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Doughnut Shaped Parathyroid Adenoma

Authors
  • Çayır, Derya1
  • Bozkurt, Mehmet1
  • Erdoğan, Mehmet2
  • Gültekin, Salih Sinan1
  • Azılı, Cem3
  • Türker, Ata4
  • 1 University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Nuclear Medicine, Ankara, Turkey
  • 2 Süleyman Demirel University Faculty of Medicine, Department of Nuclear Medicine, Isparta, Turkey
  • 3 University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of General Surgery, Ankara, Turkey
  • 4 University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Pathology, Ankara, Turkey
Type
Published Article
Journal
Molecular Imaging and Radionuclide Therapy
Publisher
Galenos Publishing
Publication Date
Feb 01, 2019
Volume
28
Issue
1
Pages
41–43
Identifiers
DOI: 10.4274/mirt.galenos.2018.06977
PMID: 30942063
PMCID: PMC6455100
Source
PubMed Central
Keywords
License
Green

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.

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