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Coexistence of parathyroid adenoma and papillary thyroid carcinoma

 Yong Sang Lee  ;  Kee-Hyun Nam  ;  Cheong Soo Park  ;  Hang-Seok Chang  ;  Woong Youn Chung 
 Journal of the Korean Surgical Society, Vol.81(5) : 316-320, 2011 
Journal Title
 Journal of the Korean Surgical Society 
Issue Date
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.
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
남기현(Nam, Kee Hyun) ; 박정수(Park, Cheong Soo) ; 이용상(Lee, Yong Sang) ; 장항석(Chang, Hang Seok) ; 정웅윤(Chung, Woung Youn)
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