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

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, hy-

poechoic 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 TIS-SUE. ( see MACRO1,2).

MICROSCOPIC REPORT WAS PARATHYROID ADENOMA.

REFERENCE