Primary hyperparathyroidism due to a giant parathyroid adenoma: a case report

Parathyroid adenomas account for most cases of primary hyperparathyroidism. Parathyroid adenomas rarely attain huge proportions and since they are usually small in size, preoperative localization using sestamibi scanning or ultrasonography is required to avoid unnecessary bilateral neck exploration. We report herein the case of a 47 year old woman who was diagnosed as having a parathyroid tumor after she presented with bone pain. Detected by clinical findings, ultrasonography and parathyroid scintigraphy by 99m Tc-MIBI, her tumor was found to be a huge adenoma of the parathyroid, measuring 5.5x3.5x2 cm and weighing approximately 30 grams. This size and weight of tumor is a very rare finding in parathyroid adenomas, and deserves documentation

Giant adrenal myelolipoma associated with beta-thalassemia: a case report

Adrenal myelolipomas are rare benign tumors composed of mature adipose tissue and hematopoietic elements that resemble bone marrow. They most commonly occur in the adrenal gland, yet only comprise about 3% of all adrenal tumours. Although several hypotheses have been proposed as to the cause of myelolipoma, the causative process is still not clearly understood. The majority of myelolipomas are asymptomatic. It usually represents as accidental finding in imaging studies. There are some case reports about coincidence of adrenal giant myelolipoma with RBC disorders. In this case report, we present a beta thalassemic 26 year old male patient who had giant adrenal myelolipoma