International Journal of Hematology and Oncology
2023, Vol 33, Num 4 Page(s): 095-098
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INCIDENTAL PARATHYROID CARCINOMA DETECTED DURING THYROIDECTOMY FOR PAPILLARY THYROID CARCINOMA: REPORT OF A CASE
Mehmet KILIÇ1, Mehmet KEŞKEK1, Tamer ERTAN1, Özge HAN2, Erdal GÖÇMEN1
1V. Department of Surgery, Ankara Numune Hastanesi, ANKARA
2Department of Pathology, Ankara Numune Hastanesi, ANKARA
Keywords: Thyroid carcinoma, Parathyroid carcinoma
A 60-year old woman with a history of nodular goiter was admitted to hospital. Fine needle aspiration cytology (FNAC) of dominant nodule was suspicious of papillary thyroid carcinoma. Preoperative serum calcium level was normal in biochemical analysis. Cervical exploration revealed an aberrant tissue inferior to left thyroid gland which was reminiscent of parathyroid adenoma or an enlarged lymphadenopathy. Total thyroidectomy and en-bloc resection of this tissue was performed. Histopathological examination of the thyroid gland and aberrant tissue revealed papillary thyroid carcinoma and parathyroid carcinoma which was silent preoperatively. As the authors, we think that any abnormally enlarged parathyroid gland detected during thyroidectomy for malignancy should raise the suspicion of a second primary in the parathyroid gland.
Mehmet KILIÇ1, Mehmet KEŞKEK1, Tamer ERTAN1, Özge HAN2, Erdal GÖÇMEN1
1V. Department of Surgery, Ankara Numune Hastanesi, ANKARA
2Department of Pathology, Ankara Numune Hastanesi, ANKARA
Keywords: Thyroid carcinoma, Parathyroid carcinoma
A 60-year old woman with a history of nodular goiter was admitted to hospital. Fine needle aspiration cytology (FNAC) of dominant nodule was suspicious of papillary thyroid carcinoma. Preoperative serum calcium level was normal in biochemical analysis. Cervical exploration revealed an aberrant tissue inferior to left thyroid gland which was reminiscent of parathyroid adenoma or an enlarged lymphadenopathy. Total thyroidectomy and en-bloc resection of this tissue was performed. Histopathological examination of the thyroid gland and aberrant tissue revealed papillary thyroid carcinoma and parathyroid carcinoma which was silent preoperatively. As the authors, we think that any abnormally enlarged parathyroid gland detected during thyroidectomy for malignancy should raise the suspicion of a second primary in the parathyroid gland.
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