Synchronous parathyroid adenoma and thyroid papillary carcinoma: a case report.
Title | Synchronous parathyroid adenoma and thyroid papillary carcinoma: a case report. |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Iakovou, I. P., Konstantinidis I. E., Chrisoulidou A. I., & Doumas A. S. |
Journal | Cases J |
Volume | 2 |
Pagination | 9121 |
Date Published | 2009 Nov 30 |
ISSN | 1757-1626 |
Abstract | A 51-year-old female patient presented with atypical chest pain, laryngo-oesophageal reflux, increased levels of serum calcium and parathyroid hormone. Ultrasonography showed a multinodular goiter with a prominent solid nodule in the lower left thyroid lobe and a solid hypoechoic nodule outside this area.Tc99m-sestamibi parathyroid scintigraphy was performed to investigate a primary hyperparathyroidism, revealing an area with increased uptake in the lower left thyroid lobe and another area with marked uptake lower than this level. Thyroid scintigraphy with 99mTc showed a cold nodule of the left lower pole. FNA of the thyroid nodule was positive for papillary carcinoma later verified by postoperative histopathology.This case underlines the need for a clinical high index of suspicion for synchronous hyperparathyroidism and thyroid cancer. |
DOI | 10.1186/1757-1626-2-9121 |
Alternate Journal | Cases J |
PubMed ID | 20062698 |
PubMed Central ID | PMC2803918 |