D'cruz R T, Seet J E, Parameswaran R
National University Hospital, Singapore.
Ann R Coll Surg Engl. 2020 Oct;102(8):e192-e195. doi: 10.1308/rcsann.2020.0101. Epub 2020 May 21.
We describe the case of an 89-year old Caucasian woman admitted with confusion and severe clinical manifestations of acute hypercalcaemia. There was no history suggestive of any malignancy and initial management included correction of the hypercalcaemia with intravenous fluid therapy. Sestamibi parathyroid scintigraphy and neck ultrasonography demonstrated a 4cm left-sided thyroid lesion and a nearly 2cm right-sided thyroid lesion. The patient underwent a total thyroidectomy and parathyroidectomy. Histology confirmed a concomitant parathyroid adenoma, parathyroid carcinoma and follicular thyroid carcinoma. To our knowledge, this is the first reported case in the literature.
我们描述了一位89岁白种女性的病例,她因意识模糊和急性高钙血症的严重临床表现入院。没有提示任何恶性肿瘤的病史,初始治疗包括通过静脉补液治疗纠正高钙血症。锝-99m甲氧基异丁基异腈甲状旁腺闪烁扫描和颈部超声检查显示左侧甲状腺有一个4厘米的病变以及右侧甲状腺有一个近2厘米的病变。患者接受了甲状腺全切除术和甲状旁腺切除术。组织学证实同时存在甲状旁腺腺瘤、甲状旁腺癌和甲状腺滤泡癌。据我们所知,这是文献中首次报道的病例。