A 24-year-old woman presented with multiple fractures from minor falls. Imaging found osteoporosis and an ultrasound detected a 3-2cm hypoechoic, hypervascular mass in her thyroid gland. Blood tests showed very high PTH and calcium levels. She underwent right lobectomy where a well-bordered, soft tissue tumor was removed and found to be a parathyroid adenoma on microscopic examination, suggesting her fractures and osteoporosis were caused by hyperparathyroidism from the adenoma.

1. CASE 306: THYROID or PARATHYROID TUMOR, Dr PHAN THANH HẢI, MEDIC
MEDICAL CENTER, HCMC, VIETNAM
Lady 24 yo, 5 years before fracture of left femoral head, and now fractures of 2
bones of right forearm by falling trauma [see photo].
X-rays of pelvis bone made pointed osteoporosis of bone .

2. For screening, ultrasound of the neck detected one ovoid mass, size of 3-2cm, hy-
poechoic at the lower pole of the thyroid gland, and hypervascular on Doppler.

3. Sonologist suggested PTA for the case.
Osteogram BMD showed very lower bone index.
Blood tests = PTH very high and elevated calcium.
Do you make first choice of diagnosis of PTA?
OPERATION of RIGHT LOBECTOMY.THIS TUMOR WAS WELL BORDERED, SOFT TIS-
SUE. ( see MACRO1,2).

4. MICROSCOPIC REPORT WAS PARATHYROID ADENOMA.

5. REFERENCE