A Very Rare Case , Coexistence of Invasive Thyroid Papillary Carcinoma and Parathyroid Carcinoma in Hypercalcemic 29 Year Old Woman Who Is Treated For Urolithiasis

Introduction and Purpose Primer hyperparathyroidism is the most common cause of hypercalcemia in patients who referred to the policlinics. Thyroid Cancer (ca) is observed nearly 1% in all cancers. It has been increasing most common type and consisting about 80% of the thyroid cancers. Coexistence of nonmeduller thyroid ca and primer hyperparathyroidism is very rare situation. Case Report A 29 year old woman, she was treating for urolithiazis for four years. Her Ca is found 14.50 mg/dl. Parathyroid Hormone (PTH) level is found 851.5 pg/ml. Thyroid usg ve and Tc-99m MIBI parathyroid scintigrafia was performed. She was referred to a tertiary center for the operation. Pathology results were reported as papillary thyroid Carcinoma (ca) and parathyroid carcinoma. Tumor was infiltrated to surrounding muscles tissue and to the front wall of esophagus. Conclusion In this article, coexistence of thyroid papillary ca and parathyroid carcinoma in hypercalcemic 29 year old woman who is treated for urolithiasis is presented. In patients who admitted to policlinics with non specific complaints, weakness, fatigue, nausea working serum electrolytes is very important. Ca must be added to these parameters. In such patients Coexistence of parathyroid carcinoma and thyroid malignancies should be kept in mind.