Open Access
A Rare Constellation of Hürthle Cell Thyroid Carcinoma and Parathyroid Carcinoma
Author(s) -
Mehrnoosh Zakerkish,
Elham Rajaei,
Mehrdad Dargahi,
Mohammad Bahadoram
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/16540.6983
Subject(s) - medicine , parathyroid carcinoma , hypercalcaemia , thyroid carcinoma , thyroid , presentation (obstetrics) , carcinoma , thyroid cancer , thyroidectomy , cancer , parathyroid neoplasm , pathology , radiology , parathyroid adenoma , calcium , adenoma
Separate occurrence of thyroid and parathyroid carcinoma in patients is extremely rare, and to the best of our knowledge, only 7 patients with documented parathyroid and papillary thyroid carcinomas have been described formerly in published reports. We report a patient with an extremely unusual clinical presentation of Hürthle cell carcinoma in thyroid and parathyroid carcinoma. The patient displayed a rare presentation of life-threatening hypercalcaemia after total para-thyroidectomy and failed to respond to standard therapy. Our review of available literature yielded insufficient evidence in managing such. When a patient with thyroid cancer is diagnosed, checking for serum calcium is advised. This is considered a useful method for detecting possible incidental parathyroid lesion and screening the probable concealed parathyroid pathology.