CASE 570: PTA, Dr PHAN THANH HAI, Dr LE THI THANH THAO, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Woman 35 yo with small trauma and pain at right limb for one month  (photo).

X-rays show that fracture of the radius but the bone cortical abnormal very think
 (X ray 1, X ray 2). 

Ultrasound made sure that  fracture of the  humerus bone and mass arround the fracture  (US 1, US 2).

Ultrasound of thyroid gland detected one hypoechoic mass look like a cyst #3 cmx 4 cm  at  right lobe (US 3).

Abdomen ultrasound   shows  kidney nephrocalcinosis  and  big cyst at upper pole of left kidney (US 4,  US 5).

Blood tests = PTH very high  976pcg/mL  ( n=  16-65),  calcium =  3,1 mos 

Suspecting  PTA.

OPERATION was done. MICROSCOPIC REPORT IS PTA.