Clin Osteol 2014; 19(1): 16-22

Primary hyperparathyroidism in parathyroid adenoma with synchronous papillary thyroid carcinomaReview articles

M. Medňanský

Reported is a case of a 53-year-old woman with long-lasting back pain and severe hypercalcemia. Based on laboratory findings and ima­ ging methods, the condition was diagnosed as primary hyperparathyroidism with suspected parathyroid adenoma at the lower pole of the right thyroid lobe. Due to an incidental finding of a cold nodule in the right thyroid lobe, apart from excision of the adenoma, right thyroid lobectomy was performed in the patient. The definitive histological finding confirmed parathyroid adenoma and, sur­ prisingly, revealed papillary thyroid carcinoma. Therefore, total thyroidectomy was carried out, followed by radioiodine therapy. After the therapy, hypocalcemia persists with suspected postoperative hypoparathyroidism. Clinically, the patient has no significant com­ plaints.

Keywords: primary hyperparathyroidism, hypercalcemia, parathyroid adenoma, papillary thyroid carcinoma

Published: June 11, 2014  Show citation

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Medňanský M. Primary hyperparathyroidism in parathyroid adenoma with synchronous papillary thyroid carcinoma. Osteologický bulletin. 2014;19(1):16-22.
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