Martín Navarro J, Mendoza E, Mateos P, Cereceda A, Coca S
Servicio de Nefrología, H. G. de la Defensa San Carlos, San Fernando, Cádiz.
Nefrologia. 2007;27(1):74-6.
We report the clinical case of a 55 year-old male patient, with a previous history of nephrectomy by hypernephroma sixteen years ago, first presenting hypercalcemia and rising of intact parathyroid hormone (iPTH) levels. A localization study revealed an intrathyroid nodule with cystic appearance. After undergoing a hemi-thyroidectomy, the patient is diagnosed with parathyroid carcinoma. This article analyzes previously published cases presenting parathyroidal pathologies associated with hypernephroma. A broader differential diagnosis--including the screening of parathyroidal pathologies should be considered in patients with hypercalcemia and hypernephroma.
我们报告了一名55岁男性患者的临床病例，该患者16年前因肾上腺肿瘤接受过肾切除术，首次出现高钙血症和完整甲状旁腺激素（iPTH）水平升高。一项定位研究发现甲状腺内有一个囊性外观的结节。在接受甲状腺半切除术后，该患者被诊断为甲状旁腺癌。本文分析了先前发表的伴有肾上腺肿瘤的甲状旁腺疾病病例。对于高钙血症和肾上腺肿瘤患者，应考虑更广泛的鉴别诊断，包括甲状旁腺疾病的筛查。
