WOMAN 50YO, AFTER 5 YEARS TREATED HYPERTHYROIDISM AS STABLE STAGE, BUT BLOOD TESTS DETECTED PTH VALUE VERY HIGH AND HYPERCALCEMIA. IT SUGGESTED HYPERTHYROIDISM (SEE BLOOD TEST RESULT).
ULTRASOUND DETECTED ONE MASS AT RIGHT LOWER LOBE, HARD WITH
ELASTO, AND HYPOVASCULAR, SIZE OF 2 CM.
ELASTO, AND HYPOVASCULAR, SIZE OF 2 CM.
MRI WITH GADO CE, ALSO CONFIRMED ONE MASS AT LOWER POLE OF
THYROID GLAND, SUSPECTING PTA, SIZE ARROUND 2 CM.
IN PREOPERATION ENDOCRINOLOGIST REQUESTED GAMMA SPECT MIBI.
BUT THE REPORT WAS NOT ABNORMAL ISOTOPE, MEANING NOT PTA.
(SEE SCAN MIBI UPTAKE) .
DO YOU HAVE DISCUSSION FOR THIS CASE, OPERATION OR NOT ?.