Tumoral Calcinosis in Secondary Hyperparathyroidism
DOI:
https://doi.org/10.32412/pjohns.v31i1.319Keywords:
tumoral calcinosis, parathyroid, parathyroidectomy, thymectomyAbstract
Objective: To report a case of tumoral calcinosis from secondary hyperparathyroidism and to describe its surgical management.
Methods:
Study Design: Case report
Setting: Tertiary public university hospital
Patient: One
Results: A 34-year old woman presented with progressively-enlarging bilateral upper extremity masses. Diagnostic tests revealed hyperfunctioning parathyroid glands. The patient underwent subtotal parathyroidectomy, right thyroid lobectomy with isthmusectomy, and transcervical thymectomy. Follow-up revealed marked decrease in parathyroid hormone, and progressive resolution of the tumoral calcinosis.
Conclusion: Subtotal parathyroidectomy and transcervical thymectomy have a role in the management of tumoral calcinosis, and in this case led to excellent post-operative results. The rare presentation of secondary hyperparathyroidism and intervention in this patient may have potential lessons for future management of similar cases.
Keywords: tumoral calcinosis, parathyroid, parathyroidectomy, thymectomy
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