Abstract
References
- 1. Arend WP, Armitage JO, Clemmons DR, Drazen JM, Griggs RC, Larusso N. Cecil Medicine: Expert Consult Premium Edition - Enhanced Online Features and Print 2008;23;1900-1901.
- 2. Baser H, Ali Karagoz A, Okus A, Cayci M, Eren Karanis MI, Sevimli Burnik F, Baser S, Differential diagnosis of atypical parathyroid adenoma and parathyroid carcinoma in a case with severe hypercalcemia. Journal of Medical Cases 2013;4(6):357-36.1 doi: http://dx.doi.org/10.4021/jmc1198w
- 3. Schwetschenau E, Kelley DJ, The adult neck mass. American Family Physician. 2002;66(5):831-839.
- 4. Gibb F, Muthukrishnan B, Reid L, Critical evaluation of biochemical and imaging diagnostic assessment in primary hyperparathyroidism. Endocrine Abstracts, 2017:50:P053 DOI:10.1530/endoabs.50.P053
- 5. Haynes J, Arnold KYR, Aguirre-Oskins C, Chandra S. Evaluation of neck masses in adults. American Family Physician. 2015;91(10):698-706
Abstract
Objective(s): Primary hyperparathyroidism (PH) is
characterized by a high level of blood PTH and calcium. Case: A
23-year-old male patient with no previous history of any chronic disease was
referred to the urology polyclinic of the hospital due to renal colic. On the
direct urinary system chart and in the urinary system ultrasonography,
left ureter calculi and grade-2 hydronephrosis were detected in the left
kidney. The patient's serum calcium and ionized parathyroid tests were
determined to be high and he was consulted to an internist with a prediagnosis
of primary hyperparathyroidism. Thyroid / Parathyroid Ultrasonography showed a
12 * 13 * 23-millimeter size, well-defined hypoechoic, slightly
heterogeneous solid lesion in the left parathyroid root. Parathyroid
scintigraphy sestamibi technetium-99 detected a parathyroid
adenoma/hyperplasia in the posterior vicinity of the middle part of the left
lobe of the thyroid. Discussion: In a young patient, a neck
mass usually originates from a congenital disease or due to acute infection.
Parathyroid tumors are rare causes of neck masses at young
ages. However, physicians should pay attention to additional
findings associated with conditions that may be more serious than the
presenting symptoms. In this case, it was a parathyroid tumor diagnosed by
careful physical examination of a patient with renal colic.
Hastalığı
olmayan 23 yaşındaki erkek hasta renal kolik nedeniyle hastanenin üroloji
polikliniğine başvurdu. Hastada serum kalsiyum ve iyonize parathormon sonuçları
yüksekti ve hasta bu sonuçlarla primer hiperparatiroidizm ön tanısı ile iç
hastalıkları uzmanına konsülte edildi. Hastanın Tiroid / Paratiroid
Ultrasonografi incelemesinde: sol paratiroid kökünde 12 * 13 * 23 milimetre
boyutlarında, iyi tanımlanmış, hipoekoik, hafif heterojen solid lezyona
rastlandı. Paratiroid sintigrafi sestamibi teknisyum-99 incelemesinde tiroidin
sol lobu orta kısım arka komşuluğunda bir paratiroid adenomu/hiperplazisi
tespit edildi. Tartışma: Aile
hekimleri günlük pratiklerine boyun kitleleri ile sıklıkla karşılaşırlar. Genç
erişkinlerde boyun kitlelerinin en sık nedenleri konjenital hastalıklar veya
enfeksiyonlardır. Paratiroid patolojileri boyun kitleleri genç yaşta nadirdir.
Sonuç: Genç bir hastada, boyun kitlesi bir konjenital hastalık veya akut bir
enfeksiyona bağlıdır. Bununla beraber, hekimler hastanın mevcut semptomlarından
çok daha ciddi durumların işareti olan bulgulara dikkat etmelidir. Bu vakada
renal kolik şikayeti ile başvuran bir hastada dikkatli bir muayene ile ortaya
konulan bir paratiroid adenomu sunulmuştur.
References
- 1. Arend WP, Armitage JO, Clemmons DR, Drazen JM, Griggs RC, Larusso N. Cecil Medicine: Expert Consult Premium Edition - Enhanced Online Features and Print 2008;23;1900-1901.
- 2. Baser H, Ali Karagoz A, Okus A, Cayci M, Eren Karanis MI, Sevimli Burnik F, Baser S, Differential diagnosis of atypical parathyroid adenoma and parathyroid carcinoma in a case with severe hypercalcemia. Journal of Medical Cases 2013;4(6):357-36.1 doi: http://dx.doi.org/10.4021/jmc1198w
- 3. Schwetschenau E, Kelley DJ, The adult neck mass. American Family Physician. 2002;66(5):831-839.
- 4. Gibb F, Muthukrishnan B, Reid L, Critical evaluation of biochemical and imaging diagnostic assessment in primary hyperparathyroidism. Endocrine Abstracts, 2017:50:P053 DOI:10.1530/endoabs.50.P053
- 5. Haynes J, Arnold KYR, Aguirre-Oskins C, Chandra S. Evaluation of neck masses in adults. American Family Physician. 2015;91(10):698-706
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 27, 2018 |
| Submission Date | September 11, 2017 |
| Published in Issue | Year 2018 Volume: 12 Issue: 3 |
English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.