甲状旁腺腺瘤.pptVIP

甲状旁腺腺瘤的影像 王 鹤 原发性甲旁亢的原因 single parathyroid adenoma (90%) double adenomas (4%) hyperplasia of multiple glands (6%) parathyroid carcinoma (1%) Ruda JM, Hollenbeak C, Stack BC Jr. A systematic review of the diagnosis and treatment of primary hyperparathyroidism from 1995 to 2003. Otolaryngol Head Neck Surg 2005;132(3):359–372. Anatomy Location of Parathyroid Gland 99mTc-MIBI优于US 99mTc-MIBI+US效果好 增强CT与MR通常用于检查术中无法发现的异位的肿瘤（纵隔） Ruda JM, Hollenbeak C, Stack BC Jr. A systematic review of the diagnosis and treatment of primary hyperparathyroidism from 1995 to 2003. Otolaryngol Head Neck Surg 2005;132(3):359–372. Lumachi F, Zucchetta P, Marzola MC, et al. Advantages of combined technetium-99m-sestamibi scintigraphy and high-resolution ultrasonography in parathyroid localization: comparative study in 91 patients with primary hyperparathyroidism. Eur J Endocrinol 2000;143(6):755–760. Solorzano CC, Carneiro-Pla DM, Irvin GL 3rd. Surgeon-performed ultrasonography as the initial and only localizing study in sporadic and primary hyperparathyroidism. J Am Coll Surg 2006;202(1): 18–24. Johnson NA, Tublin ME, Ogilvie JB. Parathyroid imaging: technique and role in the preoperative evaluation of primary hyperparathyroidism. AJR Am J Roentgenol 2007;188(6):1706–1715. 正常的99mTC-MIBI显像 经典的甲状旁腺瘤 TC99-MIBI甲状旁腺腺瘤显像 压脂肪T2WI T1WI 压脂T1WI增强 De Feo ML, Colagrande S, Biagini C, et al. Parathyroid glands: combination of (99m)Tc MIBI scintigraphy and US for demonstration ofparathyroid glands?and nodules. Radiology. 2000;214(2):393-402. 谢 谢！ * 理查德 欧文 爵士 * 卵形，相当于一粒米大小，甲状腺下动脉进入甲状腺上下1cm，供血多样化，神经支配为颈交感神经节甲状腺支， * 20%的人有多于4个的甲状旁腺，上部甲状旁腺最高可到舌骨，或位于甲状软骨水平；下部甲状软骨最下可到胸骨上缘或胸腔 * 理查德 欧文 爵士 * 卵形，相当于一粒米大小，甲状腺下动脉进入甲状腺上下1cm，供血多样化，神经支配为颈交感神经节甲状腺支， * 20%的人有多于4个的甲状旁腺，上部甲状旁腺最高可到舌骨，或位于甲状软骨水平；下部甲状软骨最下可到胸骨上缘或胸腔