Intra-thyroid parathyroid adenoma: a difficult task to find

Authors

  • Zarin Tasnim Resident, Department of Pathology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Bilkis Akter Resident, Department of Pathology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Nazma Afroze Professor and Head, Department of Pathology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Shudhangshu Shekhar Biswas Professor and Head, Department of ENT, BIRDEM General Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/birdem.v13i2.66022

Keywords:

hyperparathyroidism, hypercalcemia, intrathyroidal parathyroid, ectopic parathyroid

Abstract

We report a case of 66-year-old female, who presented with features of hypercalcemia and developed acute kidney injury (AKI). Parathyroid hormone level was raised up to 740 pg/ml. Ultrasound and sestamibi scan suggested presence of a right sided parathyroid adenoma. A decision of right sided parathyroidectomy was taken. The sample that was sent for frozen section showed only thyroid tissue. No macroscopically visible or palpable nodule suspected to be parathyroid adenoma could be found. So, a decision of right hemithyroidectomy was taken and done accordingly. On routine histopathology a solid gray white nodule was found within thyroid tissue and it was confirmed microscopically as parathyroid adenoma.

BIRDEM Med J 2023; 13(2): 116-118

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Published

2023-05-15

How to Cite

Tasnim, Z., Akter, B., Afroze, N., & Biswas, S. S. . (2023). Intra-thyroid parathyroid adenoma: a difficult task to find. BIRDEM Medical Journal, 13(2), 116–118. https://doi.org/10.3329/birdem.v13i2.66022

Issue

Vol. 13 No. 2 (2023)

Section

Case Reports