ULTRASOUND COURSE

47th Annual Meeting of the European Thyroid Association

Precourse activity - Case studies


Case 10 - Parathyroid adenoma

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Data

Clinical presentation: A 64-year-old woman was referred for exact localization of a parathyroid adenoma which was discovered on elevated serum calcium level. Scintigraphy disclosed a small lesion corresponding to the right lower parathyroid.

Palpation: no abnormality.

Laboratory test: serum-parathormone 157 pg/mL (normal value 12-88).

Ultrasonography. The thyroid was echonormal. There was a small cystic or deeply hypoechoic lesion in the lower-dorsal part of the right lobe. The lesion was not avascular. The left lobe has several discrete areas without any clinical or oncological significance.

Ultrasound-guided aspiration cytology resulted in benign lesion.

Additional tests: wash-out parathormone 491 pg/mL (normal value 12-88).

 

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