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Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism
We report herein a case of intrathyroidal parathyroid hyperplasia in a patient with tertiary hyperparathyroidism. The patient was recommended for parathyroidectomy due to sustained hypercalcemia after kidney transplantation. Preoperative radiologic evaluations showed a benign-looking thyroid mass an...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813706/ https://www.ncbi.nlm.nih.gov/pubmed/24964443 http://dx.doi.org/10.1093/jscr/rjt034 |
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author | Kim, Byung Seup Ryu, Han Suk Kang, Kyung Ho Park, Sung Jun |
author_facet | Kim, Byung Seup Ryu, Han Suk Kang, Kyung Ho Park, Sung Jun |
author_sort | Kim, Byung Seup |
collection | PubMed |
description | We report herein a case of intrathyroidal parathyroid hyperplasia in a patient with tertiary hyperparathyroidism. The patient was recommended for parathyroidectomy due to sustained hypercalcemia after kidney transplantation. Preoperative radiologic evaluations showed a benign-looking thyroid mass and three enlarged parathyroid glands. Intraoperative intact parathyroid hormone (iPTH) level and frozen biopsy results indicated a missed parathyroid gland after immediate subtotal parathyroidectomy. Then, a secondary partial resection of thyroid including the thyroid nodule was performed. An excised intrathyroid nodule was diagnosed to be parathyroid hyperplasia by frozen biopsy, and intraoperative iPTH level abruptly decreased. A benign-looking thyroidal mass in patients with secondary or tertiary hyperparathyroidism should be carefully evaluated considering the possibility of an intrathyroidal parathyroid hyperplasia. |
format | Online Article Text |
id | pubmed-3813706 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-38137062013-10-31 Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism Kim, Byung Seup Ryu, Han Suk Kang, Kyung Ho Park, Sung Jun J Surg Case Rep Case Reports We report herein a case of intrathyroidal parathyroid hyperplasia in a patient with tertiary hyperparathyroidism. The patient was recommended for parathyroidectomy due to sustained hypercalcemia after kidney transplantation. Preoperative radiologic evaluations showed a benign-looking thyroid mass and three enlarged parathyroid glands. Intraoperative intact parathyroid hormone (iPTH) level and frozen biopsy results indicated a missed parathyroid gland after immediate subtotal parathyroidectomy. Then, a secondary partial resection of thyroid including the thyroid nodule was performed. An excised intrathyroid nodule was diagnosed to be parathyroid hyperplasia by frozen biopsy, and intraoperative iPTH level abruptly decreased. A benign-looking thyroidal mass in patients with secondary or tertiary hyperparathyroidism should be carefully evaluated considering the possibility of an intrathyroidal parathyroid hyperplasia. Oxford University Press 2013-05 2013-05-08 /pmc/articles/PMC3813706/ /pubmed/24964443 http://dx.doi.org/10.1093/jscr/rjt034 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com. |
spellingShingle | Case Reports Kim, Byung Seup Ryu, Han Suk Kang, Kyung Ho Park, Sung Jun Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism |
title | Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism |
title_full | Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism |
title_fullStr | Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism |
title_full_unstemmed | Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism |
title_short | Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism |
title_sort | intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813706/ https://www.ncbi.nlm.nih.gov/pubmed/24964443 http://dx.doi.org/10.1093/jscr/rjt034 |
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