Synchronous Papillary Thyroid Carcinoma and Primary Hyperparathyroidism:

Diagnosis and Management Issues

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Suneetha Vysetti, MD; Preethi Sridhar, MD; Boby Theckedath, MD; Janice L. Gilden, MD; Peter Morawiecki, MD

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Hospital Practice:

Volume 40 No. 4


Clinical Focus

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DOI: 10.3810/hp.2012.10.998
Abstract: The occurrence of a papillary thyroid carcinoma in a patient with primary hyperparathyroidism is rare. Awareness of this condition will enable clinicians to evaluate for possible thyroid pathology in patients with primary hyperparathyroidism. Both of these endocrine conditions could then be managed with a single surgery involving concomitant resection of the thyroid and parathyroid glands. We report a case of a 53-year-old woman with a parathyroid adenoma and a unilateral papillary thyroid carcinoma, and detail the clinical features, diagnosis, and management.

Keywords: parathyroid adenoma; primary hyperparathyroidism; papillary thyroid carcinoma; dual-phase Tc 99m MIBI scintigraphy