Author/Authors :
Çayır, Derya University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Clinic of Nuclear Medicine - Ankara, Turkey , Bozkurt, Mehmet University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Clinic of Nuclear Medicine - Ankara, Turkey , Gültekin, Salih Sinan University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Clinic of Nuclear Medicine - Ankara, Turkey , Erdoğan, Mehmet Süleyman Demirel University Faculty of Medicine - Department of Nuclear Medicine - Isparta, Turkey , Azılı, Cem University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Department of General Surgery - Ankara, Turkey , Türker, Ata University of Health Sciences - Dışkapı Yıldırım Beyazıt Training and Research Hospital - Department of Pathology - Ankara, Turkey
Abstract :
A 52-year-old woman presented with a complaint of neck swelling. The patient showed signs of hyperparathyroidism: hypercalcemia, and hypophosphatemia. Tc-99m MIBI dual-phase parathyroid scintigraphy and SPECT revealed increased activity in a regular-bordered, “doughnut”-shaped mass on the left side of the thyroid gland with a central hypoactive area. The cervical ultrasound identified a mixed echoic thyroid nodule with a central large cystic portion, and no parathyroid gland abnormality. Total thyroidectomy and parathyroid exploration was performed. Pathological evaluation of the resected thyroid specimen reported a giant intra-thyroidal hemorrhagic parathyroid adenoma.
