Her Aching Bones: Atypical Parathyroid Adenoma

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Presentation transcript:

Her Aching Bones: Atypical Parathyroid Adenoma Filipe Brogueira Rodrigues, MD, Catarina Bekerman, MD, Joana Briosa Neves, MD, João Sousa, MD, Joana Vieira, MD, António Alves, MD, Ana Palha, MD, José Rocha, MD, Vitor Ramalhinho, MD The American Journal of Medicine Volume 129, Issue 3, Pages 260-262 (March 2016) DOI: 10.1016/j.amjmed.2015.11.007 Copyright © 2016 Terms and Conditions

Figure 1 This unenhanced axial computed tomography (CT) image of the pelvis showed multiple lytic bone lesions with fluid-fluid levels (arrows). The American Journal of Medicine 2016 129, 260-262DOI: (10.1016/j.amjmed.2015.11.007) Copyright © 2016 Terms and Conditions

Figure 2 Multiple lytic bone lesions with fluid-fluid levels (arrows) were also evident in this unenhanced axial magnetic resonance image of the pelvis. The American Journal of Medicine 2016 129, 260-262DOI: (10.1016/j.amjmed.2015.11.007) Copyright © 2016 Terms and Conditions

Figure 3 A contrast-enhanced coronal cervicothoracic CT image revealed a vascularized heterogeneous and well-circumscribed right retrothyroid mass (arrow). The American Journal of Medicine 2016 129, 260-262DOI: (10.1016/j.amjmed.2015.11.007) Copyright © 2016 Terms and Conditions

Figure 4 The patient had an atypical adenoma of the parathyroid gland (A). Banding fibrosis (B) adhered to the tumor, adjacent soft tissues, and the thyroid (C) (hematoxylin and eosin, 20×). The American Journal of Medicine 2016 129, 260-262DOI: (10.1016/j.amjmed.2015.11.007) Copyright © 2016 Terms and Conditions