Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case of Parathyroid Carcinoma with Spontaneous Infarction

자연경색을 동반한 부갑상선암 1예

  • Geum, Sang Yen (Department of Otorhinolaryngology Head and Neck Surgery, Daegu Catholic University School of Medicine) ;
  • Park, Hee Jun (Department of Otorhinolaryngology Head and Neck Surgery, Daegu Catholic University School of Medicine) ;
  • Yoo, Jae Ho (Department of Otorhinolaryngology Head and Neck Surgery, Daegu Catholic University School of Medicine) ;
  • Kim, Jeong Kyu (Department of Otorhinolaryngology Head and Neck Surgery, Daegu Catholic University School of Medicine) ;
  • Lee, Dong Won (Department of Otorhinolaryngology Head and Neck Surgery, Daegu Catholic University School of Medicine)
  • 금상연 (대구가톨릭대학교 의과대학 이비인후과교실) ;
  • 박희준 (대구가톨릭대학교 의과대학 이비인후과교실) ;
  • 유재호 (대구가톨릭대학교 의과대학 이비인후과교실) ;
  • 김정규 (대구가톨릭대학교 의과대학 이비인후과교실) ;
  • 이동원 (대구가톨릭대학교 의과대학 이비인후과교실)
  • Received : 2022.03.08
  • Accepted : 2022.04.04
  • Published : 2022.05.30
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Abstract

Parathyroid carcinoma is very rare malignant neoplasm, accounting for less than 0.005% of all cancers. Most parathyroid carcinoma is a functioning tumor that causes hyperparathyroidism, leading to hypercalcemia. We report a parathyroid carcinoma case that was suspicious for spontaneous infarction of cancer, leading to resolution of hypercalcemia. A 29-year-old male visited our hospital presenting with right neck swelling and pain. He has been experiencing frequent urolithiasis for four years but laboratory tests showed normal serum calcium level. Right vocal cord paresis was identified with laryngoscopy. Ultrasonography revealed a 3.7 × 3.5 cm mass in the right thyroid containing a focal cystic portion. Computed tomography confirmed the presence of a low-density right thyroid mass. Right thyroid lobectomy was performed and pathological evaluation revealed parathyroid carcinoma with central necrosis. We report this very rare case with a literature review.

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References

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