Philippine Journal of Otolaryngology Head and Neck Surgery (Jun 2016)
Tumoral Calcinosis in Secondary Hyperparathyroidism
Abstract
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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