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Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature
Primary hyperparathyroidism (PHPT) is a rare endocrine disease in the pediatric population. Sporadic parathyroid adenomas remain the most common cause of pediatric PHPT. Parathyroid carcinoma (PC) is an extremely rare cause of pediatric PHPT. We report a 16-year-old boy presenting with a nonhealing...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Endocrine Society
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839529/ https://www.ncbi.nlm.nih.gov/pubmed/31723720 http://dx.doi.org/10.1210/js.2019-00081 |
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author | Dutta, Aditya Pal, Rimesh Jain, Nimisha Dutta, Pinaki Rai, Ashutosh Bhansali, Anil Behera, Arunanshu Saikia, Uma Nahar Vishwajeet, Vikarn Collier, David Boon, Hannah Korbonits, Márta Bhadada, Sanjay Kumar |
author_facet | Dutta, Aditya Pal, Rimesh Jain, Nimisha Dutta, Pinaki Rai, Ashutosh Bhansali, Anil Behera, Arunanshu Saikia, Uma Nahar Vishwajeet, Vikarn Collier, David Boon, Hannah Korbonits, Márta Bhadada, Sanjay Kumar |
author_sort | Dutta, Aditya |
collection | PubMed |
description | Primary hyperparathyroidism (PHPT) is a rare endocrine disease in the pediatric population. Sporadic parathyroid adenomas remain the most common cause of pediatric PHPT. Parathyroid carcinoma (PC) is an extremely rare cause of pediatric PHPT. We report a 16-year-old boy presenting with a nonhealing fragility fracture of the right leg along with florid features of rickets. Examination revealed a neck mass, mimicking a goiter. Biochemical findings were consistent with PHPT. Imaging was suggestive of a right inferior parathyroid mass infiltrating the right lobe of thyroid. The patient underwent en bloc surgical excision of the parathyroid mass along with the right lobe of thyroid. Histopathology was suggestive of a PC. He achieved biochemical remission with normalization of serum calcium and parathyroid hormone levels. At follow-up, there was no biochemical or imaging evidence of recurrence or metastasis. Genetic analysis revealed heterozygous germline deletion of CDC73. An extensive literature search on PC was conducted, with an emphasis on the pediatric population. Thirteen cases of pediatric PC were identified. The median age of presentation was 13 years; there was no sex predilection. All cases were symptomatic; 31% had a visible neck mass. The median serum calcium and intact parathyroid hormone levels were 14.3 mg/dL and 2000 pg/mL, respectively. All patients underwent surgical excision, with 27% showing metastatic relapse. Our findings indicate that the preoperative features that could point toward a diagnosis of PC in a child with PHPT are a tumor size of >3 cm, thyroid infiltration on imaging, and severe hypercalcemia at presentation. |
format | Online Article Text |
id | pubmed-6839529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Endocrine Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-68395292019-11-13 Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature Dutta, Aditya Pal, Rimesh Jain, Nimisha Dutta, Pinaki Rai, Ashutosh Bhansali, Anil Behera, Arunanshu Saikia, Uma Nahar Vishwajeet, Vikarn Collier, David Boon, Hannah Korbonits, Márta Bhadada, Sanjay Kumar J Endocr Soc Mini-Review Primary hyperparathyroidism (PHPT) is a rare endocrine disease in the pediatric population. Sporadic parathyroid adenomas remain the most common cause of pediatric PHPT. Parathyroid carcinoma (PC) is an extremely rare cause of pediatric PHPT. We report a 16-year-old boy presenting with a nonhealing fragility fracture of the right leg along with florid features of rickets. Examination revealed a neck mass, mimicking a goiter. Biochemical findings were consistent with PHPT. Imaging was suggestive of a right inferior parathyroid mass infiltrating the right lobe of thyroid. The patient underwent en bloc surgical excision of the parathyroid mass along with the right lobe of thyroid. Histopathology was suggestive of a PC. He achieved biochemical remission with normalization of serum calcium and parathyroid hormone levels. At follow-up, there was no biochemical or imaging evidence of recurrence or metastasis. Genetic analysis revealed heterozygous germline deletion of CDC73. An extensive literature search on PC was conducted, with an emphasis on the pediatric population. Thirteen cases of pediatric PC were identified. The median age of presentation was 13 years; there was no sex predilection. All cases were symptomatic; 31% had a visible neck mass. The median serum calcium and intact parathyroid hormone levels were 14.3 mg/dL and 2000 pg/mL, respectively. All patients underwent surgical excision, with 27% showing metastatic relapse. Our findings indicate that the preoperative features that could point toward a diagnosis of PC in a child with PHPT are a tumor size of >3 cm, thyroid infiltration on imaging, and severe hypercalcemia at presentation. Endocrine Society 2019-09-16 /pmc/articles/PMC6839529/ /pubmed/31723720 http://dx.doi.org/10.1210/js.2019-00081 Text en Copyright © 2019 Endocrine Society https://creativecommons.org/licenses/by-nc-nd/4.0/ This article has been published under the terms of the Creative Commons Attribution Non-Commercial, No-Derivatives License (CC BY-NC-ND; https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Mini-Review Dutta, Aditya Pal, Rimesh Jain, Nimisha Dutta, Pinaki Rai, Ashutosh Bhansali, Anil Behera, Arunanshu Saikia, Uma Nahar Vishwajeet, Vikarn Collier, David Boon, Hannah Korbonits, Márta Bhadada, Sanjay Kumar Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature |
title | Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature |
title_full | Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature |
title_fullStr | Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature |
title_full_unstemmed | Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature |
title_short | Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature |
title_sort | pediatric parathyroid carcinoma: a case report and review of the literature |
topic | Mini-Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839529/ https://www.ncbi.nlm.nih.gov/pubmed/31723720 http://dx.doi.org/10.1210/js.2019-00081 |
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