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 parathyroid adenoma presenting with bone pain]

Primary hyperparathyroidism is a quite frequent disorder however, giant parathyroid adenoma is a rare entity. We described a 39-year old woman presenting with lower extremities bone pain within the recent 3 years. She had been receiving levothyroxin during the past 10 years due to hypothyroidism, meanwhile, she had a bulge right thyroid lobe. Laboratory examinations revealed she was euthyroid, however, scanning showed parathyroid adenoma. During surgery, an adenoma measured 2x3x6cm, weighted 22gr was resected. Giant parathyroid adenoma present with non-characteristic symptoms, thus, routine laboratory measurements including serum calcium and phosphorous should be proposed for suspected individuals

Thyroid hemiagenesis associate with thyroid papillary carcinoma: a case report

Thyroid hemiagenesis with or without isthmus is a rare congenital disorder. Papillary thyroid carcinoma associate with hemiagenesis is very rare. A 42 years old female with chief complain of cervical mass was referred to our center. In physical examination, she had a 1.5 _ 1.5 nodule in right lobe of thyroid. The result of thyroid nodule fine needle aspiration was reported papillary thyroid carcinoma. The right thyroid lobe was resected but there was not any trace of thyroid in left side and isthmus on trachea. In thyroid scan that was achieved one month later, iodine absorption was observed only in right thyroid bed. As a result the left lobe thyroid hemiagenesis and isthmus were approved. The final pathology report was thyroid papillary carcinoma. It was a rare case of thyroid hemiagenesis associate with thyroid papillary carcinoma that usually diagnosed accidentally