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Doughnut Shaped Parathyroid Adenoma

10.4274/mirt.galenos.2018.06977

• Derya Çayır
• Mehmet Bozkurt
• Mehmet Erdoğan
• Salih Sinan Gültekin
• Cem Azılı
• Ata Türker

Received Date: 19.04.2018 Accepted Date: 27.07.2018 Mol Imaging Radionucl Ther 2019;28(1):41-43 PMID: 30942063

• Abstract
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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.

Keywords: Parathyroid adenoma, Tc-99m sestamibi, SPECT

Ethics

Informed Consent: Consent form was filled out by all participants.

Peer-review: Externally peer-reviewed.

Authorship Contributions

Surgical and Medical Practices: C.A., A.T., Concept: D.Ç., M.B., Design: D.Ç., Data Collection or Processing: D.Ç., M.B., M.E., Analysis or Interpretation: D.Ç., S.S.G., Literature Search: D.Ç., M.B., Writing: D.C., M.B.

Conflict of Interest: No conflict of interest was declared by the authors.

Financial Disclosure: The authors declared that this study received no financial support.

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