A Case of Primary Hyperparathyroidism with Thyroid Adenoma

Korean Journal of Head & Neck Oncology 1999;15(1):80-84.
Published online May 30, 1999.

Sung Hoo Jung;Wan Cheol Kim;Nam Poo Kang

갑상선 선종을 동반한 원발성 부갑상선 기능 항진증 1예

정성후;김완철;강남부

Abstract

Primary hryperparathyroidism is a relatively rare disease entity in Korea. It's characterized by severe skeletal and renal changes due to hypersecretion of parathyroid hormone, and rarely shows peptic ulceration, hypertension, pancreatitis and impaired mentality. Recently the determination of the serum calcium level has become a routine laboratory test and the awareness of primary hyperparathyroidism has been incerased, the disease is being diagnosed with increasing frequency. Primary hyperparathyroidism is most commonly caused by parathyroid adenoma and rarely hyperplasia, cancer of parathyroid glands. The authors operated sucessfully a case of primary parathyroid adenoma by diagnosed by nuclear medical diagnostic work-up. The patient had anterior neck mass(soft, non tender nodule) on physical examination, multiple goiter on thyroid ultrasonogram and scan. The parathyroid lesion was difficult to find preoperatively.

Key Words: Primary hyperparathyroidism