HomePhilippine Journal of Otolaryngology Head and Neck Surgeryvol. 31 no. 1 (2016)

Tumoral Calcinosis in Secondary Hyperparathyroidism

Reinzi Luz S. Bautista | Ramon Antonio B. Lopa | Arsenio Claro A. Cabungcal | Anna Pamela C. Dela Cruz | Tom Edward N. Lo

 

Abstract:

Objective: To report a case of tumoral calcinosis from secondary hyperparathyroidism and to describe its surgical management.


Methods:
Design: Case Report
Setting: Tertiary Public University Hospital
Patient: One


Results: A 34-year-old woman presented with progressively-enlarging bilateral upper extremity masses. Diagnostic tests revealed hyperfunctioning parathyroid glands. The patient underwent subtotal parathyroidectomy, right thyroid lobectomy with isthmusectomy, and transcervical thymectomy. Follow-up revealed marked decrease in parathyroid hormone, and progressive resolution of the tumoral calcinosis.


Conclusion: Subtotal parathyroidectomy and transcervical thymectomy have a role in the management of tumoral calcinosis, and in this case led to excellent post-operative results. The rare presentation of secondary hyperparathyroidism and intervention in this patient may have potential lessons for future management of similar cases.