Published in:
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. …