case_images: PMC11825153_01
case_images: Parathyroid scintigraphy with SESTAMIB with a large area of tracer uptake in the projection of the left lobe of the thyroid (on the left), with significant retention in the late images (on the right).
case_images: EDM-24-0077fig1.jpg
case_images: PMC11825153_01_EDM-24-0077fig1.jpg
case_images: fig1
case_images: Parathyroid scintigraphy and whole-body scanning with SESTAMIB pointed to a large area of pronounced and heterogeneous uptake of the tracer in the projection of the left thyroid lobe, with significant retention in late images, in addition to a diffuse and heterogeneous increase in tracer uptake in practically the entire skeleton, suggestive of brown tumors (Fig. 1).
case_images: Abdominal single photon emission computed tomography with metaiodobenzylguanidine (MIBG) combined with computer tomography (SPECT-CT). We see increased radiotracer uptake in the topography of the right adrenal gland. From right to left, axial, lateral and coronal images.
case_images: EDM-24-0077fig2.jpg
case_images: PMC11825153_01_EDM-24-0077fig2.jpg
case_images: fig2
case_images: To evaluate the adrenal incidentaloma, serum and urinary metanephrines were measured using liquid chromatography-mass spectrometry, with a slight increase in their values (Table 1), and a whole-body scintigraphy with metaiodobenzylguanidine was performed, which was suggestive of a tumor of neuroendocrine origin in the right adrenal gland (Fig. 2).
case_images: Cervical tumor resection product, measuring 7.0 x 5.5 x 4.0 cm. The carcinoma itself measured 4.8 x 2.8 x 2.4 cm.
case_images: EDM-24-0077fig3.jpg
case_images: PMC11825153_01_EDM-24-0077fig3.jpg
case_images: fig3
case_images: The surgical specimen measured 7.0 x 5.5 x 4.0 cm (Fig. 3), while the carcinoma itself measured 4.8 x 2.8 x 2.4 cm.