A 37-year-old male with a persistent increased parathyroid hormone level, after subtotal thyroidectomy and parathyroidectomy, was referred for scintigraphic localization of a possible ectopic parathyroid adenoma. Tc-99m pertechnetate and Tc-99m MIBI scintigraphy were performed on separate days. There was marked uptake of both tracers in the mediastinum, which at surgery was confirmed to be an e...

Right nodular goiter with diffuse miliary shadow on chest roentgenogram was found in a postpartum febrile woman. Transbronchial lung biopsy revealed tuberculous granuloma and acid-fast bacilli were found by aspiration cytology of the thyroid. Although chemotherapy was effective, the thyroid nodule remained palpable and the serum thyroglobulin level remained high. Subtotal thyroidectomy revealed...

A 52-year-old woman with follicular thyroid carcinoma presented for ablative radioiodide and whole body I-131 imaging following subtotal thyroidectomy. An abnormal focus of increased activity was present in the region of the gallbladder fossa, persistent on delayed imaging. Subsequent CT revealed no hepatic metastases. Contemporaneously, the patient described right upper quadrant abdominal pain...

A 49-year-old Japanese woman was referred to our department for evaluation of a thyroid nodule. She underwent subtotal thyroidectomy with modified neck dissection for a follicular thyroid carcinoma, suspected on preoperative diagnosis. The histological diagnosis was tuberculous thyroiditis. She made an uneventful recovery and received antituberculous agents. At follow-up she remains well and is...

OBJECTIVE Epidermal growth factor (EGF) is believed to be one of the most potent growth factors for the thyroid gland. DESIGN AND METHODS We tested plasma EGF concentrations (radioreceptor method) in patients with non-toxic nodular goitre (NNG). Blood samples from patients with NNG were collected on the day before the surgery, during subtotal thyroidectomy (sTx)--from peripheral and thyroid v...

The first case of idiopathic thyrotropin (TSH) deficiency in an old woman with thyroid functioning adenoma was reported. She got subtotal thyroidectomy before about four years of her admission to our hospital because of fatigability, puffy face and leg edema. At time, she had low TSH and free T4 levels despite replacement therapy with desiccated thyroid. No response of only serum TSH after admi...

Upper tracheal obstruction, stridor and dispnea developed in a 53 year-old woman because of a large calcified benign goiter. There was a mass of 3 to 4 cm in size with calcification located on the right side of trachea and in the substernal region on the chest roentgenography. CT revealed bilaterally nodular substernal goiter and tracheal compression with the calcified nodule. Cytological findi...

A 39-year-old white male with a history of subtotal thyroidectomy was referred because of intermittent nightly voiding of milky urine for a period of 1 year, suggestive of chyluria. Urine analysis revealed periodical proteinuria up to 3.8 g/day, triglyceriduria (137mg/dl) and chylomicronuria. Screening for infectious disease and urological abnormalities was negative. Both kidneys and the renal ...