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Papillary Thyroid Cancer Metastases to the Parathyroid Gland

INTRODUCTION: Papillary Thyroid cancer (PTC) is the most common malignancy encountered by endocrine surgeons accounting for up to 85% to 90% of all thyroid malignancies. Parathyroid metastases appear to be an uncommon phenomenon however are likely to be underdiagnosed due to routine parathyroid glan...

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Autores principales: O’Sullivan, Brian, Burton, Tom, Ziad, Fouzia, Meyer Rochow, Goswin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9666705/
https://www.ncbi.nlm.nih.gov/pubmed/36407482
http://dx.doi.org/10.1177/2632010X221134569
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author O’Sullivan, Brian
Burton, Tom
Ziad, Fouzia
Meyer Rochow, Goswin
author_facet O’Sullivan, Brian
Burton, Tom
Ziad, Fouzia
Meyer Rochow, Goswin
author_sort O’Sullivan, Brian
collection PubMed
description INTRODUCTION: Papillary Thyroid cancer (PTC) is the most common malignancy encountered by endocrine surgeons accounting for up to 85% to 90% of all thyroid malignancies. Parathyroid metastases appear to be an uncommon phenomenon however are likely to be underdiagnosed due to routine parathyroid gland preservation during thyroidectomy. CASE: We present the case of 63-year-old lady with PTC metastases to the parathyroid gland. She underwent total thyroidectomy, central compartment lymph node dissection and selective left neck (levels IIA-IV) lymph node dissection. Final pathology confirmed a 45 mm low grade conventional type papillary carcinoma with microscopic extension into perithyroidal soft tissue focally and into the adjacent left parathyroid gland. CONCLUSION: Parathyroid gland thyroid cancer infiltration/metastasis is rarely reported and likely underdiagnosed. This is the first case of parathyroid gland metastasis reported from New Zealand or Australia to our knowledge. There is currently limited research available to guide whether parathyroid gland infiltration or metastasis is of clinical or prognostic significance and whether a more aggressive treatment strategy is warranted when present.
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spelling pubmed-96667052022-11-17 Papillary Thyroid Cancer Metastases to the Parathyroid Gland O’Sullivan, Brian Burton, Tom Ziad, Fouzia Meyer Rochow, Goswin Clin Pathol Case Report INTRODUCTION: Papillary Thyroid cancer (PTC) is the most common malignancy encountered by endocrine surgeons accounting for up to 85% to 90% of all thyroid malignancies. Parathyroid metastases appear to be an uncommon phenomenon however are likely to be underdiagnosed due to routine parathyroid gland preservation during thyroidectomy. CASE: We present the case of 63-year-old lady with PTC metastases to the parathyroid gland. She underwent total thyroidectomy, central compartment lymph node dissection and selective left neck (levels IIA-IV) lymph node dissection. Final pathology confirmed a 45 mm low grade conventional type papillary carcinoma with microscopic extension into perithyroidal soft tissue focally and into the adjacent left parathyroid gland. CONCLUSION: Parathyroid gland thyroid cancer infiltration/metastasis is rarely reported and likely underdiagnosed. This is the first case of parathyroid gland metastasis reported from New Zealand or Australia to our knowledge. There is currently limited research available to guide whether parathyroid gland infiltration or metastasis is of clinical or prognostic significance and whether a more aggressive treatment strategy is warranted when present. SAGE Publications 2022-11-14 /pmc/articles/PMC9666705/ /pubmed/36407482 http://dx.doi.org/10.1177/2632010X221134569 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
O’Sullivan, Brian
Burton, Tom
Ziad, Fouzia
Meyer Rochow, Goswin
Papillary Thyroid Cancer Metastases to the Parathyroid Gland
title Papillary Thyroid Cancer Metastases to the Parathyroid Gland
title_full Papillary Thyroid Cancer Metastases to the Parathyroid Gland
title_fullStr Papillary Thyroid Cancer Metastases to the Parathyroid Gland
title_full_unstemmed Papillary Thyroid Cancer Metastases to the Parathyroid Gland
title_short Papillary Thyroid Cancer Metastases to the Parathyroid Gland
title_sort papillary thyroid cancer metastases to the parathyroid gland
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9666705/
https://www.ncbi.nlm.nih.gov/pubmed/36407482
http://dx.doi.org/10.1177/2632010X221134569
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