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유두상 갑상선 암종이 동반된 부갑상선 증식증 1예

강대운1, 신승국1, 임윤성1, 이병주1,*
Dae-Woon Kang1, Seung-Kuk Shin1, Yune Sung Lim1, Byung-Joo Lee1,*
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1부산대학교 의학전문대학원 이비인후과학교실
1Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Busan, Korea
*교신저자: 이병주,602-739 부산광역시 서구 구덕로 179 부산대학교 의학전문대학원 이 비 인후과학교실 전화 : (051) 240-7335· 전송: (051) 246-8668 E-mail: voicelee@pusan.ac.kr

© Copyright 2012 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 22, 2012; Revised: Apr 03, 2012; Accepted: May 03, 2012

Published Online: May 31, 2020

ABSTRACT

Primary hyperparathyroidism (pHPT) and concomitant thyroid cancer is rare. The possibility of a coincidental appearance of pHPT and nonmedullary thyroid cancer is often neglected. We report a 50-year-old man with primary hyperparathyroidism with incidental papillary thyroid cancer. In this patient, preoperative imaging studies revealed the presences of a parathyroid tumor at left thyroid bed and both thyroid nodules. After left inferior parathyroidectomy, frozen section pathology suggested parathyroid hyperplasia. We performed left hemithyroid- ectomy and right paratracheal exploration. Frozen section biopsy of right paratracheal lymph node revealed metastatic lymph node of papillary thyroid cancer, so we performed total thyroidectomy with subtotal parathyroidectomy, and central compartment neck dissection. Permanent pathology revealed parathyroid hyperplasia with concurrent papillary thyroid carcinoma. A head and neck endocrine surgeon needs to be aware of the possible coexistence of thyroid and parathyroid pathologies and have to evaluate the thyroid gland in patients undergoing surgery for parathyroid disease. (J Clinical Otolaryngol 2012;23:125–130)

Keywords: 부갑상선 기능항진증; 갑상선암; 유두상암; 부갑상선
Keywords: Hyperparathyroidism; Thyroid neoplasms; Papillary carcinoma; Parathyroid glands