대한핵의학회지 (The Korean Journal of Nuclear Medicine)
- 제35권4호
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- Pages.274-279
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- 2001
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- 1225-6714(pISSN)
Tc-99m pertechnetate/Tl-201 감영 신티그라피에서 부갑상선 선종으로 오인된 흉선종 1예
A Case of Thymoma Misdiagnosed as Parathyroid Adenoma on Tc-99m pertechnetate/Tl-201 Subtraction Scintigraphy
- 정용안 (가톨릭대학교 의과대학 핵의학과) ;
- 유이령 (가톨릭대학교 의과대학 핵의학과) ;
-
김성훈
(가톨릭대학교 의과대학 핵의학과) ;
- 정수교 (가톨릭대학교 의과대학 핵의학과) ;
- 왕영필 (가톨릭대학교 의과대학 흉부외과) ;
- 정지한 (가톨릭대학교 의과대학 임상병리과) ;
- 이교영 (가톨릭대학교 의과대학 임상병리과) ;
- 김병기 (가톨릭대학교 의과대학 임상병리과)
- Chung, Yong-An (Department of Nuclear Medicine, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
- Yoo, Ie-Ryung (Department of Nuclear Medicine, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
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Kim, Sung-Hoon
(Department of Nuclear Medicine, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
- Chung, Soo-Kyo (Department of Nuclear Medicine, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
- Wang, Young-Pil (Department of Chest Surgery, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
- Jung, Ji-Han (Department of Clinical Pathology, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
- Lee, Kyo-Young (Department of Clinical Pathology, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
- Kim, Byung-Kee (Department of Clinical Pathology, Kangnam St. Mary's Hospital The Catholic University of Korea)
- 발행 : 2001.08.30
초록
A large superior mediastinal mass was found incidentally by ultrasonography in a 60-year-old man. There was an abnormal accumulation of Tl-201 in the lower pole of left thyroid gland, extending into left superior mediastinum on Tc-99m pertechnetate/Tl-201 subtraction scan. Laboratory findings relating thyroid and parathyroid were all within normal range. We considered the mass as a non-functioning parathyroid adenoma tentatively. However, subsequent surgery and pathologic examination revealed the mass to be a benign mixed thymoma. We report a case of patient with thymoma showing unusual Tc-99m pertechnetate/Tl-201 subtraction imaging and laboratory findings, and suggest to consider the possibility of other mediastinal tumors rather than parathyroid adenoma.