Multiglandular Parathyroid Carcinoma: Case Report and Review of The Literature

摘要: ABSTRACT Objective To report the fifth case of multiglandular parathyroid carcinoma and highlight necessity bilateral neck exploration in some circumstances. Methods We a simultaneous 48-yearold woman presenting with primary hyperparathyroidism. Ultrasonography revealed 24-by 34-mm nodule on right lobe thyroid 20-by 32-mm gland inferior to left lobe. Technetium Tc 99m sestamibi scan increased uptake consistent glands. She was treated parathyroidectomy en bloc resection adjacent lower surrounding soft tissue gland. Results The presence thick fibrous capsule, invasion tissues, trabecular solid growth pattern without necrotic foci, vascular pathology slides enabled diagnosis both Her calcium hormone levels were within normal limits during follow-up period 4 years. Conclusion Since surgical offers only curative treatment initial operation may be determinant survival, high index suspicion for clinically intraoperatively is vital. aim reemphasize that select cases should considered if there concrete evidence second tumor, since can coexist hyperplasia, adenoma, or even other (Endocr Pract. 2011;17:e79-e83)