PMC5310179_01
99 m Tc-MIBI parathyroid scintigraphy demonstrated increased radiotracer absorption from the lower left parathyroid gland.
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Further examination with 99 m Tc-MIBI parathyroid scintigraphy depicted large concentrations of radiotracer on the same location, signifying a possible parathyroid adenoma as the cause of her hyperparathyroidism (Fig. 1).
A giant parathyroid adenoma resected through implementation of minimally invasive parathyroidectomy. The gland was removed through a small left-sided thyroid incision.
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After lateral retraction of the sternothyroid muscle and manipulation of the left thyroid lobe, the gross parathyroid adenoma was located, attached on the posterior side of the left lower lobe of her thyroid (Fig. 2).
Excised specimen of a giant 3 x 2 cm parathyroid adenoma.
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The excised specimen was sent for pathologic examination, which was indeed significant for a giant 3 x 2 cm parathyroid adenoma (Fig. 3).