Parathyroid carcinoma: A rare cause of hyperparathyroidism in a geriatric patient underwent orthopedic surgery

Year 2017, , 84 - 86, 01.12.2017

Mehmet Tolga Kafadar , Bilal Kabalak Metin Yalçın Emine Zeynep Tarini

https://doi.org/10.25000/acem.333766

Abstract

Parathyroid
cancer is a rarely encountered disease which may accompany with
hyper-parathyroidism. It is hard to diagnose the disease before surgical
treatment and to differentiate it completely from adenoma. The treatment of parathyroid
cancer includes removal of the tumor and the thyroid lobe completely on the
same side through neck exploration and removing the lymph nodes at the
neighborhoods. For a successful operation, it is required to diagnose the
disease preoperatively and to determine whether the disease spreads locally or
extensively and to plan the surgical removal of the tumor on the basis of such
findings. In this paper,  a 71-year-old
patient with an incidental parathyroid carcinoma diagnosed in the early postoperative
period foolowing anemergent orthopedic operation was presented. The final
diagnosis was determined after the histopathologic examination of the
parathyroid gland.

Keywords

Parathyroid carcinoma, hyperparathyroidism, surgery

Paratiroid Karsinomu: Ortopedik cerrahi uygulanan geriatrik hastada hiperparatiroidinin nadir bir nedeni

Abstract

Paratiroid kanseri nadir
görülen ve ciddi hiperparatiroidi tablosu ile seyredebilen bir hastalıktır.
Hastalığın ameliyat öncesi dönemde tanınması ve adenomdan ayırımının net olarak
yapılması zordur. Paratiroid kanserlerinin tedavisi boyun eksplorasyonuyla birlikte
tümör ve aynı taraftaki tiroid dokusunun tamamiyle alınmasını ve ek komşu lenf
nodlarının çıkarılmasını kapsar. Başarılı bir cerrahi girişim için en ideali,
ameliyat öncesi dönemde tanı konulup hastalığın yerel ve uzak yayılım yapıp
yapmadığını belirleyebilmek ve cerrahi çıkarımı ona göre planlamaktır. Bu
yazıda, acil ortopedik cerrahi sonrası erken dönemde saptanan, 71 yaşındaki bir
rastlantısal paratiroid karsinom olgusu sunuldu. Hastada kesin tanı postoperatif
histopatolojik inceleme ile konuldu.

Keywords

paratiroid karsinomu, hiperparatiroidizm, cerrahi

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