CASE 306 : THYROID or PARATHYROID TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Case-306-thyroid-or-parathyroid-tumor

 Lady 24 yo, 5 years  before  fracture of  left femoral head, and  now fractures of  2 bones of  right forearm by  falling trauma [see  photo].

X-rays  of  pelvis bone  made  pointed  osteoporosis of bone .

For screening, ultrasound of the neck  detected one ovoid mass, size  of  3-2cm,  hypoechoic  at the  lower pole of  the thyroid gland,  and  hypervascular on Doppler.

Sonologist suggested PTA for the case.

Osteogram BMD showed very lower bone  index.

Blood tests  =   PTH  very high and elevated  calcium.

Do you  make first choice of diagnosis of  PTA?

OPERATION  of  RIGHT  LOBECTOMY.THIS TUMOR WAS  WELL BORDERED, SOFT TISSUE.  ( see MACRO1,2).

MICROSCOPIC REPORT  WAS  PARATHYROID ADENOMA.

REFERENCE