Naslov
PARATHYROID ADENOMA PRESENTING WITH DYSPHAGIA – A CASE REPORT

Autori
Peček, Mirta ; Margetić, Marko ; Stevanović, Siniša

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
Knjiga sažetaka OSCON 2023. / - , 2023

Skup
OSCON 2023

Mjesto i datum
Osijek, Hrvatska, 30.03.2023. - 01.04.2023

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
dysphagia, hypercalcemia, parathyroid adenoma

Sažetak
Introduction: The most typical cause of hypercalcemia is primary hyperparathyroidism. Adenoma, hyperplasia, or malignancy are possible causes of primary hyperparathyroidism. Patients with parathyroid adenoma may present with kidney stones, frequent urination, hoarseness, palpable neck mass, unexplained pain, nausea, vomiting, myalgia, abdominal pain, bone and joint pain, lethargy, depression or disorientation. This report aims to show the importance of diagnostic treatment for a patient with dysphagia. Case presentation: A 62-year-old male with a history of total hip arthroplasty was referred to the hospital with chief complaints of vomiting, dysphagia, and 20 kg weight loss for two months. The laboratory investigation showed PTH level at 102 pmol/L, calcium at 4, 12 mmol/L, and potassium at 3 mmol/L. For an initial evaluation, a neck ultrasound revealed a large, rounded, hypoechoic mass along and below the lower pole of the left thyroid lobe. The ultrasound-guided puncture was done and confirmed a parathyroid gland lesion. A neck CT scan was performed and it showed a mass (3, 6×2, 6×2, 5 cm) behind the left thyroid lobe. During scintigraphy, there was an intensive uptake at the same localization which corresponded to a hyperfunctioning parathyroid gland. The patient underwent surgical excision of the left upper and lower parathyroid gland, with a simple postoperative course (PTH 4, 54 pmol/L, calcium 2, 25 mmol/L). Conclusion: Although dysphagia is not a typical parathyroid adenoma presentation, it should be fully considered as a symptom in our differential diagnosis. In this case, dysphagia was the patient's main complaint, and a parathyroid adenoma was the final medical diagnosis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA