kragujevac, Svetozara Markovica 69,
34000 Kragujevac, Serbia. Phone: +38163625686; Fax: +3813450008; E-mail: drbojanzm@gmail.com
