concomitant papillary thyroid cancer and parathyroid adenoma is rare. we report a 55 years old female with papillary cancer admitted for surgery. preoperative laboratory findings revealed hypercalcemia and then primary hyperparathyroidism. thyroidectomy, neck dissection and excision of parathyroid adenoma were performed. histological examination revealed parathyroid adenoma. serum calcium retur...

abstract background: primary hyperparathyroidism is autonomous production of parathyroid hormone. after removal of adenoma, one of the surgeons concern is postoperative hypocalcaemia. there is no precise method to determine if patients have hypocalcaemia postoperatively. the purpose of this study was to determine the relation between parathyroid adenoma weights, postoperative serum calcium and ...

thirty one patients with biologic and clinical diagnosis of hyperparathyroidism were submitted to thalium-technetium scan prior to exploration of the neck. scan findings were compared with the pathologic results. surgical exploration of the neck showed a parathyroid adenoma in 24 patients, parathyroid carcinoma in one patient, normal parathyroid in another patient and parathyroid hyperplasia in...

Localization of 99mTc- hexakis-2-methoxyisobutylisonitrile (99mTc-MIBI) by parathyroid adenomas is well known, and this warrants MIBI scan to evaluate suspected parathyroid adenoma in primary hyperparathyroidism. Typically, the radionuclide concentrates in both the thyroid gland and parathyroid adenoma in early images, and later on delayed images washes out slowly from the...

conclusions radiofrequency ablation may be used successfully in the treatment of parathyroid adenoma when a patient cannot tolerate surgery. case presentation a 47-year-old patient was referred to our hospital (namazi hospital, shiraz, iran) in april, 2015 with intracranial hemorrhage, as well as high serum calcium and pth (parathyroid hormone) levels (12.1 mg/dl and 1062 pg/ml, respectively), ...

the coexistence of medullary thyroid carcinoma (mtc), papillary thyroid carcinoma (ptc) and parathyroid adenoma is an uncommon clinical entity. here, we report a case of mtc, ptc, and parathyroid adenoma diagnosed incidentally on a routine physical examination of the neck for the work-up of diabetes. the patient had neither symptoms of hypercalcemia nor those related to mtc and ptc.

an ectopically placed parathyroid in the mediastinum is a rare cause of persistent or recurrent primary hyperparathyroidism. they are rarely in a huge size. we report a case of a 70-year-old man with a history of total parathyroidectomy and thymectomy presented with a lack of appetite, nausea, and generalized bone pain, polydipsia and a calcium level of 14.4 mg/dl. 99m tc-sestamibi scintigraphy...

A 17-year-old boy with hyperparathyroidism exhibited a large cyst in the left hemi-thorax on his chest X-ray. The cyst was identified as a hydatid cyst. He was referred for biphasic methoxy isobutyl isonitrile (MIBI) parathyroid scan. A discrete ectopic parathyroid was detected in the left upper mediastinum in addition to accumulation of the MIBI tracer in the cyst wall. Using radio-guided occu...

Ectopic parathyroid adenomas can be a cause of recurrent and refractory hyperparathyroidism. Majority are located in the neck region, however very few cases they within mediastinum. In such excision via cervical approach is not possible it becomes diagnostic as well surgical challenge. Excision thoracoscopic preferred this regard. Here we represent case ectopic adenoma embedded thymus gland whi...

osteitis fibrosa cystica is the classic patognomonic form of skeletal disease in hyperparathyroidism that characterizes with decreased cortical bone thickness compared to increased cancellous bone. we present a case of 52-year old female patient with osteolysis of the left calf on radiographic images. the bone scan detected multiple focal pathological accumulations in the skull, left tibia, bot...