Coexistence of parathyroid adenoma and papillary thyroid carcinoma
이용상, 남기현, 정웅윤, 장항석, 박정수,
소속 상세정보
이용상 ( Lee Yong-Sang )
Yonsei University College of Medicine Department of Surgery
남기현 ( Nam Kee-Hyun )
Yonsei University College of Medicine Department of Surgery
정웅윤 ( Chung Woong-Youn )
Yonsei University College of Medicine Department of Surgery
장항석 ( Chang Hang-Seok )
Yonsei University College of Medicine Department of Surgery
박정수 ( Park Cheong-Soo )
Yonsei University College of Medicine Department of Surgery
KMID : 0371320110810050316
Abstract
Purpose: Although several reports have been published regarding the coexistence of hyperparathyroidism and papillary thyroid carcinomas, concurrence of parathyroid adenoma and papillary thyroid carcinoma is extremely rare. The aim of this study was to describe experiences with concurrent parathyroid adenoma and papillary thyroid carcinoma.
Methods: Seven patients with concurrent parathyroid adenoma and papillary thyroid carcinoma were identified between January 2006 and December 2007, and their medical records were reviewed retrospectively.
Results: Of the seven patients identified, three were male and four were female; their mean age was 53.6 years. None of the patients presented with symptomatic hyperparathyroidism preoperatively. On laboratory findings, four patients had mild to moderate hypercalcemia, but serum parathyroid hormone concentrations were high in all patients. Preoperative imaging showed suspicious features of diseased parathyroid glands in four patients; two upon ultrasonography and computed tomography together and two upon ultrasonography only. The coexistence of parathyroid adenoma did not affect the extent of thyroid surgery. Laboratory values after surgery returned to within normal ranges in all patients.
Conclusion: It is important not only to analyze serum calcium levels but also to carefully interpret imaging studies in order to identify asymptomatic hyperparathyroidism when performing thyroid cancer surgery.
키워드
Parathyroid neoplasms; Papillary thyroid cancer
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