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Published in: Endocrine Pathology 2/2019

01-06-2019 | Hyperparathyroidism

Diagnostic Pitfall: Parathyroid Carcinoma Expands the Spectrum of Calcitonin and Calcitonin Gene-Related Peptide Expressing Neuroendocrine Neoplasms

Authors: Anjelica Hodgson, Sara Pakbaz, Farnoosh Tayyari, James Edward Massey Young, Ozgur Mete

Published in: Endocrine Pathology | Issue 2/2019

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Excerpt

A 59-year-old man with primary hyperparathyroidism (PTH 76 pmol/L, normal range 2–9 pmol/L) and associated hypercalcemia (3.4 mmol/L, normal range 2.15–2.55 mmol/L) was found to have a CT and Sestamibi scan-localized left thyroid component neck mass. Intraoperatively, the mass was noted to be adherent to the left side of the thyroid and required en bloc resection of the mass with the left lobe. In addition, the patient underwent right hemithyroidectomy for nodular goiter. Postoperatively, the serum PTH level was noted to have significantly dropped (5.6 pmol/L, within normal range), supporting the uniglandular source of hyperparathyroidism. …
Literature
1.
go back to reference DeLellis RA, Arnold A, Bilezikian JP, Eng C, Larsson C, Lloyd RV, Mete O. Parathyroid carcinoma. In: Lloyd RV, Osamura RY, Klöppel G, Rosai J. eds. WHO Classification of Tumours of Endocrine Organs. 4th ed. Vol. 10. Lyon, France: WHO Press; 2017, pp: 147–152. DeLellis RA, Arnold A, Bilezikian JP, Eng C, Larsson C, Lloyd RV, Mete O. Parathyroid carcinoma. In: Lloyd RV, Osamura RY, Klöppel G, Rosai J. eds. WHO Classification of Tumours of Endocrine Organs. 4th ed. Vol. 10. Lyon, France: WHO Press; 2017, pp: 147–152.
2.
go back to reference Erickson LA, Mete O. Immunohistochemistry in Diagnostic Parathyroid Pathology. Endocr Pathol. 2018; 29:113–129.CrossRefPubMed Erickson LA, Mete O. Immunohistochemistry in Diagnostic Parathyroid Pathology. Endocr Pathol. 2018; 29:113–129.CrossRefPubMed
3.
go back to reference Kaltsas G, Androulakis II, de Herder WW, Grossman AB. Paraneoplastic syndromes secondary to neuroendocrine tumours. Endocr Relat Cancer. 2010;17: R173–R193.CrossRefPubMed Kaltsas G, Androulakis II, de Herder WW, Grossman AB. Paraneoplastic syndromes secondary to neuroendocrine tumours. Endocr Relat Cancer. 2010;17: R173–R193.CrossRefPubMed
4.
go back to reference Bauer JL, Toluie S, Thompson LDR. Metastases to the Parathyroid Glands: A Comprehensive Literature Review of 127 Reported Cases. Head Neck Pathol. 2018; 12:534–541.CrossRefPubMed Bauer JL, Toluie S, Thompson LDR. Metastases to the Parathyroid Glands: A Comprehensive Literature Review of 127 Reported Cases. Head Neck Pathol. 2018; 12:534–541.CrossRefPubMed
5.
go back to reference Nozières C, Chardon L, Goichot B, Borson-Chazot F, Hervieu V, Chikh K, Lombard-Bohas C, Walter T. Neuroendocrine tumors producing calcitonin: characteristics, prognosis and potential interest of calcitonin monitoring during follow-up. Eur J Endocrinol. 2016; 174:335–334CrossRefPubMed Nozières C, Chardon L, Goichot B, Borson-Chazot F, Hervieu V, Chikh K, Lombard-Bohas C, Walter T. Neuroendocrine tumors producing calcitonin: characteristics, prognosis and potential interest of calcitonin monitoring during follow-up. Eur J Endocrinol. 2016; 174:335–334CrossRefPubMed
6.
go back to reference Duan K, Mete O. Algorithmic approach to neuroendocrine tumors in targeted biopsies: Practical applications of immunohistochemical markers. Cancer Cytopathol. 2016; 124:871–884.CrossRefPubMed Duan K, Mete O. Algorithmic approach to neuroendocrine tumors in targeted biopsies: Practical applications of immunohistochemical markers. Cancer Cytopathol. 2016; 124:871–884.CrossRefPubMed
7.
go back to reference Khan A, Tischler AS, Patwardhan NA, DeLellis RA. Calcitonin immunoreactivity in neoplastic and hyperplastic parathyroid glands: an immunohistochemical study. Endocr Pathol. 2003; 14:249–255.CrossRefPubMed Khan A, Tischler AS, Patwardhan NA, DeLellis RA. Calcitonin immunoreactivity in neoplastic and hyperplastic parathyroid glands: an immunohistochemical study. Endocr Pathol. 2003; 14:249–255.CrossRefPubMed
8.
go back to reference Schmid KW, Morgan JM, Baumert M, Fischer-Colbrie R, Böcker W, Jasani B. Calcitonin and calcitonin gene-related peptide mRNA detection in a population of hyperplastic parathyroid cells also expressing chromogranin B. Lab Investig J Tech Methods Pathol. 1995; 73:90–95. Schmid KW, Morgan JM, Baumert M, Fischer-Colbrie R, Böcker W, Jasani B. Calcitonin and calcitonin gene-related peptide mRNA detection in a population of hyperplastic parathyroid cells also expressing chromogranin B. Lab Investig J Tech Methods Pathol. 1995; 73:90–95.
9.
go back to reference Juhlin CC, Haglund F, Obara T, Arnold A, Larsson C, Höög A. Absence of nucleolar parafibromin immunoreactivity in subsets of parathyroid malignant tumours. Virchows Arch. 2011; 459:47–53.CrossRefPubMed Juhlin CC, Haglund F, Obara T, Arnold A, Larsson C, Höög A. Absence of nucleolar parafibromin immunoreactivity in subsets of parathyroid malignant tumours. Virchows Arch. 2011; 459:47–53.CrossRefPubMed
Metadata
Title
Diagnostic Pitfall: Parathyroid Carcinoma Expands the Spectrum of Calcitonin and Calcitonin Gene-Related Peptide Expressing Neuroendocrine Neoplasms
Authors
Anjelica Hodgson
Sara Pakbaz
Farnoosh Tayyari
James Edward Massey Young
Ozgur Mete
Publication date
01-06-2019
Publisher
Springer US
Published in
Endocrine Pathology / Issue 2/2019
Print ISSN: 1046-3976
Electronic ISSN: 1559-0097
DOI
https://doi.org/10.1007/s12022-019-9572-9

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