parathyroid Flashcards

1
Q

most common cause of hyperparathyroidism?

A

hyperfunctioning adenoma (85%)

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2
Q

what two factors does sestamibi parathyroid imaging depend on?

A

mitochondrial density and blood flow

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3
Q

What lesions in the head and neck like to take up sestamibi besides parathyroid adenomas?

A

thyroid nodules
head and neck cancers
lymphadenopathy
brown fat

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4
Q

What tracers could be used in a dual tracer technique in parathyroid imaging?

A
  1. Tc99 sestamibi or 201 thallium chloride

2. I-123 or pertechnetate

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5
Q

Should you see physiologic uptake in lymph nodes on a sestamibi scan?

A

no! if you see sestamibi uptake in lymph nodes you should be highly suspicious of cancer

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6
Q

if you see breast uptake on a sestamibi scan…

A

it’s breast cancer

Breast Specific Gamma Imaging (BSGI) also uses sestamibi to look for breast cancer

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