del Bosque-Méndez J, Soto-Becerril OA, Hernández-Abarca E, Cervantes-González MA, Osorio-Castro LC, Rodríguez-Jerez C, Echeagaray-Sánchez HL, Gómez-de la Cruz CA

Idioma: Español
Referencias bibliográficas: 23
Paginas: 168-172
Archivo PDF: 229.63 Kb.

RESUMEN

El carcinoma de paratiroides es una causa poco común de hiperparatiroidismo primario, constituye menos de 1% de los casos. El diagnóstico preoperatorio es difícil y la mayoría de los pacientes son operados por presuntos adenomas benignos. Se presenta el caso clínico de una paciente que fue sometida a paratiroidectomía izquierda por hiperparatiroidismo primario; un año después del procedimiento presenta nuevamente elevación de los niveles séricos de calcio y parathormona, por lo que se realiza una segunda intervención quirúrgica para resección de adenoma paratiroideo; sin embargo, el reporte histopatológico corresponde a carcinoma de paratiroides. Se decide realizar un tercer tiempo quirúrgico consistente en tiroidectomía total con disección ganglionar cervical de nivel central. Actualmente, la paciente se mantiene en seguimiento con respuesta estable al tratamiento.

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