Role of PET-choline in the diagnosis of an hyperfunctioning cervical-mediastinal parathyroid adenoma: a case report of a multi-fracturative normocalcemic hyperparathyroidism
Luigi di Filippo, Ursola Pajoro, Raffaele Giubbini, Andrea Giustina
Normocalcemic primary hyperparathyroidism is a recently distinguished form of Primary hyperparathyroidism and it is mostly caused by an hyperfunctioning parathyroid adenoma. It has been consistently associated with skeletal and renal complications, and, therefore, a proper radiological diagnosis of the hyperfunctioning adenoma is crucial in patients affected.
Here we report a case of a patient affected by normocalcemic primary hyperparathyroidism and a severe osteoporosis complicated with multiple fragility fractures, highlighting the role of PET-choline in the diagnosis of an hyperfunctioning cervical-mediastinal parathyroid adenoma not previously localized with conventional imaging.
