Hyperfunctioning intrathyroidal parathyroid carcinoma

Intrathyroidal parathyroid carcinoma is an exceedingly rare cause of primary hyperparathyroidism with difficulties in the diagnosis and management. We report a case of hypercalcemia from intrathyroidal parathyroid carcinoma in a 63-year-old Saudi female. She was diagnosed 2 years earlier with osteop...

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Veröffentlicht in:Saudi medical journal 2006-08, Vol.27 (8), p.1226-1229
Hauptverfasser: Hussein, Wiam I, El-Maghraby, Tarek A, Al-Sanea, Osama
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container_title Saudi medical journal
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creator Hussein, Wiam I
El-Maghraby, Tarek A
Al-Sanea, Osama
description Intrathyroidal parathyroid carcinoma is an exceedingly rare cause of primary hyperparathyroidism with difficulties in the diagnosis and management. We report a case of hypercalcemia from intrathyroidal parathyroid carcinoma in a 63-year-old Saudi female. She was diagnosed 2 years earlier with osteoporosis in a primary care clinic and was on alendronate since then. This year she was noted to have hypercalcemia, but in retrospect she had more than 10 years history of multiple medical problems related to hypercalcemia. Parathyroid 99mTc-SestaMIBI scintigraphy revealed parathyroid adenoma in the left inferior parathyroid gland. She had successful video-assisted parathyroidectomy that relieved most of her symptoms. The extreme rarity of such a case, the interesting clinical presentation and review of the literature are discussed.
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subjects Carcinoma - diagnosis
Carcinoma - diagnostic imaging
Carcinoma - surgery
Female
Humans
Hypercalcemia - diagnosis
Hypercalcemia - etiology
Hyperparathyroidism - complications
Middle Aged
Parathyroid Neoplasms - diagnosis
Parathyroid Neoplasms - diagnostic imaging
Parathyroid Neoplasms - surgery
Radionuclide Imaging
Radiopharmaceuticals
Technetium Tc 99m Sestamibi
Thyroidectomy
Treatment Outcome
title Hyperfunctioning intrathyroidal parathyroid carcinoma
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