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

Language: Spanish
References: 23
Page: 168-172
PDF size: 229.63 Kb.

ABSTRACT

Parathyroid carcinoma is an uncommon cause of primary hyperparathyroidism, accounting for less than 1% of cases. The preoperative diagnosis is difficult, and most patients are operated for presumed benign adenomas. The clinical case of a female patient who underwent left parathyroidectomy due to primary hyperparathyroidism is presented, however a year after the procedure she presents again elevated serum levels of calcium and parathormone, which is why a second surgical intervention is performed. Resection of parathyroid adenoma, however the histopathological report corresponds to parathyroid carcinoma. It was decided to perform a third surgical time consisting of total thyroidectomy with central level cervical lymph node dissection. Currently the patient remains in follow-up with stable response to treatment.

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