Katsuhisa Enomoto1* and Tetsuyo Maeda2
1Department of Breast and Endocrine Surgery, Nihon University School of Medicine, Japan 2Department of Pathology, Nihon University School of Medicine, JapanFulltext PDF
A case was a 69-year-old male, who presented an inferior limb lassitude approximately in January 2009. Biochemical findings showed the following abnormalities: serum calcium, 16.5 mg/dl; urea nitrogen, 2.42 mg/dl; and intact Parathomore (PTH), 2190 pg/ml. Ultrasonographic findings of the neck revealed a cystic lesion with irregularly calcified margins in the left lobe of the thyroid gland, as well as a highly vascularized internally heterogeneous mass with irregular margins located dorsally. We removed a spherical mass that was somewhat adherent to surrounding tissues from the inferior dorsum of the left thyroid gland lobe, as well as the left lobe itself. Intraoperative pathological diagnosis of the mass was an adenoma. After the operation, total thyroidectomy and cervical lymphadenectomy were performed based on a clinical diagnosis of parathyroid cancer. This case presented with a lack of characteristic clinical symptoms, it has re-emphasized the need for detailed preoperative imaging diagnosis and conscientious intraoperative observation.
Enomoto K, Maeda T. Treatment of Difficulty for a Diagnosis of the Parathyroid Cancer. Ann Clin Case Rep. 2020; 5: 1822.