Abstract
It is known that primary hyperparathyroidism is sometimes associated with a thyroid carcinoma other than medullary carcinomas. In this paper a case of papillary carcinoma of the thyroid associated with primary hyperparathyroidism is described together with a review of the literature in the light of the correlations between both diseases.
A 53-year-old woman complaining of lumbago was suspected of hyperparathyroidism from blood ecamination, and visited our department. Tumors on the right and left sides of the neck were palpated. Echography of the neck revealed a cystic tumor with inner solid section at the tail-side of right lobe of the thyroid, and an echo-poor region with irregular margin in the upper left lobe of the thyroid. Needle biopsy cytology of the tumor on the right-side of the neck resulted in class I, PTH value of the aspirated liquid being abnormally high. While the biopsy cytology of the left tumor showed class V, and it was a papillary carcinoma of the thyroid. From the above, the patient was diagnosed as having a papillary carcinoma of the thyroid associating with primary hyperparathyroidism, and operated on. After surgery blood PTH value was satisfactorily normalized without any severe complications, and the patient was discharged.
