Hypercalcemia And Metastic Parathyroid Carcinoma: Diagnostic Challenge
Journal Title: International Journal of Clinical Therapeutics and Diagnosis (IJCTD) - Year 2013, Vol 1, Issue 3
Abstract
Parathyroid carcinoma is an extremely rare neoplasm which typically is associated with hardened nodules in the parathyroid region, hypercalcemia and renal failure. A 69 year-old woman presented with knee pain at an emergency unity. On clinical examination the patient also presented a 2.0cm fibroelastic and mobile node in the left neck, level II. Serum total calcium and parathyroid hormone were increased, and the node was also detected by CT and 99mTc-sestamib scintigraphy. The patient had been surgically previously treated of parathyroid carcinoma misdiagnosed as a thyroid adenoma (eleven years ago), and a hyperplasia of parathyroid chief cells (nine years ago), that after revision was diagnosed as cervical metastasis of parathyroid carcinoma. She was surgically treated by neck dissection, confirming the second regional metastasis of parathyroid carcinoma. The diagnosis of parathyroid carcinoma is a challenge, and although rare, it should be considered in the presence of hypercalcemia and palpable neck nodule.
Authors and Affiliations
Fernanda Viviane Mariano
Keywords
Related Articles
- EP ID EP197433
- DOI 10.19070/2332-2926-130005
- Views 113
- Downloads 0
The Role of Hysteroscopy In Endometrial Cancer
Endometrial cancer (EC) is the most frequent gynecological malignancy. Hysteroscopy is a minimally invasive diagnostic and operative technique mainly deployed in cases presented with abnormal uterine bleeding (AUB) or in...
Now Moments in Professional Care - The Importance of Positive Affect in Patient-Therapist Matching
Regarding clinical work, it is known that especially the positive affect shown to the patient and the continuous unwavering interest in the patient are the main criteria for a successful treatment and treatment planning....
A Review on Adverse Health Effects of Laboratory Volatile Solvents
The main objective of this review is to describe the health effects of commonly used laboratory volatile solvents in institutional laboratories. The most commonly used laboratory solvents such as petroleum ether, methano...
Hypertensive Urgency: The Role of Clinical Pharmacist in Identifying and Managing Drug Therapy Problems: The Case of Ambo Hospital Medical Ward, Ethiopia
Worldwide the role of clinical pharmacists is becoming valuable and expanding in an alarming rate especially in developed countries. However, it is at its infancy stage in low income countries like Ethiopia. Therefore, t...
T-Helper Cell Cytokine Expression Profiling in Rheumatoid Arthritis Patients by Flow Cytometric Bead Array Analysis
Background: Rheumatoid arthritis (RA) is the most common chronic autoimmune disease affecting multiple joints. A chronic imbalance in cytokine production by T-helper (Th) cells is likely a key factor in RA development. O...