1.Tumoral calcinosis in secondary hyperparathyroidism.
Reinzi Luz S. Bautista ; Ramon Antonio B. Lopa ; Arsenio Claro A. Cabungcal ; Anna Pamela C. Dela Cruz ; Tom Edward N. Lo
Philippine Journal of Otolaryngology Head and Neck Surgery 2016;31(1):48-52
OBJECTIVE: To report a case of tumoral calcinosis from secondary hyperparathyroidism and to describe its surgical management.
METHODS:
Design: Case Report
Setting: Tertiary Public University Hospital
Patient: One
RESULTS: A 34-year-old woman presented with progressively-enlarging bilateral upper extremity masses. Diagnostic tests revealed hyperfunctioning parathyroid glands. The patient underwent subtotal parathyroidectomy, right thyroid lobectomy with isthmusectomy, and transcervical thymectomy. Follow-up revealed marked decrease in parathyroid hormone, and progressive resolution of the tumoral calcinosis.
CONCLUSION: Subtotal parathyroidectomy and transcervical thymectomy have a role in the management of tumoral calcinosis, and in this case led to excellent post-operative results. The rare presentation of secondary hyperparathyroidism and intervention in this patient may have potential lessons for future management of similar cases.
Human ; Female ; Adult ; Calcinosis ; Parathyroidectomy ; Thymectomy