Case report: coexistence of primary hyperparathyroidism with giant toxic nodular goiter

BMC Endocr Disord. 2022 Aug 9;22(1):200. doi: 10.1186/s12902-022-01117-0.

Abstract

Background: The coexistence of primary hyperparathyroidism (PHPT) and giant toxic nodular goiter is very rare. Moreover, PHPT could be easily overlooked because hyperthyroidism may also lead to hypercalcemia. A 99mTc-MIBI scan of the parathyroid glands is often negative when they are concomitant.

Case presentation: Here, we report a rare case of the coexistence of giant toxic nodular goiter and PHPT that had been ignored for many years but was successfully treated with an ultrasound-guided parathyroid adenoma microwave ablation (MWA).

Conclusion: Reoperation for PHPT carries an increased risk of cure failure and complications. Thermal ablation has been proven effective in inactivating hyperfunctioning parathyroid lesions and in normalizing both serum parathyroid hormone (PTH) and calcium.

Keywords: PHPT; PTH; SPECT/CT; Thermal ablation; Toxic nodular goiter.

Publication types

  • Case Reports

MeSH terms

  • Goiter, Nodular* / complications
  • Goiter, Nodular* / surgery
  • Humans
  • Hyperparathyroidism, Primary* / complications
  • Hyperparathyroidism, Primary* / diagnosis
  • Hyperthyroidism* / complications
  • Parathyroid Hormone
  • Parathyroid Neoplasms* / complications
  • Parathyroid Neoplasms* / surgery
  • Technetium Tc 99m Sestamibi

Substances

  • Parathyroid Hormone
  • Technetium Tc 99m Sestamibi