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Monday 26 September 2016

CASE 396: PARATHYROID CYST, Dr PHAN THANH HẢI, Dr NẠI HƯƠNG THOANG, Dr VŨ TU THÂN



Woman 43 yo with  sorethroat  and cough, sputum bleeding.
Chest X-Rays for  screening: no  chest lesion ( see foto chest X-Rays).


Ultrasound of  the neck: normal thyroid  but detected a cyst at lower pole of thyroid gland, size of 5-6 cm, monocystic  prolonged to retrosternum.
US 1,US 2 ( CDI),   US 3    pretrachea longitudinal scanning.





MSCT CE of  the neck: CT 1=frontal viewing,  well bordered cyst, CT 2: sagittal view..
C T 3. Cross-section= retrosternum tumor.



Ultrasound guide punction  of this cyst removing 10ml clear fluid.
What do you need to study in this fluid?

Fluid analysis report: high PTH  78.69pg/ml  and in the blood PTH is 47pg/mL.

The final diagnosis is  non functional PARATHYROID  CYST.

  
Reference




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