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全身骨骼及副甲狀腺造影診斷以多處骨骼疼痛為表現的副甲狀腺腺瘤病人

Parathyroid Adenoma in A Patient with Multiple Bone Pain Detected by Bone Scan and Parathyroid Scan

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摘要


引起全身骨骼疼痛的病因繁多,但由副甲狀腺腺瘤所致者,卻常被忽略。本文報告一位23歲女性病人因全身多處骨骼疼痛,經骨骼造影,呈現典型的代謝性骨異常(metabolic bone disease),進而經201Tl/(上標 99m)Tc subtraction及(上標 99m)Tc-sestamibi副甲狀腺造影定位一位於右上副甲狀腺腺瘤病例。安排副甲狀腺腺瘤切除手術後得以順利摘除。

並列摘要


The etiology of multiple bone pain is numerous, while the possibility of parathyroid adenoma is often overlooked. This article reports a 23-year-old female patient with multiple bone pain. Bone scan showed typical metabolic bonedisease. The 201TI/(superscript 99m)Tc subtraction and (superscript 99m)Tc sestamibi parathyroid imaging further localized a right upper parathyroid adenoma and led to a successful operative intervention.

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