Parathyroid adenoma

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

A female presented with a history of generalized bone pain. Serum calcium and parathyroid hormone are elevated(Ca: 11.5 mg/dl and PTH: 118 pg/mL).

Patient Data

Age: 50 years
Gender: Female
ultrasound

There is a well-defined, homogeneous lesion posterior-inferior to the right lobe of the thyroid gland.

It is hypoechoic in comparison to the thyroid gland with no evidence of cystic changes or internal calcifications

Few flow signals are present in the lesion.

Case Discussion

She was referred for a neck ultrasound to rule out/rule in a parathyroid adenoma. Regarding the clinical, laboratory, and imaging findings, the parathyroid adenoma is the final diagnosis. Surgical excision was done and histopathology confirmed the lesion being a parathyroid adenoma.

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