Incidental finding of metastatic papillary thyroid carcinoma in a patient with primary hyperparathyroidism

Jeffrey K. Lee, Sebastian L. Obrzut, Eunhee S. Yi, Leonard J. Deftos, Michael Bouvet

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Objective: To report on the management of a patient with the rare concurrence of primary hyperparathyroidism and incidentally found metastatic papillary thyroid carcinoma in an adjacent lymph node. Methods: We present a case report, including scintigraphic and histologic documentation, and a summary of the related literature. Results: Primary hyperparathyroidism with concomitant occurrence of nonmedullary thyroid carcinoma is rare, occurring in less than 4% of patients. We report a case of a 53-year-old woman with no prior history of endocrine disease with primary hyperparathyroidism and an incidental finding of a concurrent thyroid carcinoma. In this patient, technetium 99m scintigraphy revealed a parathyroid adenoma beneath the inferior pole of the left thyroid bed. Parathyroidectomy was performed successfully with no complications. The final pathology examination showed a large parathyroid adenoma with an incidental finding of a small adjacent lymph node containing metastatic papillary thyroid carcinoma. The patient subsequently underwent total thyroidectomy, and the pathology evaluation revealed papillary thyroid carcinoma, follicular variant. Conclusion: To our knowledge, this case of concomitant primary hyperparathyroidism and papillary thyroid cancer is unique in the way in which the diagnosis of metastatic papillary thyroid cancer was made. The presence of parathyroid adenoma should not exclude the diagnosis of thyroid carcinoma; therefore, careful thyroid evaluation should be considered for all patients with primary hyperparathyroidism.

Original languageEnglish (US)
Pages (from-to)380-383
Number of pages4
JournalEndocrine Practice
Volume13
Issue number4
DOIs
StatePublished - 2007

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Fingerprint Dive into the research topics of 'Incidental finding of metastatic papillary thyroid carcinoma in a patient with primary hyperparathyroidism'. Together they form a unique fingerprint.

Cite this