Snapshot quiz 16/7

Published: 08/17/2016

Authors: Podda M and Pisanu A

Parathyroid adenoma. This 74-year-old woman presented with a large bruise over her neck. Blood tests revealed hypercalcaemia (12·0 mg/dl; range 8·4–10·2 mg/dl) and a high parathyroid hormone level (661 pg/ml; range 11–67 pg/ml). Functional imaging showed likely hyperfunction of the left superior parathyroid gland. A left hemithyroidectomy was done with left superior parathyroidectomy. Histopathology was consistent with parathyroid adenoma, with focal haemorrhagic infarction.