A Functional Parathyroid Cyst from the Hemorrhagic Degeneration of a Parathyroid Adenoma
| Autor: | Yugo Shibagaki, Masahiko Yazawa, Junki Koike, Tomo Suzuki, Masataka Hasegawa, Atsuko Uehara, Yutaro Yamamoto, Kenichiro Koitabashi |
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| Rok vydání: | 2020 |
| Předmět: |
Adenoma
Male Parathyroidectomy Pathology medicine.medical_specialty medicine.medical_treatment Case Report Degeneration (medical) Calcimimetic Agents 030204 cardiovascular system & hematology Parathyroid Glands 03 medical and health sciences 0302 clinical medicine functional parathyroid cyst Internal Medicine medicine Humans Cyst primary hyperparathyroidism Aged Parathyroid adenoma Cysts business.industry Hyperparathyroidism Acute kidney injury hypercalcemia General Medicine medicine.disease Sestamibi Scan Parathyroid Neoplasms Treatment Outcome acute kidney injury Immunohistochemistry 030211 gastroenterology & hepatology Cinacalcet business hormones hormone substitutes and hormone antagonists Primary hyperparathyroidism |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.3319-19 |
| Popis: | A 77-year-old man with a history of hypertension, prostate hyperplasia, and urolithiasis was admitted for acute kidney injury caused by hypercalcemia. Neck ultrasonography showed a large cyst adjacent to the right lower thyroid lobe. Although a 99mtechnetium sestamibi scan was negative, an extremely high intracystic intact parathyroid hormone level suggested that the cyst had a parathyroid origin and that a functional parathyroid cyst was present. Immunohistochemical staining for the calcium-sensing receptor (CaSR) after right lower parathyroidectomy revealed CaSR-positive cells lining the cyst, indicating that the functional parathyroid cyst had originated from the hemorrhagic degeneration of a parathyroid adenoma. |
| Databáze: | OpenAIRE |
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