title: A Rare Constellation of Hürthle Cell Thyroid Carcinoma and Parathyroid Carcinoma.
abstract: Separate occurrence of thyroid and parathyroid carcinoma in patients is extremely rare, and to the best of our knowledge, only 7 patients with documented parathyroid and papillary thyroid carcinomas have been described formerly in published reports. We report a patient with an extremely unusual clinical presentation of Hürthle cell carcinoma in thyroid and parathyroid carcinoma. The patient displayed a rare presentation of life-threatening hypercalcaemia after total para-thyroidectomy and failed to respond to standard therapy. Our review of available literature yielded insufficient evidence in managing such. When a patient with thyroid cancer is diagnosed, checking for serum calcium is advised. This is considered a useful method for detecting possible incidental parathyroid lesion and screening the probable concealed parathyroid pathology.
authors.affiliation: Associate Professor, Health research Institute, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences , Ahvaz, Iran .
authors.forename: Mehrnoosh
authors.initials: M
authors.lastname: Zakerkish
authors.affiliation: Associate Professor, Department of Internal Medicine, School of Medicine, Ahvaz Jundishapur University of Medical Science , Ahvaz, Iran .
authors.forename: Elham
authors.initials: E
authors.lastname: Rajaei
authors.affiliation: Associate Professor, Department of Internal Medicine, School of Medicine, Ahvaz Jundishapur University of Medical Science , Ahvaz, Iran .
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Dargahi
authors.affiliation: Medical Student, Medical Student Research Committee, Ahvaz Jundishapur University of Medical Sciences , Ahvaz, Iran .
authors.forename: Mohammad
authors.initials: M
authors.lastname: Bahadoram
keywords: Hashimoto’s thyroiditis; Hypercalcaemia; Primary hyperparathyroidism; Thyroid nodule
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