COURSE on THYROID ULTRASOUND

Section 4 Non-thyroidal elements in the anterior neck region

Part 1 Parathyroid lesions

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Parathyroid lesions - case 976

Clinical data: A 63-year-old woman was referred for exact localization of a parathyroid before surgery. The patient had diffuse complaints, including fatigue, depression, weight loss. On routine laboratory blood test, an elevated serum calcium level, thereafter an elevated parathormone level (154 pg/mL) were detected. MIBI scintigraphy disclosed parathyroid adenoma corresponding to the right lower parathyroid.

Palpation: no abnormality.

Laboratory data: TSH 1.17 mIU/L, parathormone 154 pg/ml, serum calcium 281 mM/L, phosphorus 0.99 mM/L. 24-hour urinary calcium content mM/L (normal value 2.5-7.5).

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