Recurrent hyperparathyroidism due to parathyroid and pulmonary tumors showing features of parathyroid adenoma.

Lung nodule Metastasis Parathyroid adenoma Primary hyperparathyroidism

Journal

Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888

Informations de publication

Date de publication:
Aug 2020
Historique:
received: 20 03 2020
revised: 11 05 2020
accepted: 12 05 2020
entrez: 30 6 2020
pubmed: 1 7 2020
medline: 1 7 2020
Statut: epublish

Résumé

We report on a case of recurrent primary hyperparathyroidism possibly caused by parathyroid adenocarcinoma metastasizing to the lung. A 46-year-old woman with a history of parathyroid adenoma, which was extirpated 8 years ago, presented with symptoms of primary hyperparathyroidism, and was found to have a parathyroid and a lung nodule in radiographic assessments. Resections of the tumors in the parathyroid gland as well as the lung were required to improve her condition, and in pathology, both tumors demonstrated benign features consistent with adenoma. However, from the perspective of the clinical course and location of the tumors, we deduced that the tumors were malignant despite being identified as benign by conventional pathological examination. The integration of information based on clinical status and imaging studies is essential to evaluate the malignant potential of tumors if a patient with hyperparathyroidism has tumors located both inside and outside of the parathyroid gland.

Identifiants

pubmed: 32595814
doi: 10.1016/j.radcr.2020.05.024
pii: S1930-0433(20)30195-3
pmc: PMC7306540
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1289-1294

Informations de copyright

© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

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Auteurs

Ryosuke Miyauchi (R)

Department of Radiology, St. Marianna University School of Medicine Yokohama City Seibu Hospital, 1197-1 Yasashicho, Asahi-ku, Yokohama, Kanagawa, 241-0811, Japan.

Takayuki Yamada (T)

Department of Radiology, St. Marianna University School of Medicine Yokohama City Seibu Hospital, 1197-1 Yasashicho, Asahi-ku, Yokohama, Kanagawa, 241-0811, Japan.

Reiko Kumano (R)

Department of Radiology, St. Marianna University School of Medicine Yokohama City Seibu Hospital, 1197-1 Yasashicho, Asahi-ku, Yokohama, Kanagawa, 241-0811, Japan.

Yoshio Aida (Y)

Department of Pathology, St. Marianna University School of Medicine Yokohama City Seibu Hospital, Yokohama, Kanagawa, Japan.

Masayuki Takagi (M)

Department of Pathology, St. Marianna University School of Medicine University Hosital, Kawasaki, Kanagawa, Japan.

Classifications MeSH