A Case of Parathyroid Carcinoma Invading Thyroid Gland as Solitary Nodular Form.
- Author:
Young Keun CHOI
1
;
Jae Seung LEE
;
Hyung Wook KIM
;
Young Min KIM
;
Seok Man SON
;
In Joo KIM
;
Yong Ki KIM
;
Hyo Jung CHAE
Author Information
1. Department of Internal Medicine, Pusan National University College of Medicine, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Parathyroid carcinoma;
Solitary nodular lesion;
Thyroid gland;
MEN 2A
- MeSH:
Calcium;
Diagnosis;
Humans;
Hyperparathyroidism;
Hyperparathyroidism, Primary;
Korea;
Liver;
Lung;
Lymph Nodes;
Middle Aged;
Multiple Endocrine Neoplasia;
Multiple Endocrine Neoplasia Type 2a;
Nausea;
Neck;
Neoplasm Metastasis;
Parathyroid Glands;
Parathyroid Hormone;
Parathyroid Neoplasms*;
Parathyroidectomy;
Thyroid Gland*;
Thyroid Nodule;
Ultrasonography
- From:Journal of Korean Society of Endocrinology
1999;14(1):171-176
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Parathyroid carcinoma is a rare cause of primary hyperparathyroidism and commonly metastasize to lymph node, lung, liver, and bone. In Korea, there has been no report of distant metastasis in parathyroid carcinoma except for one case of pulmonary metastasis. A 58-year-old man presenting with weakness, nausea, and a palpable thyroid nodule visited our hospital. Elevated serum calcium and parathyroid hormone (PTH) concentration allowed the diagnosis of hyperparathyroidism. Two discrete masses were identified by neck ultrasound scan, computed tomography (CI') and Tc-Sestamibi scan in the left lobe of thyroid gland and ipsilateral parathyroid gland. So multiple endocrine neoplasia (MEN) type 2A" was suspected initially, but postoperative histological diagnosis was left parathyroid carcinoma with solitary nodular lesion invading left thyroid gland. He was successfully treated with left parathyroidectomy and left thyroid lobectomy.
