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

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

Öz

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.

Anahtar Kelimeler

• paratiroid karsinomu,hiperparatiroidizm,cerrahi

Kaynakça

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