Doughnut Shaped Parathyroid Adenoma
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P: 41-43
February 2019

Doughnut Shaped Parathyroid Adenoma

Mol Imaging Radionucl Ther 2019;28(1):41-43
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
No information available.
No information available
Received Date: 19.04.2018
Accepted Date: 27.07.2018
Publish Date: 19.03.2019
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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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