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Endocrine Abstracts (2018) 56 EP178 | DOI: 10.1530/endoabs.56.EP178

ECE2018 ePoster Presentations Thyroid (37 abstracts)

A rare case of hurthle cell adenoma and parathyroid adenoma

Fulden Sarac 1 , Sumru Savas 1 & Pelin Tutuncuoglu 2


1Department of Geriatric Medicine, Ege University Medical Faculty, İzmir, Turkey; 2Department of Endocrinology and Metabolism, Atatürk Training and Research Hospital, İzmir, Turkey.


Introduction: Hurthle cell of adenoma (HCA)of thyroid gland is rare neoplasms of the thyroid. They have been found in association with various benign thyroid conditions like Hashimoto’s thyroiditis, hyperthyroidism, nodular goiter, and thyroid neoplasms; where they often represent oncocytic metaplasia. Oncocytic cells are also present in normal parathyroid tissue. Oncocytic parathyroid adenomas, predominantly (more than 70%) or exclusively composed of oncocytic cells are rare (4.4 to 8.4%). We report a patient with an extremely unusual clinical presentation of Hürthle cell adenoma in thyroid and parathyroid adenoma.

Case presentation: We presented a case that of a 50-year-old woman with neck swelling. There were no associated pain or pressure symptoms. Ultrasonography showed a nodule 2 cm diameter in left and showed a nodule 2.5 cm in right thyroid lobewith central and peripheral blood supply. Fine-needle aspiration revealed cellular smears containing monotonous oncocytic cells arranged in monolayered sheets and pseudopapillary structures. No abnormality was detected on the laboratory. Thyroidectomy was done and microscopic examination revealed a HCA of the left thyroidnodule and oncocytic parathyroid adenoma in right thyroid lobe. The patient was discharged on thyroid replacement therapy and has remained healthy after more than 36 months of follow-up.

Volume 56

20th European Congress of Endocrinology

Barcelona, Spain
19 May 2018 - 22 May 2018

European Society of Endocrinology 

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