HPT hands

PRIMARY HYPERPARATHYROIDISM

Forty year old female patient presented with complaints of swelling in the right side of jaw for few months and general weakness .On examination at that time revealed a swelling in the neck too which was clinically diagnosed as thyroid swelling.A radiograph of right mandible showed a well defined cystic lesion with sclerotic margin. HPR-  Giant cell tumor.She returned after four months with worsening of sympoms and inability  evento move.A limited skeletal survey and C.T scan of the neck done which revealed a well defined  soft tissue mass in in the parathyroid  gland  and diagnoses as adenoma  of parathyroid histpathologicaly.