A Case Report of Primary Hyperparathyroidism Caused by Parathyroid Carcinoma.
- Author:
Jae Chul KIM
1
;
Jae Hee JUNG
;
Woo Chan PARK
;
Jin KIM
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea.
- Publication Type:Case Report
- Keywords:
Hyperparathyroidism;
Parathyroid carcinoma
- MeSH:
Diagnosis;
Female;
Humans;
Hyperparathyroidism;
Hyperparathyroidism, Primary*;
Lymph Nodes;
Middle Aged;
Neoplasm Metastasis;
Pancreatitis;
Parathyroid Diseases;
Parathyroid Neoplasms*;
Thyroid Gland
- From:Journal of the Korean Surgical Society
2000;58(6):857-861
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A parathyroid carcinoma is a rare cause of primary hyperparathyroidism. Even though the clinical presentation in a parathyroid carcinoma is usually symptomatic and different from that in benign parathyroid disease, a definite diagnosis can be made only by using a histologic examination of local invasion to surrounding tissue or metastases to regional lymph nodes or distant sites. It is important to confirm the malignancy at the initial operation because a radical resection offers the only possibility for cure. We experienced a 62-year-old woman with primary hyperparathyroidism caused by a parathyroid carcinoma, who had revealed the clinical manifestations of acute pancreatitis. A carcinoma in the right lower parathyroid was confirmed by histopathologic findings of invasion to the thyroid capsule. The patient was cured by using a radical resection of the parathyroidal mass, including the right lobe of the thyroid, the surrounding soft tissues, and the regional lymph nodes.
