Total Pageviews

Friday, 17 April 2015

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

PLS DOWNLOAD THE LINK for PICTURES


 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,  hypoechoic  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 TISSUE.  ( see MACRO1,2).





MICROSCOPIC REPORT  WAS  PARATHYROID ADENOMA.




REFERENCE  


No comments :