Total thyroidectomy in a patient with primary hyperparathyroidism. Case study
DOI:
https://doi.org/10.35381/s.v.v10i20.5152Keywords:
Adenoma, thyroidectomy, biopsy, ectopic, (Source: DeCS).Abstract
Introduction: A 65-year-old Afro-descendant woman from the province of Esmeraldas with a history of skin cancer, type 2 diabetes mellitus, hypothyroidism, and chronic arterial hypertension was admitted to the emergency department with dysphagia and cervical mass. Clinical case: On admission he presented high levels of PTH and serum calcium, so it was decided to perform a total thyroidectomy plus excision of a nodule in the lower pole of the right lobe. During the postoperative period, PTH levels remained elevated and the histopathological study did not show the presence of parathyroid adenoma. Conclusion: Ectopic parathyroid adenoma was highly suspected, so cervical ultrasound and FNA were performed, which allowed determining the location of the nodule to later perform cervical dissection and excision of the nodule, subsequently improving the patient's PTH and serum calcium levels until she was discharged from the hospital
Downloads
References
Global Cancer Observatory. Cancer Today. Lyon: International Agency for Research on Cancer; 2022. https://gco.iarc.who.int/today/
Jung CK, Bychkov A, Kakudo K. Update from the 2022 World Health Organization Classification of Thyroid Tumors: A Standardized Diagnostic Approach. Endocrinology and Metabolism. 2022;37(5): 703. https://doi.org/10.3803/EnM.2022.1553
Murray S, Sippel RS, Chen H. The Incidence of Concomitant Hyperparathyroidism in Patients with Thyroid Disease Requiring Surgery. The journal of surgical research. 2012;178(1):264. https://doi.org/10.1016/j.jss.2012.03.008
Cabanillas ME, McFadden DG, Durante C. Thyroid cancer. Lancet (London, England). 2016;388(10061):2783-2795. https://doi.org/10.1016/S0140-6736(16)30172-6
Lincango-Naranjo E, Solís-Pazmino P, El Kawkgi O. Desencadenantes del diagnóstico de cáncer de tiroides: una revisión sistemática y un metanálisis. Endocrino. 2021;72:644–659. https://doi.org/10.1007/s12020-020-02588-8
Paschke R, Lincke T, Müller SP, Kreissl MC, Dralle H, Fassnacht M. The Treatment of Well-Differentiated Thyroid Carcinoma. Deutsches Ärzteblatt International. 2015;112(26), 452-458. https://doi.org/10.3238/arztebl.2015.0452
Zamora EA, Khare S, Cassaro S. Thyroid Nodule. StatPearls Publishing; 2025. http://www.ncbi.nlm.nih.gov/books/NBK535422/
Gómez Yanza IP. Litiasis renal asociada a hiperparatiroidismo primario. Revisión bibliográfica. (Trabajo de Titulación). Universidad de Cuenca, Cuenca, Ecuador; 2023. https://dspace.ucacue.edu.ec/handle/ucacue/15857
Glasgow C, Lau EYC, Aloj L, Harper I, Cheow H, Das T, Berman L, Powlson AS, Bashari WA, Challis BG, Marker A, Moyle P, Mohamed IA, Schoenmakers N, Broomfield J, Oddy S, Moran C, Gurnell M, Jani P, Casey RT. An Approach to a Patient With Primary Hyperparathyroidism and a Suspected Ectopic Parathyroid Adenoma. 2022. https://dx.doi.org/10.1210/clinem/dgac024
Bilezkian JP, Khan AA, Silverberg SJ, Fuleihan GEH, Marcocci C, Minisola S, et al. Evaluation and management of primary Hyperparathyroidism: summary statement and guidelines from the Fifth International Workshop. J Bone Miner Res. 2022;37(11):2293-314. https://doi.org/10.1002/jbmr.4677
Hakim Tawil JA, Ibrahim A, Haykal T, Rachidi S. Submandibular ectopic parathyroid adenoma: a case report. Ear Noe Throat J. 2023;104(2_suppl). https://doi.org/10.1177/01455613231177193
Juhlin CC. Avoiding overdiagnosis of parathyroid carcinoma. Virchows Arch. 2025;488:159-171. https://doi.org/10.1007/s00428-025-04274-4
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Dietmar Fernando Rodriguez-Fariño, César Augusto Álvarez-Zevallos, Carlos Adolfo Lange-García, Néstor Kevin Moreira-Toala
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
CC BY-NC-SA : Esta licencia permite a los reutilizadores distribuir, remezclar, adaptar y construir sobre el material en cualquier medio o formato solo con fines no comerciales, y solo siempre y cuando se dé la atribución al creador. Si remezcla, adapta o construye sobre el material, debe licenciar el material modificado bajo términos idénticos.
OAI-PMH: https://fundacionkoinonia.com.ve/ojs/index.php/saludyvida/oai.
