An Unusual Case of Primary Hyperparathyroidism: Case Report of a Bifocal Intrathyroidal Parathyroid Carcinoma

被引:1
作者
Damien, Maxime [1 ]
Rodriguez, Alexandra [1 ]
Kleynen, Pierre [2 ]
Dequanter, Didier [1 ]
Bouland, Cyril [3 ]
机构
[1] Univ Libre Bruxelles ULB, Dept Otolaryngol Head & Neck Surg, CHU St Pierre, Brussels, Belgium
[2] Univ Libre Bruxelles ULB, Dept Endocrinol, CHU St Pierre, Brussels, Belgium
[3] Univ Libre Bruxelles ULB, Dept Stomatol, CHU St Pierre, Brussels, Belgium
关键词
parathyroid carcinoma; intrathyroidal parathyroid carcinoma; primary hyperparathyroidism; LOCALIZATION;
D O I
10.1177/0145561320977466
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Intrathyroidal parathyroid carcinoma is an extremely rare cause of primary hyperparathyroidism. We reported a 51-year old woman who presented symptoms of hypercalcemia. 99mTc sestamibi single-photon emission computed tomography/computed tomography (CT) revealed a large hypermetabolic nodule in the left thyroid lobe suggestive of hyperfunctioning parathyroid tissue. 11C-methionine positron emission tomography/computed tomography (PET/CT) and 18F-fluorocholine PET/CT confirmed the nodule in the left thyroid lobe and also revealed a hypermetabolic activity on the posterior surface of the lower left pole. The patient underwent a total thyroidectomy and parathyroidectomy, and a diagnosis of bifocal intrathyroidal parathyroid carcinoma was confirmed. We present the first reported case of bifocal intrathyroidal carcinoma and discuss the discordant imaging results.
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收藏
页码:NP5 / NP7
页数:3
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