Parathyroid carcinoma manifesting as recurrent nephrolithiasis
Philippine Journal of Otolaryngology Head and Neck Surgery
;
: 54-58, 2015.
Article
in English
| WPRIM
| ID: wpr-633412
ABSTRACT
@#<p style="text-align justify;"><strong>OBJECTIVES:
</strong> To present a rare case of primary parathyroid carcinoma and discuss its clinical findings and management.<br /><strong>METHODS:
</strong><br /><strong>Design:
</strong> Case Report<br /><strong>Setting:
</strong> Tertiary Government Hospital<br /><strong>Patient</strong> One<br /><strong>RESULTS:
</strong> A 54-year-old woman presented with a 3-year history of recurrent nephrolithiasis despite several courses of shock wave lithotripsy. She had persistent hypercalcemia and parathyroid hormone levels were noted to be elevated. Neck ultrasound showed a hypoechoic solid nodule measuring approximately 1.7 x 1.6 cm in the lateral inferoposterior aspect of the left thyroid lobe. Parathyroid scintigraphy revealed a focal uptake on the left lower thyroidal bed. The patient underwent left inferior parathyroidectomy with subtotal thyroidectomy and isthmusectomy Frozen section reported a parathyroid tumor and the final histopathologic results revealed a parathyroid carcinoma.<br /><strong>CONCLUSION:
</strong> A rare case of parathyroid carcinoma was presented manifesting with recurrent nephrolithiasis. Elevated serum calcium and intact parathyroid hormone (iPTH) can confirm a primary hyperparathyroid problem. Neck ultrasound and parathyroid scintigraphy help in the localization of a parathyroid tumor. Only final histopathologic results can confirm the diagnosis of parathyroid carcinoma. Complete surgical excision is the treatment of choice and offers a good prognosis.</p>
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Index:
WPRIM (Western Pacific)
Main subject:
Parathyroid Hormone
/
Parathyroid Neoplasms
/
Parathyroid Glands
/
Thyroid Gland
/
Thyroidectomy
/
Lithotripsy
/
Kidney Calculi
/
Calcium
/
Parathyroidectomy
/
Hypercalcemia
Type of study:
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Philippine Journal of Otolaryngology Head and Neck Surgery
Year:
2015
Type:
Article
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