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Secondary Hyperparathyroidism With "Superscan-Like" Hypermetabolic FDG PET/CT Pattern.

Abstract
A 26-year-old man with chronic terminal renal insufficiency under dialysis was referred in our institution for a checkup before kidney transplantation to ensure the absence of malignant neoplasm. The patient had a biological secondary hyperparathyroidism with highly elevated serum parathormon, and treatment with parathyroid surgery was planned before the kidney transplant. Whole-body FDG PET/CT showed no apparent malignant neoplasm, but increased metabolism of the 4 parathyroid gland and the other pitfalls of advanced secondary hyperparathyroidism on chronic renal insufficiency: pseudotumoral calcification in soft tissues, diffuse hypermetabolic bone dystrophy, and osteolytic lesion of pelvic and peripheral skeleton corresponding to brown tumors.
AuthorsJean-Francois Grellier, David Lussato, Mathieu Queneau, Mohamed Guernou, Bernard Songy
JournalClinical nuclear medicine (Clin Nucl Med) Vol. 40 Issue 11 Pg. 888-9 (Nov 2015) ISSN: 1536-0229 [Electronic] United States
PMID26284774 (Publication Type: Journal Article)

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