Incidental Parathyroid Carcinoma Detected during Thyroidectomy for Papillary Thyroid Carcinoma: Report of a Case
نویسندگان
چکیده
A 60-year old woman with a history of nodular goiter was admitted to hospital. Fine needle aspiration cytology (FNAC) of dominant nodule was suspicious of papillary thyroid carcinoma. Preoperative serum calcium level was normal in biochemical analysis. Cervical exploration revealed an aberrant tissue inferior to left thyroid gland which was reminiscent of parathyroid adenoma or an enlarged lymphadenopathy. Total thyroidectomy and en-bloc resection of this tissue was performed. Histopathological examination of the thyroid gland and aberrant tissue revealed papillary thyroid carcinoma and parathyroid carcinoma which was silent preoperatively. As the authors, we think that any abnormally enlarged parathyroid gland detected during thyroidectomy for malignancy should raise the suspicion of a second primary in the parathyroid gland.
منابع مشابه
A case presentation of parathyroid adenoma and papillary carcinoma of the thyroid [Persian]
A 54 years old female with history of total thyroidectomy for papillary carcinoma, treated with lOOmCi of iodine-131 and negative whole body scans was referred for follow up study. Tl-201 scan revealed an area of radiotracer uptake in the neck region, suggestive of a parathyroid adenoma versus recurrence of thyroid carcinoma. The patient was operated, the parathyroid adenoma was removed. ...
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UNLABELLED Incidental parathyroidectomy is a common event in thyroid surgery. The literature shows a finding of parathyroid glands ranging from 6.4% to 31% in pathological specimens of the thyroid gland. OBJECTIVE To collect the amount of parathyroid glands found in surgical specimens of thyroidectomy and correlate with the histopathological and demographic variables. METHODS Retrospective ...
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