Uptake of Technetium Pertechnetate in a Parathyroid Adenoma Presenting as an Iodine-131 "Cold" Nodule
Authors: KANDASAMY ALAGUMALAI
Journal: Annals of Internal Medicine (1979)

Brief Reports1 February 1979Uptake of Technetium Pertechnetate in a Parathyroid Adenoma Presenting as an Iodine-131 "Cold" NoduleKANDASAMY ALAGUMALAI, M.D., AVRAAM AVRAMIDES, M.D., ANNE C. CARTER, M.D., NATHAN A SOLOMON, M.D.KANDASAMY ALAGUMALAI, M.D.Search for more papers by this author, AVRAAM AVRAMIDES, M.D.Search for more papers by this author, ANNE C. CARTER, M.D.Search for more papers by this author, NATHAN A SOLOMON, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-90-2-204 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThyroid imaging with iodine-131 (131I) and technetium pertechnetate (99mTc04) have proved to be useful procedures in delineating thyroid nodules (1). The two techniques usually yield identical images (2). Discrepancies in imaging between 131I ("cold") and with 99mTc04 ("hot") have been reported (1, 3-5). Among the pathology of nodules with discordant imaging were Hashimoto's thyroiditis, trabecular adenoma, Hurthle cell adenoma, thyroid carcinoma, and multinodular goiter. We report a case in which a parathyroid adenoma presented as a "cold" nodule on 131I scan and "hot" on 99mTc04 scan.A 60-year-old woman with diabetes mellitus and hypertension of 20 years' duration was admitted...References1. CAVALIERIJOHNSON RP: Thyroid and whole body scanning, in The Thyroid, edited by WERNER SC, INGBAR SH. New York, Harper and Row Publishers, 1978, pp. 284-317 Google Scholar2. DOS REMEDIOSWEBERJASKO LPI: Thyroid scintiphotography in 1000 patients: rational use of 99mTc and 131I compounds. J Nucl Med 12:673-677, 1971 MedlineGoogle Scholar3. STEINBERGCAVALIERICHOY MRS: Uptake of technetium 99-pertechnetate in a primary thyroid carcinoma: need for caution in evaluating nodules. J Clin Endocrinol Metab 31:81-84, 1970 CrossrefMedlineGoogle Scholar4. MANDILAWICARTERSOLOMONMAAYAN SANM: Discrepancies between 99mTc04 pertechnetate and 131I thyroid scans (abstract). Program of the 50th meeting of American Thyroid Association, September 1974 Google Scholar5. SHAMBAUGHQUINNOYASUFREINKEL GJRN: Disparate thyroid imaging. Combined studies with sodium pertechnetate Tc99m and radioactive iodine. JAMA 228:866-869, 1974 CrossrefMedlineGoogle Scholar6. INGBARWOEBER SK: The thyroid gland, in Textbook of Endocrinology, edited by WILLIAMS RH Philadelphia, W. B. Saunders, 1974, pp. 95-232, 1974 Google Scholar7. LUNDSHAFER RR: Parathyroid adenoma presenting as a "cold nodule" on thyroid scan. Minn Med 59:448-449, 1976 MedlineGoogle Scholar8. MCCORMACK K: An unusual "thyroid" nodule "cold" to scintiscan, Calif Med 103:282-285, 1965 MedlineGoogle Scholar9. MONTEROPASCUALGUILLERMOPAYNE JVEW: An extrathyroid parathyroid adenoma presenting as a "cold" nodule on 131I thyroid scan. Va Med Mon 100:643-646, 1973 Google Scholar10. HAEGERTWANGFARRERSEEMAYERTHELMO DNPTW: Non-chromaffin paragangliomatosis manifesting as a cold thyroid nodule. Am J Clin Pathol 61:561-570, 1976 CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: State University of New York Downstate Medical Center Kings County Hospital Center Brooklyn, New York PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByDiagnostic advances in APUDomas and other endocrine tumors: Imaging and localizationParathyroid scintigraphy revisited 1 February 1979Volume 90, Issue 2Page: 204-205KeywordsAdenomasDiabetes mellitusHypertensionParathyroid tumorsThyroid carcinoma Issue Published: 1 February 1979 Copyright© 1979 American College of PhysiciansPDF DownloadLoading ...