ECE2018 Poster Presentations: Calcium and Bone Clinical case reports - Thyroid/Others (12 abstracts)
Papillary thyroid cancer and primary hyperparathyroidism – a rare coincidence: case report
Entela Puca 1 , Sonila Bitri 2 , Kadir Burak Koza 3 , Arben Dhima 4 , Edmond Puca 5 , Ema Lumi 6 & Blertina Olldashi 7
1Service of Endocrinology, American Hospital, Tirana, Albania; 2Service of Check-up and Toxicology, Tirana, Albania; 3Service of General Surgery, American Hospital, Tirana, Albania; 4Service of Radiology, American Hospital, Tirana, Albania; 5Service of Infectious Diseases, UHC MOTHER TERESA, Tirana, Albania; 6Regional hospital, Korce, Albania; 7Neo style, Tirana, Albania.
Introduction: Although co-association between thyroid disease and parathyroid disease is rare, co-existence between parathyroid adenomas (HPPs) and papillary thyroid carcinomas (PTC) is rare. Perhaps this can be explained by the different embryological origins of the thyroids cells with the parathyroid cells.
Objectives: To report a case with parathyroid adenoma and multifocal papillary thyroid carcinoma.
Case presentation: A 62-year-old woman presented in the Endocrinology service due to a hypercalcemia 12.1 mg/dl (normal, 9.0–10.6 mg/dL), detected during routine biochemical evaluation for recidive kidney stone. High PTH value 280 pg/ml (normal range 10–69 pg/ml) confirmed primary hyperparathyroidism The neck ultrasound showed a potential parathyroid adenoma (nodule size 12×8 mm right lobe) as well as a nodule on the left lobe 24×10 mm. 99mTc-sestamibi parathyroid scintigraphy indicated an area with increased uptake at the aria of the nodule presented at ultrasonography. Because of the nodular aspect of the contralateral lobe: total thyroidectomy was performed and the histological examination the diagnosis of parathyroid adenoma and coincidence of invasive multifocal papillary thyroid carcinoma in the left thyroid lobe.). Hyperparathyroidism was cured with normal PTH and for the invasive PTC she received radioiodine therapy and now she is on suppressive LT4 treatment.
Conclusion: Careful evaluation of thyroid gland is advocated in all patients of primary hyperparathyroidism in order to prevent subsequent operations.
Volume 56
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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